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Assembly

The Pleura Doesn't Slide

Authors
Sruti Brahmandam, MD
Bilal Athar Jalil, MD
Rodrigo Cavallazzi, MD

Division of Pulmonary, Critical Care and Sleep Disorders Medicine
550 S Jackson St, A3R40
University of Louisville
Louisville, KY 40202


Case

A 29-year-old female with history of intravenous drug abuse presented to the emergency department with sudden onset of chest pain and dyspnea. She was diaphoretic and appeared to be in moderate respiratory distress. Her heart rate was 120 beats per minute; her respiratory rate ranged in the mid-to-high 30s and was hypoxic requiring 4 liters of supplemental oxygen via nasal cannula. A point of care ultrasound performed in the emergency room of the left hemithorax is displayed as video 1 and the right hemithorax as video 2. The corresponding m-mode view of the right hemithorax is presented as image 1.

Images/Videos

Image 1

corresponding m-mode view of the right hemithorax

Video 1

point of care ultrasound left hemithorax

Video 2

point of care ultrasound right hemithorax

Question

What diagnosis is evident from the point of care ultrasound?

A. Asymmetric pulmonary edema
B. Right-sided pneumothorax
C. Right-sided atelectasis
D. Left-sided pneumothorax
E. Left-sided atelectasis

Answer