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Aorto-caval fistula on POCUS Pulsatile Ao superficial to the spine. Hyperechoic mantle clock shaped SMA superficial to Ao. IVC visible left of Ao. Ao IVC abnormally connected R E Lewiss MD @RELewiss #Aortocaval #fistula #clinical #ultrasound #vascular #Aorta #pocus