Ultrasound

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A Case of Acute Cholecystitis

Chad Correa, BS* and Lindsey Spiegelman, MD^

DOI: https://doi.org/10.21980/J8405QIssue 3:1[mrp_rating_result]
Bedside point-of-care ultrasound revealed a distended gallbladder, thickened gallbladder wall, pericholecystic fluid, and a stone in the neck of the gallbladder indicative of acute cholecystitis.
Abdominal/GastroenterologyVisual EM
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Computed Tomography and Ultrasound Diagnosis of Spontaneous Subcapsular Renal Hematoma

Samer Assaf, MD*, Thalia Nguyen* and Alisa Wray, MD*

DOI: https://doi.org/10.21980/J8062DIssue 3:1[mrp_rating_result]
Bedside ultrasound was performed and demonstrated a hypoechoic area within the left kidney (images not shown). The non-contrast computed tomography (CT) of the abdomen and pelvis shows a significantly enlarged left kidney and a region of high-attenuation encapsulating the left kidney, concerning for acute hemorrhage.
Renal/ElectrolytesVisual EM
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Point-of-care Ultrasound for the Diagnosis of a Gluteal Abscess

Kevin Roy, BS*, Robert Rowe, MD* and Maili Alvarado, MD^

DOI: https://doi.org/10.21980/J8VH1W Issue 3:1[mrp_rating_result]
POCUS reveals a large, hypoechoic soft tissue abscess with debris and tracks extending to the bottom of the image. Furthermore, when compressed, movement of the abscess contents is appreciated. There is also superficial cobble-stoning consistent with overlying cellulitis and soft tissue edema.
UltrasoundInfectious DiseaseVisual EM
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Tricuspid Annular Plane Systolic Excursion (TAPSE) in a Patient with Pulmonary Emboli

Nicole Zawada, BS*, Ethan Kunstadt, MD* and Maili Alvarado, MD^

DOI: https://doi.org/10.21980/J8M052 Issue 3:1[mrp_rating_result]
Video 1 and Image 1 show a thrombus in the patient’s IVC. Video 2 and Images 2-3 demonstrate a positive TAPSE of less than 17mm (blue arrow length) with a significantly dilated RV, indicating abnormal excursion of the tricuspid annulus and right ventricular dysfunction.  
RespiratoryCardiology/VascularVisual EM
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Point-of-care Ultrasound Detection of Endophthalmitis

James Tucker MD, PhD*, Jonathan Patane, MD^ and Shadi Lahham, MD, MS^

DOI: https://doi.org/10.21980/J8G634 Issue 3:1[mrp_rating_result]
The patient’s ultrasound revealed an attached retina and a complex network of hyperechoic, mobile, membranous material in the posterior segment.
OphthalmologyUltrasoundVisual EM
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Bedside Ultrasound for the Diagnosis of Peritonsillar Abscess

Harshal Bhakta, BS,* Maili Alvarado, MD^ and Daryn Towle, MD*

DOI: https://doi.org/10.21980/J8N33N Issue 2:4[mrp_rating_result]
The first video is an intraoral ultrasound using the high frequency endocavitary probe demonstrating an anechoic fluid collection adjacent to the patient’s enlarged left tonsil. The second video shows real-time ultrasound-guided successful drainage of the PTA.
UltrasoundENTInfectious DiseaseVisual EM
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An Elderly Male with Amyand’s Hernia

Saema Said, MD* and Roozbeh Houshyar, MD^

DOI: https://doi.org/10.21980/J80D13 Issue 2:4[mrp_rating_result]
Ultrasound of the right scrotum shows a right inguinal hernia with an air-containing loop of bowel (white arrow) and a non-compressible appendix (yellow arrow). Coronal and axial views of abdomen-pelvis CT show a right inguinal hernia containing a loop of small bowel (white arrow) and appendix (yellow arrow).
Abdominal/GastroenterologyVisual EM
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Point-of-care Ultrasound for the Diagnosis of Ectopic Pregnancy

Ahmed Farhat, BS*, Jessica Hoffmann, MD* and Maili Alvarado, MD^

DOI: https://doi.org/10.21980/J8VK7VIssue 2:4[mrp_rating_result]
The transabdominal pelvic ultrasound shows an empty uterus (annotated) with free fluid and a right sided extrauterine gestational sac representing an ectopic pregnancy (red arrow).
Ob/GynUltrasoundVisual EM