Plethoric IVC on POCUS Echocardiographic "smoke" is appreciated in the hepatic vein as it enters the IVC, supporting regional stasis (& secondarily supporting a plethoric ivc). A hyperechoic pacer wire (ie, foreign body) is seen in the RA. Labeled Schematic: https://twitter.com/EUSmkh/status/9 #Plethoric #IVC #POCUS #clinical #ultrasound #smoke