Using Ultrasound Lung Comets in the Diagnosis of High Altitude Pulmonary Edema: Fact or Fiction?  Yashvi Wimalasena, BM, FCEM, DiMM, Jeremy Windsor, MBChB,

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Using Ultrasound Lung Comets in the Diagnosis of High Altitude Pulmonary Edema: Fact or Fiction?  Yashvi Wimalasena, BM, FCEM, DiMM, Jeremy Windsor, MBChB, DCH, FCARCS, Mark Edsell, MBChB, FRCA, FFICM  Wilderness & Environmental Medicine  Volume 24, Issue 2, Pages 159-164 (June 2013) DOI: 10.1016/j.wem.2012.10.005 Copyright © 2013 Wilderness Medical Society Terms and Conditions

Figure 1 A normal lung ultrasonogram of a single intercostal space with no ultrasound lung comets. The black arrow indicates the pleural line, and the white arrows indicate the ribs as these form the “bat wing sign.” Wilderness & Environmental Medicine 2013 24, 159-164DOI: (10.1016/j.wem.2012.10.005) Copyright © 2013 Wilderness Medical Society Terms and Conditions

Figure 2 A lung ultrasonography scan of a single intercostal space showing multiple ultrasound lung comets (white vertical lines). Wilderness & Environmental Medicine 2013 24, 159-164DOI: (10.1016/j.wem.2012.10.005) Copyright © 2013 Wilderness Medical Society Terms and Conditions

Figure 3 Ultrasonography B and M mode scan of normal lung. Wilderness & Environmental Medicine 2013 24, 159-164DOI: (10.1016/j.wem.2012.10.005) Copyright © 2013 Wilderness Medical Society Terms and Conditions

Figure 4 Ultrasonography B and M mode depiction of a pneumothorax. Wilderness & Environmental Medicine 2013 24, 159-164DOI: (10.1016/j.wem.2012.10.005) Copyright © 2013 Wilderness Medical Society Terms and Conditions

Figure 5 Lung ultrasonography scan showing lung consolidation. Wilderness & Environmental Medicine 2013 24, 159-164DOI: (10.1016/j.wem.2012.10.005) Copyright © 2013 Wilderness Medical Society Terms and Conditions

Figure 6 Ultrasonography B and M mode view of pleural effusion. Wilderness & Environmental Medicine 2013 24, 159-164DOI: (10.1016/j.wem.2012.10.005) Copyright © 2013 Wilderness Medical Society Terms and Conditions