key: cord-0801165-4qcuwswb authors: Favot, Mark; Collins, Luke title: Man with dyspnea date: 2020-07-02 journal: J Am Coll Emerg Physicians Open DOI: 10.1002/emp2.12174 sha: 434477591e77464859f9505fa166f556e26474ff doc_id: 801165 cord_uid: 4qcuwswb nan COVID-19, HIV, Pneumocystis Carinii Pneumonia, ultrasound F I G U R E 1 (A) Thoracic ultrasound image from the patient's anterior mid-lung fields showing numerous B lines (located between the green lines, red lines, and yellow lines) seen in alveolar-interstitial syndromes. Pleura is noted by the blue arrow. (B) Thoracic ultrasound image from the left inferior lung fields showing a subpleural consolidation (red arrow) often seen in pneumonia or pulmonary embolism/infarction A 55-year-old man with a history of HIV presented to the emergency department (ED) with a 2-week history of cough and dyspnea. He also reports subjective fevers and states he has been off his antiretroviral medications for the past 8 months. Vital signs were notable for a lowgrade fever and a room air pulse oximetry of 82%. Point-of-care ultrasound (POCUS) of the thorax and portable chest radiography (CXR) were performed (Figures 1 and 2 ). This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. © 2020 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of the American College of Emergency Physicians. Mark Favot MD https://orcid.org/0000-0002-4442-4281 Lung ultrasound in the management of pneumocystis pneumonia: a case series Lung B-line artefacts and their use How to cite this article: Favot M, Collins L. Man with dyspnea