The RV inflow view
Getting a good apical window is not always feasible, and that can be frustrating when you are specifically trying to assess tricuspid regurgitation. This becomes particularly relevant in nephrology, where […]
Peri-aortic lymphoma seen on echocardiogram
Below are more echo images, mostly atypical views obtained from 4th – 5th intercostal space.
How to get certified in POCUS?
(Updated 2025) This is one of the commonest questions I get. First, as previously mentioned, the American College of Emergency Physicians policy statement on emergency ultrasound recommends that a trainee […]
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 […]
Renal infarction
These images were obtained from a patient with no known co-morbidities, who presented with acute right flank pain. There was no history of fever, hematuria, or other symptoms suggestive of […]
Pulmonary veins on cardiac ultrasound
In a recent twitter poll showing this parasternal long axis (PLAX) image, only 36% (N = 301) were able to identify the pulmonary vein. Even though the purpose of POCUS […]
Strange things around the IVC
A medical student is looking for inferior vena cava in a nephrology clinic patient and finds something ‘weird’ adjacent to the IVC. He/she calls the nephrology fellow for help. Here […]
Multiple cysts in the kidneys
We have previously talked about autosomal dominant polycystic kidney disease (ADPKD). It is important to distinguish it from acquired cystic kidney disease (ACKD), seen in patients with chronic kidney disease. […]
Prominent renal vascular calcifications
These kidney ultrasound images were obtained from a patient with end-stage kidney disease likely secondary to diabetic nephropathy and hypertensive nephrosclerosis. The patient also had cirrhosis and you can see […]