Ultrasound cases top 100 340
Ultrasound Case 057

A 68 year old man is brought in by ambulance with severe lower back and lower limb pain and paralysis. Clinically he has lower limb ischaemia and you wonder about aortic dissection as the cause.

Ultrasound cases top 100 340
Ultrasound Case 056

84 year old chap with ?renal colic deteriorates. On review you find his pain has worsened and he is pale, sweaty and hypotensive. Is this a vagal response to pain, a reaction to his analgesia or something else? You scan his aorta.

Ultrasound cases top 100 340
Ultrasound Case 054

An echo reveals a dilated and poorly functioning right ventricle with RV wall thickness of 6mm (≤5mm). You wonder whether this is a massive pulmonary embolism or just the changes of chronic pulmonary hypertension.