SonoSpot: Bedside Ultrasound

Uploaded on by SonoSpot
Ultrasound images and clips to help educate clinicians and advance the utility of bedside ultrasound

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  1. MSK - Patellar tendon image
    MSK - Patellar tendon
    Tendons will appear as linear structures with linear rays within it in its longitudinal viewLearn more on SonoSpot
    Created on 04/07/2012 by SonoSpot
  2. Cellulitis image
    Cellulitis
    The skin will appear as a cobblestone appearance on ultrasound with cellulitis. Ensure there is no abscess deep to it by increasing the depth to evaluate for a hypoechoic or anechoic contained area...
    Created on 07/07/2012 by SonoSpot
  3. Echo- PSL view - Dilated Aortic Root image
    Echo- PSL view - Dilated Aortic Root
    The Parasternal Long (PSL) view of the heart/echo shows the longitudinal section of the left heart, including the aortic root (outflow of LV). Learn more on SonoSpot
  4. IVC by M Mode image
    IVC by M Mode
    The respiratory variation of the IVC can be evaluated by M Mode, motion mode (showing structures in time). The anechoic IVC is seen in the image from a mildly hypovolemic patient as it initially is...
    Created on 04/07/2012 by SonoSpot
  5. Patellar tendonitis image
    Patellar tendonitis
    Tendonitis will show a slight irregular pattern to the tendon with anechoic fluid areas surrounding itLearn more on SonoSpot
    Created on 04/07/2012 by SonoSpot
  6. Tamponade_SX view video
    Tamponade_SX view
    The subxiphoid view showing a large pericardial effusion with right ventricular collapse during diastoleLearn more on SonoSpot
    Created on 07/07/2012 by SonoSpot
  7. B Lines in Pulmonary edema image
    B Lines in Pulmonary edema
    85 year old male c/o shortness of breath with productive cough, gradual onset over 3 weeks, getting worse. Using the phased array probe over 8 total areas of the chest wall ensuring 16-18cm depth,...
    Created on 04/07/2012 by SonoSpot
  8. TIPS in Liver image
    TIPS in Liver
    Patients with chronic liver disease may require a TIPS procedure, easily seen on bedside ultrasound as 2 hyperechoic linear structures. This view also shows a dilated gallbladder and free anechoic...
  9. Intussusception image
    Intussusception
    Using the linear probe during episodes of pain, typically in the right side of the abdomen, you may see the 'target sign' of telescoping intestine, which is not compressible.Learn more on SonoSpot
  10. Cholecystitis without Gallstone image
    Cholecystitis without Gallstone
    Using the phased array or curvilinear probe, start in the subxiphoid region with the indicator toward the patient's right and flatten the probe. once the liver is visualized, start slowly fanning...
  11. Appendicitis-Transverse view image
    Appendicitis-Transverse view
    Using the linear probe, a non-compressible circular structure that will elongate upon evaluating it in two orthogonal planes (differentiating it from a lymph node) is appendicitis. Other findings,...
  12. Uterine Fibroid _TA Pelvic sagittal image
    Uterine Fibroid _TA Pelvic sagittal
    When evaluating the pelvic organs in transabdominal view, a full bladder will help visualization. the echogenicity of the uterus should be evaluated as it is usually quite isoechoic throughout...
  13. FAST scan - Right upper quadrant - positive image
    FAST scan - Right upper quadrant - positive
    The anechoic free fluid is seen not only in morrison's pouch, between the liver and kidney, but also above the diaphragm in the thoracic cavity. The key is seeing the spine travel across the entire...
    Created on 04/07/2012 by SonoSpot
  14. TA Pelvis_Molar pregnancy image
    TA Pelvis_Molar pregnancy
    Using the phased array or curvilinear probe in the trans-abdominal approach for pregnancy evaluation, ensure a full bladder to allow better visualization of the pelvic structures (unlike this...
