Fatty liver
Normally, we compare the renal parenchymal echogenicity to that of liver on the right and spleen on the left. But if the patient has fatty liver, this can get confusing. […]
Pleural effusion visualized from the apical window
These images were obtained from a patient with acute kidney injury requiring renal replacement therapy. In the apical view, you can see a large anechoic area beside the left heart […]
Cyst or hydronephrosis?
Previously, we learned that parapelvic cysts can mimic hydronephrosis. However, any large cyst can be confused with hydro if you do not scan the kidney in both planes. For example, […]
Questionable hydroureter seen in the clinic
A middle-aged man was seen in the nephrology clinic after a recent hospitalization for acute pyelonephritis and acute kidney injury (AKI) requiring a few sessions of dialysis. AKI was thought […]
Strange white things in the liver
These images of the liver were obtained from an asymptomatic nephrology clinic patient while trying to find the IVC. What are the white things? Don’t they look like air bronchograms […]
The ‘ring of fire’ Foley balloon
Previously, we talked about the utility of ‘twinkling sign or artifact’ in detection of kidney stones. Interestingly, balloon of the Foley catheter can also twinkle on color Doppler appearing like […]
Pitfalls of inferior vena cava M-mode
Visual estimation of IVC collapse on B-mode (grey scale image) is generally preferred to M-mode, though in theory, M-mode measurement might be able to give accurate collapsibility index. There are […]
An intriguing tale of B-lines in a dialysis patient
Dr. X is rounding on an ESRD patient who initially presented with dyspnea after missing a dialysis (HD) session; underwent dialysis in the hospital. Pt asymptomatic at the time of […]
Sonographic appearance of an ureteral stent
Here is the image of right kidney obtained from a patient with history of obstructive uropathy. Note the hyperechoic double-lined structure in the collecting system area: that’s ureteral stent. Here […]
Execution of the NephroPOCUS curriculum
POCUS program runs smoothly when there are at least 2 (or more) key faculty who can dedicate significant amount of their time to the program development. Depending on the number […]