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 […]
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. […]
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 […]
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 […]