  15. Lung US: B Lines in Pulmonary edema video
    Lung US: B Lines in Pulmonary edema
    Using the phased array probe, and evaluating in 8 different areas of the total chest (4 on each side - 2 anterior and 2 lateral) using a depth of 16-18cm, normally you will see semi-circular A...
    Created on 20/07/2012 by SonoSpot
  16. FAST scan - Right upper quadrant - positive image
    FAST scan - Right upper quadrant - positive
    Anechoic free fluid in the RUQ will first develop in the left hepatic lobe, or at the inderior pole view of the RUQ. Learn more on SonoSpot
    Created on 07/07/2012 by SonoSpot
  17. Renal stone image
    Renal stone
    When evaluating the kidneys, intra-renal kidney stone may be seen as a hyperechoic structure (usually quite small) from the inner kidney causing shadow posterior to it.Learn more on SonoSpot
    Created on 04/07/2012 by SonoSpot
  18. Chest Tube placement by Ultrasound image
    Chest Tube placement by Ultrasound
    Using the linear probe, a shadowing hyperechoic tube (double arrow) is seen in both transverse and longitudinal view adjacent to the rib shadow (solid arrow) seen entering the pleural cavityLearn...
    Created on 04/07/2012 by SonoSpot
  19. FAST scan - Right upper quadrant - positive image
    FAST scan - Right upper quadrant - positive
    Only with appropriate fanning, can you see this sliver of anechoic free fluid in the right upper quadrant. When the kidney was in its appropriate midline longitudinal axis, the free fluid was not...
    Created on 04/07/2012 by SonoSpot
  20. MSK - Fracture and Effusion image
    MSK - Fracture and Effusion
    Using the linear probe over the area of deformity (using lots of gel to avoid pressure and pain). the hyperechoic linear bony cortex can be seen with posterior shadowing. Any break in that...
  21. Hip effusion image
    Hip effusion
    Using the linear probe over the hip joints, evaluate for anechoic free fluid surrounding it, adjacent to the hyperechoic curved bony structure as seen on the left side of the image. This image...
  22. Aorta with Celiac image
    Aorta with Celiac
    Multiple branches will be seen coming off of the abdominal aorta - Celiac which then splits "seagull sign", superior mesenteric "clock mantle sign" and inferior mesenteric to bifurcation of the...
  23. Soft Tissue US - Scalp hematoma image
    Soft Tissue US - Scalp hematoma
    Using the linear probe, a hematoma in any area of the body will appear as a hypoechoic contained area superficial to or within muscle tissue.Learn more on SonoSpot
    Created on 07/07/2012 by SonoSpot
  24. FAST scan - left upper quadrant - hemothorax image
    FAST scan - left upper quadrant - hemothorax
    When evaluating the left and right upper quadrant for fre fluid, looking above the diaphragm for the absence of mirror-image artifact and anechoic fluid will diagnose hemothorax/pleural effusion...
  25. Axillary Vessel showing Needle in Vein image
    Axillary Vessel showing Needle in Vein
    An US guided Subclavian central line transverse approach, using the linear probe, indicator toward the head, showing hyperechoic needle enter veinLearn more on SonoSpot
    Created on 04/07/2012 by SonoSpot
  26. MSK - Achilles Tendon image
    MSK - Achilles Tendon
    Normal Achilles tendon is seen as regular linear arrays coming form the calcaneus insertion point without surrounding anechoic fluidLearn more on SonoSpot
    Created on 07/07/2012 by SonoSpot
  27. Gallbladder_longitudinal view normal image
    Gallbladder_longitudinal view normal
    Every organ should be evaluated in 2 orthogonal planes, transverse and longitudinal, and fanning through the organ for pathologyLearn more on SonoSpot
  28. Gallstone image
    Gallstone
    A gallstone is seen a hyperechoic structure causing shadowing posterior to it on the screen coming from the gallbladder. They could be all sizes and there may be one or multiple, mobile or...
  29. FAST scan - Right upper quadrant - Negative image
    FAST scan - Right upper quadrant - Negative
    Fanning through the RUQ area evaluating for anechoic fluid above the diaphragm, between the liver and diaphragm and between the kidney and liver is key to identifying a positive FAST. This will...
