Abstract
Our article was not a study investigating the thoracic ultrasound findings present in bullous disease. We presented 2 patients in whom it was difficult to distinguish pneumothorax from bullous disease. In each case, ultrasound accurately diagnosed the underlying pathology. The publication was intended to stimulate further discussion and research in an area that has been notoriously complicated. There was no intention to suggest that our findings can be applied with sensitivity or specificity. About Ultrasound Diagnosis of Pulmonary Bullae vs. PneumothoraxJournal of Emergency MedicineVol. 38Issue 3PreviewOver the past year, we performed transthoracic chest sonography in 62 cases of thoracic surgical patients coming from the Emergency, Internal Medicine, and Cardiovascular Surgery Departments and scheduled for thoracentesis, tube thoracostomy, and video-assisted thoracoscopy. The diagnoses included pneumothorax or pulmonary bullous disease in 8 patients, pleural effusion or empyema in 48 patients, and pulmonary or pleural peripheral nodules in 6 patients. We read with interest the article by Simon and Paolinetti, which addressed the issue of differentiating pulmonary bullae and pneumothorax by ultrasound guidance in an emergency setting (1). Full-Text PDF
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