Southwest Journal of Pulmonary and Critical Care (Dec 2014)
Ultrasound for critical care physicians: lung sliding and the seashore sign
Abstract
No abstract available. Article truncated after first page. A 70-year-old Native American woman was having increasing difficulty with ventilation. She had an extensive past medical history including quadriplegia after a motor vehicle accident in 2009, chronic mechanical ventilation since the accident, end-stage renal disease, and diabetes mellitus. A feeding tube had recently been inserted. A portable chest radiograph was performed (Figure 1). A lung ultrasound was performed (Figure 2). M-mode images of the ultrasound are shown in Figure 3. Which of the following are true regarding the images presented? 1. The chest x-ray shows the feeding tube in the right lung; 2. The M-mode image shows the seashore sign on the left suggestive of a pneumothorax; 3. The ultrasound shows an absence of lung sliding on the right suggestive of a pneumothorax; 4. 1 and 3; 5. All of the above ...
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