Dilated Coronary Sinus on Echocardiogram (PSAX) Dilated coronary sinus can mimic pericardial effusion in the parasternal short-axis view Great tip on a potential pitfall: Use color Doppler if in doubt. Pericardial effusion should not show color flow. Differentiate from color Doppler flash artifact using spectral Doppler if needed. - Ivan Stankovic, MD, PhD @Ivan_Echocardio #Coronary #Sinus #Dilated #Echocardiogram #PSAX #clinical #cardiology #POCUS