Septal bounce in a lupus patient

Here is a subcostal view of the heart obtained from a young lupus patient presenting with symptoms of new onset heart failure. Nephrologists may encounter this type of presentation in […]

The ‘double line’ sign

These images were obtained from a dialysis patient during routine screening for renal call carcinoma. In addition to kidneys being small with thin parenchyma, note the hypoechoic, sharply demarcated area […]

Pericardial cyst

Pericardial cysts are uncommon and represent approximately 5% of thoracic cysts. Most of these are asymptomatic and usually detected incidentally. However, in case of chest trauma, they can rupture leading […]

Fluid in the subcostal view

What does this subcostal view show? In a twitter poll, more than 50% thought its either pericardial effusion or a pericardial tumor. The correct answer is ascites. Subcostal view of […]

Do not mistake aorta for the IVC

Mistaking aorta for the inferior vena cava (IVC) is a common pitfall and can potentially lead to patient mismanagement. Always trace the IVC superiorly and make sure it is joining […]

Lymphomatous infiltration of the kidney

Following renal ultrasound images were obtained from a patient with diffuse large B-cell lymphoma with extensive spread all over the body including central nervous system. Indication for the study: acute […]

Horseshoe Kidney

Horseshoe kidney is the most common renal fusion abnormality characterized by fusion of one pole of each kidney, typically the lower pole. The connection or the isthmus lies in the […]

An unusual case of ascites

Here is an interesting case shared by Pitt IMPOCUS. A middle-aged man with cirrhosis and history of venous thromboembolism on apixaban therapy presented with abdominal pain and distension. On examination, […]

Complex pleural effusion

As we saw before, a simple transudative pleural effusion is anechoic. On the other hand, presence of echogenicities in the effusion is suggestive of complex/exudative pleural effusion. The term ‘plankton […]

Not a routine pleural effusion

This is an image obtained from the perisplenic window in a patient with gun shot wound. At first glance, it looks like a regular pleural effusion with atelectatic lung above […]

Misplaced Foley in the prostatic urethra

In this ultrasound image of long axis of the urinary bladder, Foley balloon (green arrow) is in the prostatic urethra resulting in urinary retention. Note the anechoic urine-filled bladder and […]

Mitral annular calcification

Here is parasternal long axis view obtained from a patient with diabetes mellitus and chronic kidney disease with altered bone mineral metabolism. Note the hyperechoic calcification along the posterior mitral […]