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Images of the normal lung and injured lung

Images of the normal lung and injured lung
Schematic and still images of lung ultrasound in normal lung (Panel A), interstitial syndrome (Panel B), and alveolar syndrome (Panel C). In the normally aerated lung (Panel A), the findings include a homogenous pleural line (uppermost horizontal white line in image), the presence of an A line (ie, short horizontal white line in mid-image, an artefact from the pleural line), lung sliding, and a lung pulse. The interstitial syndrome (Panel B) involves loss of lung aeration and is of two types. The "B1" pattern, corresponding to moderate loss of aeration, has 3 or more B-lines (vertical) per intercostal space, whereas the "B2" pattern, corresponding to more severe loss of aeration, has multiple coalescent B-lines per intercostal space. Lung consolidation (Panel C), indicates substantially increased density with almost complete loss of aeration. This is characterized by an anechoic (ie, tissue-like) image arising from the pleural line.
From: Cereda M, Xin Y, Goffi A, et al. Imaging the injured lung: Mechanisms of action and clinical use. Anesthesiology 2020; 131:716. DOI: 10.1097/ALN.0000000000002583. Copyright © 2009 American Society of Anesthesiologists. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.
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