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Spontaneous Echo Contrast ("Smoke") on IVC POCUS Sagittal view of IVC returning blood to RA caudal —> cephalad direction. Hepatic vein plump & draining blood into IVC. The echogenic “debris” within IVC is called “smoke” or “spontaneous echo contrast” indicating slow flow/stasis. Also small R pleural effusion. Dr. Meghan Herbst @EUSmkh #Spontaneous #Echo #Contrast #Smoke #IVC #POCUS #clinical #ultrasound #venacava