IOTW: Nephrotic syndrome with pleural effusion

Posted on: October 8, 2018, by :

This is an image of the RUQ, showing a pleural effusion. For orientation, the head is to the left of the screen and the feet are to the right of the screen.

This is an example of pleural effusion. If the lung is full of air (normal) then you shouldn’t see the spine superior to the diaphragm. Air obscures the spine usually. In this case, we see the spine marching past the diaphragm indicating there is fluid present.

“The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational purposes and members agree not to download them, share them, or otherwise use them for any other purpose.”

Carrie Ng

Pediatric Emergency Medicine Attending at Children's National Health System
Carrie was born in San Francisco, but grew up between Hong Kong and Los Angeles. Although she loves the sun, she was excited to move away from home to Philadelphia for medical school, where she explored a new city, learned to appreciate all four seasons, and met her Canadian husband. She then moved to New York City and completed her Pediatrics residency at NYU and PEM fellowship at Columbia. During this time, Carrie developed a passion for bedside ultrasound and decided to join the CNMC faculty while pursuing an Emergency Ultrasound fellowship. In her spare time, Carrie loves traveling, listening to podcasts, and playing board games.

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