Case 1 - Pleural Space
Indication:
(i) Verification: Whether the pleural effusion was present or not, PoCUS should reveal that. Other entities could mimic the findings on CXR.
(ii) Therapeutic Thoracentesis Assessment: If a pleural effusion was present, PoCUS was employed to assess the size of the pleural effusion and, also, the landmark a safe site to perform a therapeutic drain.
Image Acquisition:
Given the patient had a hip fracture rendering any hip movements very painful, the decision was to first assessing the right pleural space at Zone 4.
(i) Verification: Whether the pleural effusion was present or not, PoCUS should reveal that. Other entities could mimic the findings on CXR.
(ii) Therapeutic Thoracentesis Assessment: If a pleural effusion was present, PoCUS was employed to assess the size of the pleural effusion and, also, the landmark a safe site to perform a therapeutic drain.
Image Acquisition:
Given the patient had a hip fracture rendering any hip movements very painful, the decision was to first assessing the right pleural space at Zone 4.
Interpretation:
Minimal pleural fluid was found in the right pleural space. Instead, a large mass lesion was found at the base of the thorax. The appearance of the lesion did not look like consolidated or atelecatic lung.
Clinical Synthesis:
Therapeutic thoracentesis abandoned. CT chest was organized for which a large mass originating from the pleural space was found.
Minimal pleural fluid was found in the right pleural space. Instead, a large mass lesion was found at the base of the thorax. The appearance of the lesion did not look like consolidated or atelecatic lung.
Clinical Synthesis:
Therapeutic thoracentesis abandoned. CT chest was organized for which a large mass originating from the pleural space was found.