    Created on 07/07/2012 by SonoSpot
  30. 1st Trimester pregnancy_twin gestation image
    1st Trimester pregnancy_twin gestation
    Using the phased array or curvilinear probe for the trans-abdominal approach or the endocavitary probe for the endovaginal approach for pregnancy evaluation, ensure a full bladder to allow better...
  31. Axillary vessels image
    Axillary vessels
    An Ultrasound guided Subclavian central line requires visualization of vessels around the clavicle. The first vessels you'll see are the axillary vessels, using the linear probe, with the indicator...
    Created on 04/07/2012 by SonoSpot
  32. Gallbladder- thickened Gallbladder wall image
    Gallbladder- thickened Gallbladder wall
    Using the phased array or curvilinear probe, start in the subxiphoid region with the indicator toward the patient's right and flatten the probe. once the liver is visualized, start slowly fanning...
  33. Abdominal Cystic mass image
    Abdominal Cystic mass
    You know it's a cystic mass because it has no doppler flow, is anechoic and fluid filled with subsequent posterior acoustic enhancement. Septations can be seenLearn more on SonoSpot
  34. Cardiac motion by M mode image
    Cardiac motion by M mode
    When evaluating for pneumothorax in the left chest, you may see the heart wall contracting just beneath the pleural line. On M mode you are able to see its sawtooth pattern. This is commonly...
    Created on 07/07/2012 by SonoSpot
  35. Abdominal Aortic Aneurysm image
    Abdominal Aortic Aneurysm
    Transverse view of the abdominal aorta showing a true and false lumen. Using the phased array probe, visualizing the vertebral body shadow as your landmark to help you find the 2 vascular...
    Created on 04/07/2012 by SonoSpot
  36. Liver Ultrasound Playboy Bunny Sign image
    Liver Ultrasound Playboy Bunny Sign
    hepatic veins entering the IVC in a characteristic pattern, appearing like the playboy bunnyLearn more on SonoSpot
  37. IVC by M Mode_Hypervolemic image
    IVC by M Mode_Hypervolemic
    Normal IVC 1.5-2.5cm with 50% respiratory variation, measured 2-3cm form the right atrial inlet. M mode allows evaluation of respiratory variationLearn more on SonoSpot
    Created on 07/07/2012 by SonoSpot
  38. Gallbladder Fold image
    Gallbladder Fold
    Using the phased array or curvilinear probe, start in the subxiphoid region with the indicator toward the patient's right and flatten the probe. once the liver is visualized, start slowly fanning...
  39. Cholecystitis with Gallbladder Fold image
    Cholecystitis with Gallbladder Fold
    Using the phased array or curvilinear probe, start in the subxiphoid region with the indicator toward the patient's right and flatten the probe. once the liver is visualized, start slowly fanning...
  40. Cholecystitis image
    Cholecystitis
    Using the phased array or curvilinear probe, start in the subxiphoid region with the indicator toward the patient's right and flatten the probe. once the liver is visualized, start slowly fanning...
  41. US-guided Paracentesis_Ascites image
    US-guided Paracentesis_Ascites
    When evaluating the location for needle entry for paracentesis, ensuring the area is at least 2-3 cm of fluid without surrounding vasculature and bowel in key. Once you locate the best area, the...
    Created on 07/07/2012 by SonoSpot
  42. FAST scan - Right upper quadrant - positive image
    FAST scan - Right upper quadrant - positive
    Anechoic free fluid in the RUQ will first develop in the left hepatic lobe, or at the inderior pole view of the RUQ. Learn more on SonoSpot
    Created on 07/07/2012 by SonoSpot
  43. Normal Appendix with landmarks image
    Normal Appendix with landmarks
    Using the linear transducer, have the patient point to the location of most pain and place your transducer there. Using graded compression, explore the region looking for any bowel that has...
