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Lung Point Case 2

A 32 year old woman presents to hospital with right sided chest pain and shortness of breath after falling of her bicycle.

What does the ultrasound show?


Reveal Answer

Two rounded ribs with posterior shadowing lie above the horizontal pleural line.

The lung’s visceral pleural surface can be seen sliding against the chest wall’s parietal pleural surface on the left of the image.

Right side of image: The lung is separated from the chest wall by the pneumothorax, sliding is lost.

The junction between the sliding and non sliding sections is called the lung point and confirms pneumothorax.


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Dr James Rippey LITFL Ultrasound SonoCPD

An Emergency physician based in Perth, Western Australia. Professionally my passion lies in integrating advanced diagnostic and procedural ultrasound into clinical assessment and management of the undifferentiated patient. Sharing hard fought knowledge with innovative educational techniques to ensure knowledge translation and dissemination is my goal. Family, wild coastlines, native forests, and tinkering in the shed fills the rest of my contented time. | SonoCPDUltrasound library | Top 100 | @thesonocave |

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