Table 1.
Radiological pattern | Expected US pattern | Possible etiology |
---|---|---|
Without radiological changes | A-lines Pleural line moving normally |
PJP Asthma KS of the trachea |
Focal infiltrates | Subpleural hypoechoic region ± hyperechoic air bronchograms “Hepatization” of the lung |
Bacterial pneumonia Mycobacteriosis Fungi Lymphoma Lung cancer |
Interstitial pattern | B-lines Possible small subpleural hypoechoic regions |
PJP CMV KS Lymphocytic interstitial pneumonia Interstitial lung diseases Cardiac insufficiency Fungi |
Miliary pattern | Not reported | Mycobacteriosis Fungi |
Pneumothorax | A-lines Absent lung sliding Identifiable ‘lung point’ In M-mode: “seashore sign” |
PJP |
Cavernous lesions | Not reported | Mycobacteriosis Bacterial abscess (Staphylococcus, Pseudomonas) Lung cancer |
Cystic lesions | Multiple small echogenic gas containing lesions surrounded by hypoechoic solid lung | PJP Fungi PTB |
Pleural effusion | Anechoic collection between chest wall and the lung Lung tissue may appear echogenic (compression atelectasis) Echogenic fibrin strands and septae possible |
Bacterial pneumonia Mycobacteriosis KS Lymphoma Cardiac insufficiency |
US ultrasound, PJP Pneumocystis jirovecii pneumonia, KS Kaposi’s sarcoma, CMV cytomegalovirus, TB tuberculosis