Interstitial edema - lung ultrasound

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

C/o Abdominal pain, Fever. Referred for chest radiograph and ultrasound.

Patient Data

Age: about 75 yrs
Gender: Male

USG abdomen Cirrhosis BiLat...

ultrasound

USG abdomen Cirrhosis BiLat increased renal cortical echogenisity enlarged prostate.

Bilateral lung base ultrasound images show multiple vertical echogenic artifacts.

No effusion / consolidation is noted on either side. 

Patient was in ICU after...

ultrasound

Patient was in ICU after 1st scan. He recovered & came back for FU 1 wk later. Now asymptomatic.

Absence of previously seen multiple echogenic artifacts on both sides of lung base.

Case Discussion

During 1st study, patient came after voiding for measurement of post void residual urine volume. He had breathlessness. Chest radiograph was suggested but radiography machine was out of order. 

USG for chest was done, which showed vertical echogenic lines - interstitial pattern.

Follow up scan after 1 wk. Patient had free from shortness of breath at that time and previously visualized USG findings were absent.

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