A 73 year old male patient presented with right sided heart failure. His ECG revealed atrial fibrillation.

On clinical examination increased jugular venous pressure and a holosystolic murmur was noted. Bedside examination with KOSMOS revealed thickened LV and RV walls with impaired systolic function of both ventricles. All valves were mildly thickened. Mild to moderate mitral regurgitation and significant tricuspid regurgitation were seen. The IVC was dilated and mild pericardial effusion was noted. All these features strongly pointed towards cardiac amyloidosis which was later confirmed with cardiac MRI.

A4C view showing thickened ventricles with impaired systolic function

A4C view showing significant tricuspid regurgitation

CW signal of tricuspid regurgitation

A2C and A3C views showing impaired LV systolic function 01

A2C and A3C views showing impaired LV systolic function 02

A3C view showing mild to moderate mitral regurgitation

Subcostal long axis view showing thickened ventricles with impaired systolic function

Dilated IVC

  • Peritonsillar Abscess: The Clinical Utility of Ultrasound

    Peritonsillar Abscess: The Clinical Utility of Ultrasound

    Peritonsillar Abscess: The Clinical Utility of Ultrasound For any clinician, the patient with a suspected peritonsillar abscess (PTA) presents a relatively common but critical diagnostic challenge. The classic presentation of fever, severe odynophagia, trismus, and…

    Read More

  • Retropharyngeal Abscess: The Evolving Role of Bedside Ultrasound

    Retropharyngeal Abscess: The Evolving Role of Bedside Ultrasound

    Retropharyngeal Abscess: The Evolving Role of Bedside Ultrasound The diagnosis of a retropharyngeal abscess (RPA) represents a serious challenge in emergency medicine and pediatrics. Primarily affecting children five and younger, retropharyngeal abscess is uncommon but…

    Read More

  • Turn Your POCUS Purchase into a Major 2025 Tax Deduction

    Turn Your POCUS Purchase into a Major 2025 Tax Deduction

    Turn Your Ultrasound Investment into a Major Tax Deduction in 2025 Leveraging Section 179 and Bonus Depreciation to Lower Your Tax Bill* For many private practice owners, the cost of advanced equipment like point-of-care ultrasound…

    Read More

  • Peritonsillar Abscess: The Clinical Utility of Ultrasound

    Peritonsillar Abscess: The Clinical Utility of Ultrasound

    Peritonsillar Abscess: The Clinical Utility of Ultrasound For any clinician, the patient with a suspected peritonsillar abscess (PTA) presents a relatively common but critical diagnostic challenge. The classic presentation of fever, severe odynophagia, trismus, and…

    Read More