Anterior Consolidation

This sign is not specific and can be seen in both consolidation and pulmonary infarct. It has been suggested that associated B-lines would point toward consolidation. Naturally, both have to be located immediately under the pleura to be detectable by US.

A patient with known Sickle Cell Disease was admitted with Acute Chest Syndrome.

The US probe was placed on the site of maximal pleuritic chest pain, as indicated by the patient.

This is the same site, at a lower depth.

Here is another case. A man with known lung cancer admitted with PE. Lung US shows anterior consolidation at the site of pleuritic pain (on the same side as PE).

Once again, the same site, at a lower depth.