Pulmonary - Air Bronchograms
Caption
Middle aged female with history of HIV, asthma, and polysubstance use who presents with progressively worsening dyspnea over 3-4 days, found to have diffuse rales, worse in left mid to lower lung fields. AP CXR with bilateral lower lobe patchy infiltrate, left greater than right. POCUS with curvilinear probe revealed B lines in left mid lung fields and consolidation with air bronchograms in left lower lung. Air bronchograms is one of the most specific signs for the diagnosis of pneumonia with a specificity (93%) and a positive LR (12.14). Ultimately, CT chest is the gold standard for diagnosis of pneumonia, which was consistent with the CT in this patient. Priscilla Chao, MD, Matthew Riscinti, MD - Kings County Emergency Medicine