The ‘double line’ sign

These images were obtained from a dialysis patient during routine screening for renal cell 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 […]