This middle aged woman with a history of rheumatoid arthritis presented with shortness of breath after recently starting a new disease-modifying anti-rheumatic drug (DMARD) and was found to be pancytopenic. Some of her ultrasounds are displayed below.
It would appear that she has a small pericardial effusion. Although probably not clinically significant at this time, it should be watched.
Her left ventricular systolic function appears to be intact
She may have diastolic dysfunction, but we do not have tissue doppler to confirm the diagnosis
A small right pleural effusion. Unlikely clinically significant, but also should be monitored.
Look at the A-lines this Siemens produces!! I've never seen anything like it. It goes to show how far ultrasound technology has come in eliminating artifact. As the "B-lines" in this clip are interrupted by the A-lines, this exam is not consistent with alveolar interstitial syndrome (such as pulmonary edema).
It would appear that she has a small pericardial effusion. Although probably not clinically significant at this time, it should be watched.
Her left ventricular systolic function appears to be intact
She may have diastolic dysfunction, but we do not have tissue doppler to confirm the diagnosis
A small right pleural effusion. Unlikely clinically significant, but also should be monitored.
Look at the A-lines this Siemens produces!! I've never seen anything like it. It goes to show how far ultrasound technology has come in eliminating artifact. As the "B-lines" in this clip are interrupted by the A-lines, this exam is not consistent with alveolar interstitial syndrome (such as pulmonary edema).
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