Interesting Case #3
You are asked by a colleague to assist in performing a diagnostic tap on a patient with cough, fever and a CXR suggesting a left sided pleural effusion….
You review the patient & percuss the chest to the dullest point. Instead of ‘poking blindly’ you decide to grab your nearby ultrasound and slap the probe on (left posterior chest wall, longitudinal plane, just below tip of scapula).
This is what you see…[wpdevart_youtube]Hg6xNl9PJM0[/wpdevart_youtube] [showhide type=”pressrelease” more_text=”What is your interpretation of this image ?” less_text=”What is your interpretation of this image ?” hidden=”yes”]
Left lower lobe consolidation with a loculated pleural effusion.
Diagnostic aspiration of this is unlikely to be successful & the procedure should be aborted.[/showhide] [showhide type=”pressrelease1″ more_text=”Click to see an annotated image…” less_text=”Click to see an annotated image…” hidden=”yes”]
This case was first seen at thebluntdissection.org – probe prevents probe…