Fluid in the subcostal cardiac 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 […]
Did you ever see on POCUS what hyperkalemia does to the heart?
Hyperkalemia is probably the most common reason for an urgent nephrology consult. Most of us are familiar with the EKG changes associated with hyperkalemia, though surprisingly, only ~55% of patients […]
Do not mistake aorta for the IVC
Confusing the aorta with the inferior vena cava (IVC) is a classic POCUS pitfall, often dismissed as a “rookie mistake,” yet not unheard of even among experienced users, particularly when […]
Misplaced Foley catheter in a female patient
Below is a sonographic image of transverse view of the lower pelvis showing Foley balloon (arrow) outside (posterior to) the bladder wall in a woman. What is posterior to bladder […]
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 […]
Not every spine sign is from pleural effusion
We have previously discussed the utility of ‘spine sign’ in diagnosing pleural effusion on POCUS. One of the short videos also talks about this. However, it is important to note […]