Normal prominent medullary pyramids on renal POCUS No hydronephrosis. Has prominent medullary pyramids. They can appear markedly hypoechoic (labeled m in image) and easily confused as hydro by novice scanners. Note how they taper toward renal pelvis. Recognize this normal finding. Patient had similar findings on left. Dr. Robert Jones @RJonesSonoEM #Normal #medullary #pyramids #renal #kidney #POCUS #clinical #ultrasound
