Venous valves
Encountering venous valves is not uncommon, and they can potentially be confused with pathology such as dissection by uninformed clinicians. In nephrology practice, internal jugular vein (IJV) valves are often […]
TIE Fighter Sign: Decoding an Unusual Culprit Beyond Pelvic Ascites
In a previous discussion, we delved into the TIE fighter sign in the context of pelvic ascites, where the automated bladder scanner misinterpreted ascites as a full urinary bladder. Here […]
What is above the spleen?
We are doing a VExUS scan in a patient with known cirrhosis and possibly concurrent alcoholic hepatitis. In the left upper quadrant, you see a large spleen (which is not […]
Incidental findings in the gall bladder lumen
While performing kidney ultrasound, we frequently visualize gall bladder (from the right lateral scan plane) and its good to be aware of some incidental findings. We previously discussed the differential […]
A case of urinary frequency and urgency
A middle-aged woman is seen in nephrology clinic for recurrent nephrolithiasis. She was previously advised to drink plenty of water but thinks she is probably drinking ‘too much’ because she […]
Incidental fluid seen during kidney biopsy
In a twitter poll asking what the asterisk indicated, only ~55% of the respondents (total 338 votes) answered correctly. This is an image of the left kidney obtained from the […]
Not every black tube in the subxiphoid window is IVC or aorta
Occasionally, duodenum may be confused with inferior vena cava on subxiphoid scans. This typically happens when the duodenum is distended with fluid (appears as anechoic tubular structure) and the physician […]
Patent paraumbilical vein(s) in portal hypertension
It is not uncommon to encounter patent paraumbilical veins when scanning a patient with liver cirrhosis. Usually noticed when you are imaging the portal vein as a part of venous […]
A-lines all over the abdomen
We previously discussed about the reverberation artifacts in the abdomen resembling A-and B-lines seen on lung ultrasound. A-lines (not standard terminology in abdomen) or the horizontal reverberation artifacts are typically […]