Chest Ultrasound Dr James Whi4aker Consultant Radiologist Stockport NHS Trust
Level 1 - Anatomy • Right and leD hemi-diaphragms • Liver and Spleen • Rib and intercostal spaces • Heart
Longitudinal view
Normal resGng breathing
Deep inspiraGon
Normal resGng breathing
Deep inspiraGon
Fat Intercostal Muscle Pleura Lung with reverberaGon artefact
Fat Muscle Rib Cortex
Fat Intercostal Muscle Pleura Diaphragm
Level 1 - Pathology • Pleural effusion • Consolidated lung • Pleural thickening • Pericardial effusion
PLEURAL EFFUSION
Simple Anechoic Effusion
Haemothorax
Rib fracture Rib cortex Rib cortex Fracture site
Echogenic Effusion
EMPYEMA
EMPYEMA
CONSOLIDATION
CONSOLIDATION Spleen LLL
LUNG ABSCESS
Liver
MESOTHELIOMA
NECROTIC TUMOUR WITH PLEURAL METASTATIC DISEASE
ADENOCARCINOMA WITH MALIGNANT EFFUSION
ADENOCARCINOMA
LUNG TUMOUR WITH ATELECTASIS
MESOTHELIOMA
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