ICJEM
Intercontinental Journal of Emergency Medicine

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Case Report
Pitfalls of lung ultrasound interpretation in malignant pleural mesothelioma: an emergency department case report
Abstract
Lung ultrasound (LUS) is widely used in emergency departments (ED) for rapid evaluation of acute dyspnea and chest pain, but certain conditions may lead to misinterpretation of sonographic artifacts. We report a 70-year-old woman with malignant pleural mesothelioma (MPM) who presented with chest pain and dyspnea, in whom LUS demonstrated diffuse B-lines and pleural-based anechoic lesions mimicking cardiogenic pulmonary edema. The patient required non-invasive mechanical ventilation and was subsequently diagnosed with non–ST-elevation myocardial infarction. This case emphasizes that B-lines in oncologic patients may reflect pleural or subpleural pathology rather than interstitial edema and should be interpreted in conjunction with clinical and laboratory findings.

Keywords : Lung, ultrasonography, mesothelioma, emergency medicine, pleura

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Article available in :
Volume 4, Issue 1, 2026
Page : 18-20
https://doi.org/10.51271/ICJEM-0071
Article Information
Received : 18 Oca 2026
Accepted : 04 Şub 2026
Published : 07 Mar 2026
Corresponding Author :

İlker Şirin: Department of Emergency Medicine, Ankara Etlik City Hospital, Ankara, Turkiye

[email protected]
Citation : Şirin İ. Pitfalls of lung ultrasound interpretation in malignant pleural mesothelioma: an emergency department case report. Intercont J Emerg Med. 2026;4(1):18-20.

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