Today I review, link to, and excerpt from POCUS Geek’s POCUS: Lung Ultrasound – Irregular pleural line.
All that follows is from the above resource.
Oct 9, 2023Difficulty Level: Beginner Identification of an irregular pleural line can be helpful in making the correct diagnosis. Sub-pleural consolidations and C-Lines have clinical implications that can lead to the appropriate clinical management. In this video we will discuss the causes of an irregular pleural line, show different examples of an irregular pleural line, and review the causes of this sonographic finding.
Author: Jared T Marx MD
Lung ultrasound binary questions and videos: 1a – Is there lung sliding? Video:
• POCUS: Lung Ultrasound – Basic Anatom…
1b – If lung sliding is NOT present is there a lung point? Video:
2 -Are B lines (interstitial syndrome) present? Video:
3 – Is the pleural line irregular? Video:
4 – Is there hepatization (consolidation) of the lung? Video:
5 – Is there free thoracic fluid? Video: Coming Soon
Important references: International evidence-based recommendations for point-of-care lung ultrasound: https://link.springer.com/article/10….
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1:15 But there are caveats to this slide.
and when we talk about the plural line
being irregular the most common thing
with common things being common is that
it’s going to be infection now in the
international guidelines that came out
several years ago they talk about it
being ards which we saw a lot of this
during covet but it can also just
represent early pneumonia if you’re
finding it in a focal area or a focal
region and seeing those subplural
consolidations in that irregular plural
line should make you think infection now
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