    Created on 07/07/2012 by SonoSpot
  44. Esophageal Intubation video
    Esophageal Intubation
    Using the linear probe over the jugular notch in transverse view, you can see the tracheal rings coming down, and at times, you may even see the esophagus deeper on its left (usually) but this will...
  45. FAST scan - Right upper quadrant - Negative image
    FAST scan - Right upper quadrant - Negative
    Fanning through the RUQ area evaluating for anechoic fluid above the diaphragm, between the liver and diaphragm and between the kidney and liver is key to identifying a positive FAST. This will...
    Created on 07/07/2012 by SonoSpot
  46. TESTICULAR ULTRASOUND - NORMAL FLOW with VARICOCELE image
    TESTICULAR ULTRASOUND - NORMAL FLOW with VARICOCELE
    normal arterial and venous flow excludes testicular torsion, however when dilated venous congestion is present, a varicocele is the diagnosisLearn more on SonoSpot
  47. Gallbladder_transverse normal image
    Gallbladder_transverse normal
    Using the phased array or curvilinear probe, evaluate the right upper quadrant by flattening the probe and fanning through the subcostal region. Gallbladder is anechoic and usually no more than...
  48. Pleural Effusion by M mode image
    Pleural Effusion by M mode
    When evaluating the short of breath patient, once of the techniques is to use the linear probe for pneumothorax evaluation to see lung sliding. If you see an anechoic area of fluid just beneath the...
    Created on 07/07/2012 by SonoSpot
  49. Liver cancer image
    Liver cancer
    When evaluating for right upper quadrant pain, make sure to look through the entire region for pathology. The liver should be isoechoic throughout with biliary ducts and vasculature running through...
  50. Peritonsillar abscess image
    Peritonsillar abscess
    Using the "hockey stick" linear high frequency probe, insert into the mouth with the long end against the cheek, abscess in the peritonsillar region looks similar to abscesses in other regions:...
  51. TA Pelvis - Sagittal _ IUD image
    TA Pelvis - Sagittal _ IUD
    Ensuring a full bladder will allow better visualization of the pelvic organs. In sagittal view, an anteverted uterus can be seen with an IUD in place (hyperechoic linear structure) without...
    Created on 07/07/2012 by SonoSpot
  52. Lung Ultrasound by M mode - Normal image
    Lung Ultrasound by M mode - Normal
    The Seashore sign, or sandy beach sign, is seen when normal expanded lung is evaluated using M modeLearn more on SonoSpot
  53. 2nd Trimester FHR with M Mode image
    2nd Trimester FHR with M Mode
    Using M mode, or motion mode, you should place the cursor over the fetal heart and calculate the FHR by noting the distance in time from one peak/trough to another on the sawtooth pattern (denoting...
  54. Splenic cyst image
    Splenic cyst
    Using the phased array or curvilinear probe to perform a FAST scan or Renal study, you may find some incidental pathology - like this anechoic walled off cyst seen in the spleen. You know its not...
    Created on 07/07/2012 by SonoSpot
  55. Gastric cancer image
    Gastric cancer
    Using the low frequency curvilinear or phased array probe, evaluate the stomach for normal outer hypoechoic and inner hyperechoic wall with gastric ruggae. Any change in echogencity/density from...
  56. IVC - Hypervolemic image
    IVC - Hypervolemic
    The normal IVC at 2-3 cm from the right atrial inlet should be 1.5-2.5 cm with approximately 50% normal respiratory variation, correlating with CVP measurements.Learn more on SonoSpot
    Created on 07/07/2012 by SonoSpot
  57. Renal cyst image
    Renal cyst
    Using the phased array or curvilinear probe in the right and left midaxillary line with the indicator pointed toward the patient's head and abdomen, the kidneys can be evaluated through slow...
    Created on 04/07/2012 by SonoSpot
  58. Cholecystitis image
    Cholecystitis
    Using the phased array or curvilinear probe, start in the subxiphoid region with the indicator toward the patient's right and flatten the probe. once the liver is visualized, start slowly fanning...
