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{ "pk": 8617, "title": "Bleb Point: Mimicker of Pneumothorax in Bullous Lung Disease", "subtitle": null, "abstract": "In patients presenting with severe dyspnea, several diagnostic challenges arise in distinguishingthe diagnosis of pneumothorax versus several other pulmonary etiologies like bullous lung disease,pneumonia, interstitial lung disease, and acute respiratory distress syndrome. Distinguishingbetween large pulmonary bullae and pneumothorax is of the utmost importance, as the acutemanagement is very different. While multiple imaging modalities are available, plain radiographsmay be inadequate to make the diagnosis and other advanced imaging may be difficult to obtain.Ultrasound has a very high specificity for pneumothorax. We present a case where a largepulmonary bleb mimics the lung point and therefore inaccurately suggests pneumothorax. [West JEmerg Med. 2015;16(3):447–449.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Sonography" }, { "word": "Pneumothorax" }, { "word": "bullous lung disease" }, { "word": "Lung ultrasound" }, { "word": "radiography" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6w65w11d", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "", "last_name": "Gelabert", "name_suffix": "", "institution": "North Shore University Hospital, Department of Emergency Medicine, Division of Emergency Ultrasound, Manhasset, New York", "department": "None" }, { "first_name": "Mathew", "middle_name": "", "last_name": "Nelson", "name_suffix": "", "institution": "North Shore University Hospital, Department of Emergency Medicine, Division of Emergency Ultrasound, Manhasset, New York", "department": "None" } ], "date_submitted": "2014-11-24T19:33:03Z", "date_accepted": "2014-11-24T19:33:03Z", "date_published": "2015-04-09T20:43:22Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8617/galley/4962/download/" } ] }