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123sonography

Global #1 community for medical ultrasound & echocardiography. With more than 30,000 alumni and 400,000 users from over 180 countries.
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ULTRASOUND AND ECHOCARDIOGRAPHY

04/10/2026

🫀 Echo Case: Takayasu Arteritis

At first glance, the transthoracic echo looks normal: good LV function, no valvular pathology, an unremarkable four-chamber view. But look at the ascending aorta: the aortic wall is clearly thickened, measuring 4.6 mm. Takayasu arteritis is a systemic large-vessel disease, so the scan shouldn't stop at the heart.

Which region(s) should you also examine with ultrasound?

A) Abdominal arteries (celiac trunk, SMA)
B) Temporal arteries
C) Carotid arteries
D) Digital arteries of the hands

👇 Drop your answers in the comments! Part two is coming! 🔜💡

02/10/2026

Today we have another MSK case from our ambassador Karen Machang'a for you! Test your skills 💡

History: Anterior shoulder pain with local tenderness, aggravated by movement, especially resisted forward flexion.

🔍 Ultrasound Findings: Anechoic fluid surrounds the long head of the biceps tendon in the bicipital groove, with mild hyperemia on power Doppler. The tendon has normal thickness and a preserved fibrillar pattern, with no tear or retraction. There is no effusion in the posterior glenohumeral recess. On dynamic assessment, the tendon stays in the groove without subluxation.

💉 Procedure: An ultrasound-guided injection of 40 mg triamcinolone was placed adjacent to the long head of the biceps tendon, avoiding the tendon substance. There were no complications.

Which condition best explains these findings?

A) Long Head of Biceps Tendinopathy
B) Biceps Tenosynovitis
C) Glenohumeral Joint Effusion
D) Subacromial-Subdeltoid Bursitis

Thank you, Karen, for another great case! 💙

30/09/2026

Today, we have a case from our new Abdominal US MasterClass! 💡

A patient has had severe abdominal pain for 12 hours. Ultrasound shows dilated small bowel loops measuring about 3 cm, above the 2.5 cm cutoff. At the point of maximum pain, there is a defect in the abdominal wall with bowel loops passing through it that cannot be pushed back.

What is the most likely diagnosis?

A) Paralytic ileus
B) Reducible abdominal wall hernia
C) Acute appendicitis
D) Incarcerated hernia

Comment A, B, C or D below! Struggling to find the right diagnosis? Our Abdominal US MasterClass offer with -40% ends today! Don't miss out 👉 https://zurl.co/BNah3

28/09/2026

Bowel gas blocking your view? 👀 Ulrike Handler, MD, and Christian Aiginger, MD, show you what to do in this case:

Apply steady pressure with the transducer so the gas can't slip back, then add a gentle "massage" motion. In the right lower abdomen, this makes the ileocecal region and appendix much easier to see. A small technique that makes a big difference.

Don't miss out on our special launch offer, and get the brand-new Abdominal Ultrasound MasterClass now 👉 https://zurl.co/sS4m2

27/09/2026

Today is your last chance to join the herd! 🐗💡

Here are four patients with different mitral valve pathologies 👀🔍 Which of these colour MMode tracings shows a patient with bileaflet mitral valve prolapse? 🐽

Is it patient A, B, C or D?

You can find the solution immediately on our website! Plus, do not miss out on our great offer of 30% and Lifetime Access to all our courses 👉 https://zurl.co/DR4yS

26/09/2026

Get your nose ready for some important teaching points! 🐽

Can you solve the following echo case? Here is a four-chamber view of a patient that underwent a procedure. (Here’s a tip: focus on the awkward-looking mitral valve.)

Which procedure was performed on this patient? 🧐🐗

A) Ballon valvuloplasty
B) Unsuccessful transcatheter edge-to-edge repair
C) Surgical chord replacement + Annuloplasty
D) Cardioband procedure

Comment what you think, and check out our offer (ends tomorrow!🐗) 👉 https://zurl.co/iPkvo

26/09/2026

Would you scan the pancreas with the patient standing? 🧐 In our demonstration, we show you the difference this change can make!

The pancreas is often called a "hidden" organ, and it can be challenging to visualize on ultrasound. But simply changing the patient's position can open up a completely different acoustic window. Sometimes that's all it takes. 🔍

Want to learn more practical techniques like this? We just launched our new Abdominal Ultrasound MasterClass! Get it now for -40% 👉 https://zurl.co/okTPs

25/09/2026

Here you see a loop of an axillary brachial plexus block performed with the in-plane technique 👀

What problem do you observe that should be avoided for an optimal outcome and what complication will most probably follow? 💭🔍

A) Axillary artery puncture
B) Vein puncture
C) Nerve injury
D) Resulting haematoma

Tired of digging for the right answer? 🐗 Check out the answer together with our current offer here 👉 https://zurl.co/cJNdq

24/09/2026

How to image pacemaker leads? 🐗🔍

As you can see in these clips, imaging and assessing pacemaker lead position on echocardiography isn't easy. You need to find the right angles to locate the lead and confirm it's correctly placed.

🐽 Quiz time: Two apical views are shown here, a standard four-chamber and a modified, angulated one. What is the modified apical view used for?

A) It confirms the diagnosis of pacemaker-related tricuspid stenosis
B) It angulates off the standard plane to follow the lead's actual oblique course into the RV
C) It replaces the need for any apical four-chamber view entirely
D) It is only used to measure right ventricular systolic function

Drop your answer in the comments! 🐗

Join the ultrasound herd and get -30% and lifetime access on all our courses 👉 https://zurl.co/mYsOJ

23/09/2026

Today, we have a patient case with a hypertensive emergency for you 🐗 ✍️

What do you suspect? 🧐

A) Acute myocardial infarction
B) Heart failure
C) Old inferior myocardial infarction
D) Pulmonary embolism

🐽 Train your nose and benefit until September 27th from -30% and Lifetime Access 👉 https://zurl.co/t8L6z

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