Summary of the diagnostic criteria for the three main ultrasound signs
LUS signs | B lines | Irregularity of the pleural line | Thickening of the pleural line |
Diagnostic criteria | |||
Positive diagnostic criteria | Vertical hyperechoic line, and appearing below the pleural line, and extending to the bottom of the screen without attenuation, and moving with breathing. | Horizontal hyperechoic line, and appearing below the chest wall, and having lost its regular linear contour. | Horizontal hyperechoic line, and appearing below the chest wall, and it exceeds 3 mm in its smallest thickness. |
Negative diagnostic criteria | Vertical hyperechoic line interrupted before the bottom of the screen (=Z line). | Horizontal hyperechoic line appearing in the chest wall, or horizontal hyperechoic line appearing in the lung area on the US screen, or horizontal hyperechoic line with regular linear contour. | Horizontal hyperechoic line measured at 3 mm or less. |
Typical images | Figure 2 | Figure 3 | Figure 4 |
Presentation of results | Sum of the number of B lines in all thoracic areas. | Yes or no for each thoracic aera. | For each thoracic area, the thickness of the pleural line is given in millimetres. |
LUS, lung ultrasound.