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. […]

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 […]

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 […]