IOTW: Wheezing in the winter

Posted on: November 26, 2018, by :

This is a 9 year old girl who presents with wheezing for the first time in the setting of fever. You can see below between the two rib shadows the beginnings of a consolidated lung with air bronchograms (which shows up as white) consistent with a pneumonia. You also see that the A-lines are obliterated, which signifies that this lung is not normally aerated. This image was obtained with a linear probe (as you can see on the top right L10-5, which stands for linear probe 10-5 MHz) but with a splayed image (as you can see at the top of the screen, next to the Z it is not a straight line across but curvilinear) to allow for a larger visual field.

“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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