File:Acute cor pulmonale (ultrasound) (Radiopaedia 83508-98614 Left lung (midaxillary) 1).mp4

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Acute_cor_pulmonale_(ultrasound)_(Radiopaedia_83508-98614_Left_lung_(midaxillary)_1).mp4(MP4 audio/video file, h.264, length 4.0 s, 774 × 580 pixels, 2.06 Mbps overall, file size: 1,005 KB)

Summary:

Description
  • Radiopaedia case ID: 83508
  • Study ID: 98614
  • Image ID: 53770429
  • Plane projection: Left lung (midaxillary)
  • Modality: Ultrasound
  • System: Chest
  • Findings: Bilateral patchy airspace opacities, most prominent in bases affecting right lung marginally more than left. No significant interval change. No evidence of pneumothorax or subcutaneous emphysema. Tracheostomy and gastric tube unchanged.
  • Study findings: Left ventricle: preserved global systolic function. No obvious regional wall motion abnormalities. Grossly normal chamber size. Pericardium: no obvious effusion. Right ventricle: mild-moderate dilation, estimated end-diastolic area approaches that of the LV in the apical 4 chamber view. Flattening of the interventricular septum noted at end-systole (paradoxical septal motion) suggestive of right ventricular pressure overload. Grossly normal TAPSE suggestive of preserved (longitudinal) systolic function. Aorta: no intimal flaps or marked dilation evident. Atria: no obvious dilation, masses, or thrombi. Valves: MV/AV with a normal 2D appearance without flail/prolapse or restriction. Lungs: lung sliding reduced (albeit present) bilaterally. bilateral, inhomogenous and diffuse sonographic interstitial syndrome with lung (primarily ground glass rockets) rockets. interspersed pleural thickening and shaggy irregularity with associated sub-B lines. IVC: limited visualization, indeterminate. Lower extremity veins: right common femoral vein lacks full compressibility. non-mobile, intraluminal density against posterior venous wall. Non-occlusive, with turbulent luminal color flow. Overall interpretation:
  • Author location: Detroit, MI, United States
Date 02 Nov 2020
Source Acute cor pulmonale (ultrasound)
Author David Carroll
Permission
(Permission-reusing-text)
http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

This file is ineligible for copyright and therefore in the public domain, because it is a technical image created as part of a standard medical diagnostic procedure. No creative element rising above the threshold of originality was involved in its production.

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current04:46, 8 April 20214.0 s, 774 × 580 (1,005 KB) (talk | contribs)Radiopaedia project rID:83508 (batch #803-6 F1)

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