Pericardial versus pleural effusion on PLAX view
We may find both pericardial and pleural effusions in the parasternal long axis (PLAX) view and mistaking one for the other can lead to inappropriate management. The descending thoracic aorta […]
Maternal Physiologic hydronephrosis in Pregnancy
Pregnancy-related hydronephrosis, more precisely physiologic maternal renal pelvis dilatation is common and the incidence is estimated to be as high as 80%. The dilatation of the pelvis and ureter typically […]
The Shred Sign
As we have seen previously, lobar consolidations tend to be well-defined, often accompanied by a small pleural effusion. However, small subpleural consolidations (of course, ultrasound does not detect if they […]
The TIE fighter sign
These days, portable automated bladder scanners are widely used to check for urinary retention in hospitalized patients. They certainly avoid the need for invasive chatheterizations but cannot differentiate between urine […]
Lung POCUS: Pearls and Pitfalls
Here is a must watch lecture by Dr. Kylie Baker (@kyliebaker888) primarily focusing on lung ultrasound in adults and children.
Renal abscess
A middle-aged man with diabetes mellitus type 2 presented with fever, chills and malaise. Urinalysis revealed pyuria and was positive for nitrite. Renal sonogram demonstrated a heterogeneous mass-like structure in […]
Am I seeing two urinary bladders?
We previously talked about the double bladder sign in female patients indicative of ovarian torsion. Here are images from a middle-aged gentleman, where the suprapubic scan revealed two anechoic structures, […]
Cervical mass
The cervix is not well visualized on transabdominal scans in most patients. The endovaginal approach usually results in more optimal visualization because the transducer can be placed closer to the […]
Lung Mass
Occasionally, you may stumble upon a lung mass while evaluating for B lines or other common pathologies. Particularly, ultrasonography is good at detecting primary and metastatic lung masses adjacent to […]
An elderly patient with progressive dyspnea
Dr. Kylie Baker from Australia shares an interesting POCUS case of a large right pleural effusion causing hemodynamic compromise. The illustrative images are accompanied by captions.