Pseudo lung point

An anxious young man presents with left sided chest discomfort. After some internet research he is convinced he has a pneumothorax… What does this scan demonstrate?

Reveal Answer
  • This image is taken on the left side adjacent to the pericardium.
  • Despite initial appearances this is not a lung point, but the normal junction between sliding lung, and a pericardial fat pad.
  • A common error in lung ultrasound is to misinterpret the normal junction between lung and either mediastinum or diaphragm, as a lung point.

This video explains the difference between lung point and pseudo lung point.

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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