Ultrasound is not routinely performed to image the thoracic cavity, and does not substitute for the chest radiograph in trauma assessment. However, bedside ultrasound performed by trained emergency physicians was a sensitive as the initial chest radiograph (96 percent) in detecting traumatic hemothorax. 26 The viewing areas used were the right and left intercostal oblique views. Fluid in the pleural space was identified as an anechoic space distal to the hyperechoic line representing the diaphragm.
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