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A Patient with Cough and Fever

Author
Rahul Khosla, MD
Assistant Chief, Pulmonary Section
VA Medical Center
Washington, DC


Case

History of present illness: A 40 year old male presents with cough, fever and yellow sputum.

Past medical history: Hypertension

Vital signs: Respiratory rate: 20/min, pulse 85/min, BP 110/80 mmHg, pulse oximetry 96% on room air.

Physical Examination: Decreased breath sounds right lower chest.

EKG: Normal sinus rhythm

Chest radiograph is pending. In the interim, bedside lung sonography is performed, and the following finding is present on examination of the right lung.

bedside lung sonography

Questions

Question 1: The image is consistent with the presence of which of the following:

A. Pleural effusion
B. Pneumothorax
C. Pneumonia
D. Pulmonary embolism

Question 2: The image can be best described as:

A. Bat sign
B. Sinusoid sign
C. Curtain sign
D. Seashore sign

Answers