Zephyr
Pulmonologist
An 86-year-old man was sent to our emergency room for shortness of breath. Chest film revealed cardiomegaly and increased opacity over right hemithorax and blunt bilateral costophrenic angles. Sonography was ordered to determine whether the right hemithorax was filled with pleural effusion or it was a consolidation of the right lung.
On the contrary, hypoechoic pleural effusion was detected initially on the right side, presenting a large amount of pleural effusion. The collapsed lung is barely seen on the still image due to the pleural effusion is too large.
Under the left decubitus position, after sterilization and local anesthesia, thoracocentesis was performed over the right 6th ICS at the posterior axillary line. Then, a pig-tail catheter, 8 Fr., was inserted over the same route via a two-step method and fixed at 15cm under Eagleview ultrasound guidance.
Generally, the Eagleview ultrasound completed its mission to help clinicians to diagnose pleural effusion and did help we do some sono-guided interventions. The image quality of the convex side is fair as expected. Maybe the image quality would improve in the next vision with more elements.
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