Patient: A 63 year old male patient presented to the ER with peripheral artery embolization (blue toe syndrome of lower limbs).

Initial Examination: He had a history of well controlled hypertension and long standing smoking. An echocardiogram was requested to exclude cardiac causes of embolization.

Kosmos POCUS Examination: Bedside cardiac examination with Kosmos was grossly normal. However, from the subcostal window a large abdominal aorta aneurysm with thrombus was found. This finding was later confirmed with CT.