Cellulitis and underlying abscess on POCUS exam The hyperechoic areas represent inflamed subcutaneous tissue (“hot fat”), and the hypoechoic area in the center represents an echogenic abscess. You should I&D this abscess. When incised, 20cc purulent content under pressure evacuated (like a volcano!). Dr. Meghan Herbst @EUSmkh #cellulitis #abscess #POCUS #clinical #ultrasound #skin #labeled