Rib Reverberation: An Important New Artifact in Lung Ultrasound
Point of care ultrasound of the lungs has emerged as a crucial tool in the evaluation of hypoxemia in critical care and hospital medicine settings. The ability to distinguish the horizontal A-line artifact from other lung pathology is essential for guiding clinical decision making. Typically, ribs...
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| Format: | Article |
| Language: | English |
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CINQUILL Medical Publishers Inc.
2025-04-01
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| Series: | POCUS Journal |
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| Online Access: | https://ojs.library.queensu.ca/index.php/pocus/article/view/17768 |
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| _version_ | 1850151150580400128 |
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| author | Yulei Cao Jennifer Sun Cameron Baston |
| author_facet | Yulei Cao Jennifer Sun Cameron Baston |
| author_sort | Yulei Cao |
| collection | DOAJ |
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Point of care ultrasound of the lungs has emerged as a crucial tool in the evaluation of hypoxemia in critical care and hospital medicine settings. The ability to distinguish the horizontal A-line artifact from other lung pathology is essential for guiding clinical decision making. Typically, ribs and their acoustic shadows are used as anchoring anatomy to ensure visualization of pleura and parenchyma. We present a case of horizontal reverberation artifacts incidentally observed over a rib during a point of care lung ultrasound (LUS) in a 77-year-old patient with persistent hypoxic respiratory failure. Describing these reverberation artifacts caused by ribs is important to decrease the chance of misinterpretation.
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| format | Article |
| id | doaj-art-89df2c6cc5284fee83074299e205676e |
| institution | OA Journals |
| issn | 2369-8543 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | CINQUILL Medical Publishers Inc. |
| record_format | Article |
| series | POCUS Journal |
| spelling | doaj-art-89df2c6cc5284fee83074299e205676e2025-08-20T02:26:22ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432025-04-01100110.24908/pocusj.v10i01.17768Rib Reverberation: An Important New Artifact in Lung UltrasoundYulei Cao0Jennifer Sun1Cameron Baston2https://orcid.org/0000-0003-0124-1415Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USADepartment of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, PA, USADepartment of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA Point of care ultrasound of the lungs has emerged as a crucial tool in the evaluation of hypoxemia in critical care and hospital medicine settings. The ability to distinguish the horizontal A-line artifact from other lung pathology is essential for guiding clinical decision making. Typically, ribs and their acoustic shadows are used as anchoring anatomy to ensure visualization of pleura and parenchyma. We present a case of horizontal reverberation artifacts incidentally observed over a rib during a point of care lung ultrasound (LUS) in a 77-year-old patient with persistent hypoxic respiratory failure. Describing these reverberation artifacts caused by ribs is important to decrease the chance of misinterpretation. https://ojs.library.queensu.ca/index.php/pocus/article/view/17768lung ultrasoundartifactA-linerib ultrasoundreverberation artifact |
| spellingShingle | Yulei Cao Jennifer Sun Cameron Baston Rib Reverberation: An Important New Artifact in Lung Ultrasound POCUS Journal lung ultrasound artifact A-line rib ultrasound reverberation artifact |
| title | Rib Reverberation: An Important New Artifact in Lung Ultrasound |
| title_full | Rib Reverberation: An Important New Artifact in Lung Ultrasound |
| title_fullStr | Rib Reverberation: An Important New Artifact in Lung Ultrasound |
| title_full_unstemmed | Rib Reverberation: An Important New Artifact in Lung Ultrasound |
| title_short | Rib Reverberation: An Important New Artifact in Lung Ultrasound |
| title_sort | rib reverberation an important new artifact in lung ultrasound |
| topic | lung ultrasound artifact A-line rib ultrasound reverberation artifact |
| url | https://ojs.library.queensu.ca/index.php/pocus/article/view/17768 |
| work_keys_str_mv | AT yuleicao ribreverberationanimportantnewartifactinlungultrasound AT jennifersun ribreverberationanimportantnewartifactinlungultrasound AT cameronbaston ribreverberationanimportantnewartifactinlungultrasound |