Vscan View: The Magazine of Vscan
A patient with a history of Chronic Obstructive Pulmonary Disease
(COPD) and smoking, visited as outpatient for worsening of cough
and shortness of breath, with a suspicion of COPD exacerbation.
On physical examination an area of pulmonary dullness with lack
of murmur was noted. Completion of the physical examination
with Vscan enabled confirmation of suspicions of unilateral
left pleural effusion (Fig. 1). A chest X-ray reading confirmed
left pleural effusion and did not disclose any additional finding.
Repeated ultrasound examination with Vscan was performed to
identify the best puncture site to perform a thoracentesis, both
to obtain quick symptom relief and to obtain a fluid sample to
be analyzed, on the suspicion of malignant pleural effusion.
A patient with known bladder carcinoma and reduced urinary
output had a vesical catheter placed. The next day, he
complained of increasing lower abdominal and lumbar pain
and there was a further reduction in urinary output. Ultrasound
examination with Vscan enabled visualization that the Foley
catheter was in place, but an over-distended bladder with
echogenic mass (likely to be blood clots) in the lumen close the
malignant mass (Fig. 3). Extension of the examination to the
kidneys showed bilateral hydronephrosis (Fig. 4) most likely
originating from the Foley catheter obstructed by clots. Prompt
urological treatment was then provided.
An overweight patient presented with hypertension, a family
history of diabetes and cardiovascular diseases was referred
to the clinic. During the physical examination a pulsating mass
in epigastrium was barely felt on palpation. Bedside ultrasound
examination with Vscan enabled immediate confirmation of the
suspicion of abdominal aortic aneurysm ( 3. 9 cm in maximum
antero-posterior diameter, Fig. 2) and the patient entered a
Figure 1: U/S scan of left hemithorax,
visualizing the spleen, the diaphragm
and the pleural effusion.
Figure 2: Antero – posterior scan
of the aneurysm, with a diameter
of 3. 9 cm.
Figure 3: Foley catheter, indicated
by the yellow large arrow, and clot
superimposed (red thin arrow) over
the malignant mass originating from
bladder wall, encasing the Foley
Figure 4: Bilateral hydronephrosis
as a result of the Foley catheter