  59. Gallbladder_longitudinal normal with CBD image
    Gallbladder_longitudinal normal with CBD
    Using the phased array or curvilinear probe, start in the subxiphoid region with the indicator toward the patient's right and flatten the probe. once the liver is visualized, start slowly fanning...
  60. Arterial Waveform on Doppler image
    Arterial Waveform on Doppler
    Arteries will show strong peaks on Doppler view, whereas veins will be a low and steady waveformLearn more on SonoSpot
    Created on 04/07/2012 by SonoSpot
  61. Cholecystitis with Sludge image
    Cholecystitis with Sludge
    Using the phased array or curvilinear probe, start in the subxiphoid region with the indicator toward the patient's right and flatten the probe. once the liver is visualized, start slowly fanning...
  62. Appendicitis-Transverse view image
    Appendicitis-Transverse view
    Using the linear probes, evaluate for a non-compressible circular structure between the psoas muscle and the iliacs using the graded compression technique in the area of most painLearn more on...
  63. FAST scan - Right upper quadrant - positive image
    FAST scan - Right upper quadrant - positive
    Anechoic free fluid in the RUQ will first develop in the left hepatic lobe, or at the inferior pole view of the RUQ. Learn more on SonoSpot
    Created on 07/07/2012 by SonoSpot
  64. Gallbladder_ CBD and portal vein with doppler image
    Gallbladder_ CBD and portal vein with doppler
    Using the phased array or curvilinear probe, start in the subxiphoid region with the indicator toward the patient's right and flatten the probe. once the liver is visualized, start slowly fanning...
  65. Gallbladder_longitudinal view normal image
    Gallbladder_longitudinal view normal
    Using the phased array or curvilinear probe, start in the subxiphoid region with the indicator toward the patient's right and flatten the probe. once the liver is visualized, start slowly fanning...
  66. Suprapubic view-Urinary Retention_Bladder Volume image
    Suprapubic view-Urinary Retention_Bladder Volume
    The volume of the bladder can be measured :Length x width x depth x 0.7Learn more on SonoSpot
    Created on 07/07/2012 by SonoSpot
  67. MSK - Achilles Tendon image
    MSK - Achilles Tendon
    The tendon seen as it comes off the calcaneus bone has regular linear arrays without surrounding anechoic fluidLearn more on SonoSpot
    Created on 07/07/2012 by SonoSpot
  68. 1st Trimester pregnancy_Empty Sac image
    1st Trimester pregnancy_Empty Sac
    Using the phased array or curvilinear probe for the trans-abdominal approach or the endocavitary probe for the endovaginal approach for pregnancy evaluation, ensure a full bladder to allow better...
  69. Suprapubic view-male image
    Suprapubic view-male
    The normal suprapubic view in transverse orientation is seen, showing the bladder filled with anechoic urine, followed by the echogenic prostate and rectumLearn more on SonoSpot
  70. Pneumothorax by M mode image
    Pneumothorax by M mode
    When a collapsed lung is present and air fills the area that should show sliding lung, M mode will show a stratosphere sign, lines showing no motion or movement for the entire screen.Learn more on...
    Created on 04/07/2012 by SonoSpot
  71. Aorta_ectatic transverse view image
    Aorta_ectatic transverse view
    Using the phased array or curvilinear probe, with the indicator toward the patient's right side, find the semi-circular hyperechoic vertebral body and accompanying shadow as your landmark to find...
  72. Cholecystitis image
    Cholecystitis
    Using the phased array or curvilinear probe, start in the subxiphoid region with the indicator toward the patient's right and flatten the probe. once the liver is visualized, start slowly fanning...
  73. FAST scan -suprapubic sagittal - positive image
    FAST scan -suprapubic sagittal - positive
    The sagittal view of the suprapubic section of the FAST scan for trauma and shock evaluation is more sensitive than the transverse view. Posterior acoustic enhancement occurs due to the urine in...
    Created on 07/07/2012 by SonoSpot