Keywords: blunt trauma, pneumothorax, CXR supine, ultrasound, seashore, stratasphere (PubMed Search)
(Please note the prior version of this pearl was incorrect with respect to the images referenced. This version is corrected.)
Patient s/p blunt chest trauma. CXR (image 1) vs. lung ultrasound (image 2), do you see any inconsistencies?
Lung ultrasound in traumatic pneumothorax: The "Stratosphere Sign"
Written by Dr. Michael Allison.
For advanced sonographers:
1. Blaivas, M. et al. A prospective comparison of supine chest radiography and bedside ultrasound for the diagnosis of traumatic pneumothorax. Academic Emergency Med. 2005 Sep;12(9):844-9.
2. Lichtenstein D et al. Ultrasound diagnosis of occult pneumothorax. Crit Care Med. 2005 June;33(6): 1231-8.