8 results
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign ... hemidiaphragm and the liver ... Chilaiditi sign ... thus important to diagnose ... #CXR #clinical
Pneumoperitoneum vs Pseudo-Pneumoperitoneum aka Chilaiditi Sign
It mimics pneumoperitoneum and it is thus important to diagnose it
Sign It mimics ... thus important to diagnose ... colon) between the liver ... #Sign #clinical ... #radiology #cxr
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
POCUS - Enhanced ... Peritoneal Stripe Sign ... peritoneum and liver ... #EPSS #clinical ... #ultrasound #radiology
Falciform Ligament Sign - An abdominal radiograph that was obtained with the patient in a supine
ligament connects the liver ... intraperitoneal free air ... Panel B, arrow) #Clinical ... Pneumoperitoneum #CT ... #KUB #NEJM
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Exam Bike vs Car ... for sonographic signs ... Positive #Abdominal #POCUS ... #clinical #ultrasound ... #Liver #Trauma
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
POCUS Liver TRV ... tends to have air ... centrally within liver ... Note on the axial CT ... #clinical #ultrasound
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
re-exams (normal CXR ... She is sent to CT ... injuries to spleen, liver ... and/or delayed diagnosis ... Trauma #Injury #clinical
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... a chest x-ray (CXR ... not seen on a CXR ... bleeding often from a liver