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 […]

Valvular vegetations

Though transesophageal echocardiography is required in most patients suspected to have infective endocarditis because of better sensitivity, valvular vegetations can be seen on a transthoracic echocardiogram, especially when large. It […]

A case of bilateral hydronephrosis

A young woman presented with abdominal pain that did not get better with empiric antibiotic therapy for presumed urinary tract infection. Renal sonogram revealed bilateral mild to moderate hydronephrosis. There […]

Ureterovesical junction stone

We have previously talked about ureteral jets and the twinkle artefact. Here is an excellent clip shared by Dr. Robert Jones demonstrating twinkle artefact in the right distal ureter region […]

A case of cardiogenic pulmonary edema

Nephrology was consulted for acute kidney injury and hypervolemia in a chronically ill nursing home resident. You decide to perform lung POCUS to assess extravascular lung water. Multiple B-lines per […]