chest ultrasound
TRANSCRIPT
![Page 1: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/1.jpg)
WELCOMEWELCOME
![Page 2: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/2.jpg)
CHESTCHESTULTRASOUNDULTRASOUNDCHESTCHESTULTRASOUNDULTRASOUND
DR MOSTAQUE AHMED BHUIYANMBBS.MD.FCPSASSISTANT PROFESSOR.DEPT OF RADIOLOGY& IMAGINGSYLHET MAG OSMANI MEDICAL COLLEGE.
2
![Page 3: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/3.jpg)
Over the last few years the use of lung ultrasound has gained in popularity in diagnosis and evaluation of critically ill patients.
It is rapid, repeatable and free of complications.
04/11/233
![Page 4: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/4.jpg)
It is common knowledge that ultrasound beam not normally passed through air filled structures making the evaluation of lung parenchyma impossible
—these does not however prevents the diagnosis of several conditions include pneumothorax. consolidation, pleural effusion etc.
04/11/234
![Page 5: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/5.jpg)
AdvantagesAdvantages
Can detect small amount of fluid in pleural cavity and location of the fluid.
Can differentiate pleural fluid from lung consolidation
Diagnosis of pleural thickening and pleural mass.
5
![Page 6: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/6.jpg)
DisadvantageDisadvantage
Thoracic ultrasound is an operator dependent technique
Is not as good as CT in evaluation of parenchymal disease.
![Page 7: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/7.jpg)
Indications of chest sonographyIndications of chest sonography
Chest wall pathology Lipoma.hematoma.abscess. Node, rib fracture rib metastasis.rib massDiaphragm: Normal /paralysis of hemidiaphragmPleural effusion Pleural thickening
7
![Page 8: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/8.jpg)
Pleural mass like fibroma.lipoma,mesothelioma metastasis etc
Detection of pneumothorax
Consolidation
Guidence for diagnostic and therapeutic thoracocentesis
04/11/238
![Page 9: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/9.jpg)
SCANING POSITIONSCANING POSITION
9
![Page 10: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/10.jpg)
10
![Page 11: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/11.jpg)
11
![Page 12: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/12.jpg)
NORMAL ANATOMYNORMAL ANATOMY
04/11/2312
![Page 13: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/13.jpg)
13
![Page 14: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/14.jpg)
04/11/2314
![Page 15: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/15.jpg)
15
![Page 16: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/16.jpg)
04/11/2316
![Page 17: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/17.jpg)
04/11/2317
![Page 18: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/18.jpg)
04/11/2318
![Page 19: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/19.jpg)
04/11/2319
![Page 20: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/20.jpg)
Acute Pulmonary oedema.Acute Pulmonary oedema.
04/11/2320
![Page 21: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/21.jpg)
Acute pulmonary oedemaAcute pulmonary oedema
04/11/2321
![Page 22: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/22.jpg)
PneumothoraxPneumothorax
04/11/2322
![Page 23: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/23.jpg)
04/11/2323
![Page 24: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/24.jpg)
04/11/2324
![Page 25: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/25.jpg)
ConsolidationConsolidation Irregular hypoechic area of varying
size and shape.Echotexure can appear homogenous
or inhomogenous.The most common sonographic
feature is the air bronchogram which is characterized by lens shaped internal echoes within hypodene area or echogenic lines.
04/11/2325
![Page 26: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/26.jpg)
04/11/2326
![Page 27: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/27.jpg)
04/11/2327
![Page 28: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/28.jpg)
04/11/2328
![Page 29: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/29.jpg)
Summarizing sonographic Summarizing sonographic finding in consolidationfinding in consolidation
Liver like in early stageAir bronchogramFluid bronchogramBlurred and serrated marginReberberation echoes in the marginHypoechoic abscess formation
04/11/2329
![Page 30: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/30.jpg)
COLLASPE OF LUNGCOLLASPE OF LUNG
04/11/2330
![Page 31: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/31.jpg)
Pleural effusion.Pleural effusion.
04/11/2331
![Page 32: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/32.jpg)
04/11/2332
![Page 33: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/33.jpg)
04/11/2333
![Page 34: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/34.jpg)
Pleural thickening.Pleural thickening.
04/11/2334
![Page 35: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/35.jpg)
Lung abscessLung abscess
They typically appear as round or oval anechoic lesions
Margin may be smooth and echodense
Microabscess are often visible as anechoic areas within the pneumonic consolidation.
04/11/2335
![Page 36: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/36.jpg)
Pneumonia complicated by abscessPneumonia complicated by abscess
04/11/2336
![Page 37: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/37.jpg)
04/11/2337
![Page 38: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/38.jpg)
Peripheral bronchial carcinomaPeripheral bronchial carcinoma
Can help to define better necrotic areas that are depicted as anehoic region inside the tumour.
The infiltrative growth of solid tissue without regard to anatomical structures is characteristic of malignancy.
04/11/2338
![Page 39: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/39.jpg)
Pheripheral bronchial ca.Pheripheral bronchial ca.
04/11/2339
![Page 40: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/40.jpg)
Lung ca infiltrating chest wall.Lung ca infiltrating chest wall.
04/11/2340
![Page 41: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/41.jpg)
04/11/2341
![Page 42: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/42.jpg)
Pulmonary metastasisPulmonary metastasis
04/11/2342
![Page 43: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/43.jpg)
Summary of pulmonary caSummary of pulmonary ca
Hypoechoic, inhomogenous.
Rounded, nearly rounded.
Sharp,serrated margins
Infiltration of chest wall
Irregular vascularization
04/11/2343
![Page 44: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/44.jpg)
Limitation of lung ultrasoundLimitation of lung ultrasound
Require formal training ,knowledge and skills.
Obese patients are frequently difficult to examine.
The presence of subcutaneous emphysema.
Lung ultrasound cannot detect lung overinflation.
04/11/2344
![Page 45: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/45.jpg)
ConclusionConclusionEasy to learn and apply It can be used quickly to rule out any
significant pneumothorax in critically ill patient.
More sensitive than cxr in pleural effusion or pleural pathology.
The routine use of lung ultrasound appears attractive alternative to bedside chest radiography
04/11/2345
![Page 46: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/46.jpg)
04/11/2346
![Page 47: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/47.jpg)
04/11/2347
![Page 48: Chest ultrasound](https://reader033.vdocuments.us/reader033/viewer/2022061611/554b3ce9b4c9054b5e8b460f/html5/thumbnails/48.jpg)
04/11/2348