A mid-50s female presents with 3 days of shortness of breath, abdominal pain, and vomiting. Initial Vitals: Temp 98.8 ℉, HR 112, BP 84/52, RR 22, SpO₂ 96% on RA. Given her undifferentiated shock you perform a RUSH Exam, which is otherwise unremarkable with the exception of the following clip: Your interpretation? Anechoic appearing area adjacent to the caudal liver tip. Bingo! Free fluid! You then order a CT of the ABD/PEL and… It's normal...welp...that's #awkward You found the tip like Brian...

Check out our Ultrasound Chief, and next year's incoming Ultrasound Fellow, Dr.Riwniak's SonoSnack on the TAP Block!

Enjoy this delightful review on the Right Ventricular Inflow Tract (RVIT) View from our Ultrasound Chief Dr. John Bowling, aka Johnny...