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, […]
Comet tail artefacts from metallic objects
Here are the chest ultrasound images from a cardiac surgery patient. They were obtained from the sternal area and represent comet tail artefacts from sternal wires. They look like B-lines […]
Early intrauterine pregnancy
While scanning urinary bladder in women, we may occasionally encounter sonographic findings suggestive of pregnancy. The earliest definitive evidence of pregnancy visible on ultrasonography (typically endovaginal) is the gestational sac […]
The TIE fighter sign
These days, portable automated bladder scanners are widely used to check for urinary retention in hospitalized patients. They certainly avoid the need for invasive chatheterizations but cannot differentiate between urine […]
Cervical mass
The cervix is not well visualized on transabdominal scans in most patients. The endovaginal approach usually results in more optimal visualization because the transducer can be placed closer to the […]
Double Bladder Sign
In a female patient presenting with lower abdominal pain, abnormal ovarian (cyst) location, that is, in midline above the uterus and adjacent to urinary bladder on transabdominal scan suggests ovarian […]
Stone-In-Neck phenomenon
Stone-In-Neck or the ‘SIN’ sign is when you see an immobile stone lodged in the gallbladder neck, without any anechoic space between the neck and the stone. It is suggestive […]
Thickened gall bladder wall: not always acute cholecystitis
In clinical practice, a cut off of 3mm is commonly used to define the upper limit of normal gall bladder wall thickness and acute cholecystitis is one thing that comes […]
Mirror image artefact
This is one of the commonest artefacts encountered in NephroPOCUS. It is generated by the false assumption that an echo returns to the transducer after a single reflection. In this […]
Hepatic Hemangioma
This image demonstrates hepatic hemangioma incidentally found while imaging the kidney. On ultrasound, hepatic hemangiomas appear as well-defined, hyperechoic, homogeneous lesions. Some of them may have posterior acoustic enhancement. The […]
Accessory Spleen
Accessory spleen or a splenule is a congenital focus of healthy splenic tissue, that is separate from the main body of the spleen. The reported incidence is as high as […]