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. 2020 Nov 11;10(11):935. doi: 10.3390/diagnostics10110935

Table 4.

Basic definitions of lung ultrasound (LUS) findings.

LUS Finding Definition
A-lines
(A-line artefacts)
Repetition of the pleural line at a standardized distance equal to the skin–pleural line distance.
B-lines
(B-line artefacts)
Comet-tail artefacts that arise from the pleural line and move simultaneously with the breathing cycle. The other optional 4 criteria are: screen-long, well-defined, erasing A-lines, and hyperechoic.
Consolidation Hypoechoic, subpleural tissue-like area, caused by fluid displacing alveolar air. In case of a large consolidation, the appearance is characteristically liver-like. Usually, a consolidation has blurred margins and the following associated features:
  • The loss of pleural line echogenicity over the area of consolidation and the absence of A-lines within the area.

  • Comet-tail artefacts arising from the deep edge of the consolidation.

  • B-lines surrounding the area of consolidation.

  • An air bronchogram—observed as multiple hyperechoic specks or branching tree-like structure within the area of consolidation:
    • a)
      Dynamic—moving simultaneously with the breathing cycle; or
    • b)
      Static.
  • A fluid bronchogram—an anechoic or hypoechoic branched tubular structure along the airways, within the area of consolidation.

  • Vascular pattern in color Doppler option—observed as branching tree-like structures with blood flow.

I-lines, Z-lines
(I- and Z-line artefacts)
Short vertical hyperechoic artefacts arising from the pleural line, not reaching the distal edge of the screen.
Interstitial syndrome ≥3 B-lines visible in the longitudinal plane between two ribs.