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This image best demonstrates the "shred sign", where the tissue abutting the pleural line is well defined, but has a "shredded" appearance with deeper lung tissue where it connects with better aerated lung. Clip 4, Left Lung: In this representative image of the left lung, we see the pleural line in the near-field, with multiple B-lines.
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The pathognomonic "lung point sign" where the normal plural interface boarders the pneumothorax where there is a loss of lung sliding. In M-mode there will be a loss of the granular "sandy beach" and you will see a "barcode sign or "stratosphere sign" with straight lines below the pleura.
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Ultrasound has sensitivity around 88% and specificity near 100% for pneumothorax compared to supine chest x-ray with sensitivity around 52% and sensitivity around 99%. (1) M-mode appearance of pleural interface in normal lung. Linear array probe (higher frequency) Patient positioned supine. Probe marker towards head.
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The pathognomonic "lung point sign" where the normal plural interface boarders the pneumothorax where there is a loss of lung sliding. In M-mode there will be a loss of the granular "sandy beach" and you will see a "barcode sign or "stratosphere sign" with straight lines below the pleura.
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The pathognomonic "lung point sign" where the normal plural interface boarders the pneumothorax where there is a loss of lung sliding. In M-mode there will be a loss of the granular "sandy beach" and you will see a "barcode sign or "stratosphere sign" with straight lines below the pleura.
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The pathognomonic "lung point sign" where the normal plural interface boarders the pneumothorax where there is a loss of lung sliding. In M-mode there will be a loss of the granular "sandy beach" and you will see a "barcode sign or "stratosphere sign" with straight lines below the pleura.
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Supracondylar Fracture: The most common elbow fracture in pediatrics is a supracondylar fracture, making up to 60% of pediatric elbow fractures2. Things to look for would be malalignment of the anterior humeral line as mentioned above. Additionally, the presence of the sail sign and posterior fat pad should prompt further evaluation of the image.
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On a normal elbow x-ray, only a small stripe of an anterior fat pad should be visible. No posterior fat pad should be seen. Injuries around the joint can produce a joint effusion which will displace the fat pads making them more visible. The anterior fat pad protrudes more and looks pointy; this is what is recognized as the sail sign.
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On a normal elbow x-ray, only a small stripe of an anterior fat pad should be visible. No posterior fat pad should be seen. Injuries around the joint can produce a joint effusion which will displace the fat pads making them more visible. The anterior fat pad protrudes more and looks pointy; this is what is recognized as the sail sign.
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The pathognomonic "lung point sign" where the normal plural interface boarders the pneumothorax where there is a loss of lung sliding. In M-mode there will be a loss of the granular "sandy beach" and you will see a "barcode sign or "stratosphere sign" with straight lines below the pleura.
69 People Used
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The pathognomonic "lung point sign" where the normal plural interface boarders the pneumothorax where there is a loss of lung sliding. In M-mode there will be a loss of the granular "sandy beach" and you will see a "barcode sign or "stratosphere sign" with straight lines below the pleura.
352 People Used
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The pathognomonic "lung point sign" where the normal plural interface boarders the pneumothorax where there is a loss of lung sliding. In M-mode there will be a loss of the granular "sandy beach" and you will see a "barcode sign or "stratosphere sign" with straight lines below the pleura.
314 People Used
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Supracondylar Fracture: The most common elbow fracture in pediatrics is a supracondylar fracture, making up to 60% of pediatric elbow fractures2. Things to look for would be malalignment of the anterior humeral line as mentioned above. Additionally, the presence of the sail sign and posterior fat pad should prompt further evaluation of the image.
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Supracondylar Fracture: The most common elbow fracture in pediatrics is a supracondylar fracture, making up to 60% of pediatric elbow fractures2. Things to look for would be malalignment of the anterior humeral line as mentioned above. Additionally, the presence of the sail sign and posterior fat pad should prompt further evaluation of the image.
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Supracondylar Fracture: The most common elbow fracture in pediatrics is a supracondylar fracture, making up to 60% of pediatric elbow fractures2. Things to look for would be malalignment of the anterior humeral line as mentioned above. Additionally, the presence of the sail sign and posterior fat pad should prompt further evaluation of the image.
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Supracondylar Fracture: The most common elbow fracture in pediatrics is a supracondylar fracture, making up to 60% of pediatric elbow fractures2. Things to look for would be malalignment of the anterior humeral line as mentioned above. Additionally, the presence of the sail sign and posterior fat pad should prompt further evaluation of the image.
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On a normal elbow x-ray, only a small stripe of an anterior fat pad should be visible. No posterior fat pad should be seen. Injuries around the joint can produce a joint effusion which will displace the fat pads making them more visible. The anterior fat pad protrudes more and looks pointy; this is what is recognized as the sail sign.
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Supracondylar Fracture: The most common elbow fracture in pediatrics is a supracondylar fracture, making up to 60% of pediatric elbow fractures2. Things to look for would be malalignment of the anterior humeral line as mentioned above. Additionally, the presence of the sail sign and posterior fat pad should prompt further evaluation of the image.
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On a normal elbow x-ray, only a small stripe of an anterior fat pad should be visible. No posterior fat pad should be seen. Injuries around the joint can produce a joint effusion which will displace the fat pads making them more visible. The anterior fat pad protrudes more and looks pointy; this is what is recognized as the sail sign.
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The predictive value of a normal anterior fat pad sign following elbow trauma in children. Pediatric Emergency Care, 2011. 7: 596-600. Skaggs D, Mirzayan R. The posterior fat pad sign in association with occult fracture of the elbow in children. American Journal of Bone and Joint Surgery, 1999. 10: 1429-33
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