Sono-He-Didn’t!* Is your chest pain patient full of hot air?

Lorraine Ng

An 18 year-old male walks into your ED stating that his chest started to hurt while running earlier that day. ‘I wanted to come to the ED, you know, just to get checked out.’ he says, while flashing you a winsome smile.

(Disclaimer: the patient in question was NOT the Biebs.)

He said that he was just practicing for his meet tomorrow, and began to have chest pain. He was a little short of breath and ‘something just didn’t feel right.’

Your ultrasound-savvy PEM fellow subsequently wheels the ultrasound machine into the exam room and deftly maneuvers it between the stretcher and the IV cart, leaving just enough room to plug in the electrical power cord in the conveniently located power outlet above the patient’s head. She performs a point-of-care ultrasound of both lungs and obtains the images below.

R Lung L Lung

Images courtesy of Dr. Yaffa Vitberg.

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If you want to see YOUR image included in the next Image of the Month, please email interesting stills and/or clips in addition to a small blurb on the patient to Lorraine Ng at ln2136@cumc.columbia.edu.

*Phrase ‘Sono-You-Didn’t’ coined by the 2013 St. Luke’s Roosevelt SonoGames team at the Society for Academic Medicine (SAEM) Annual Meeting in Atlanta, GA.

Lorraine Ng

Lorraine Ng

Assistant Clinical Professor and the Fellowship Director of the Pediatric Emergency Ultrasound Fellowship at Columbia University Medical Center
Lorraine's academic interests are in emergency ultrasound and medical education. She is the editor for the Ultrasound Image of the Month series for PEMNetwork.
Lorraine Ng
Lorraine Ng

Lorraine Ng

Lorraine's academic interests are in emergency ultrasound and medical education. She is the editor for the Ultrasound Image of the Month series for PEMNetwork.