Secondary Logo

Journal Logo

Video Gallery

Endocarditis: aortic and pulmonary vegetations

Video Author: Pooja S. Jagadish, MD; Tamunoinemi Bob-Manuel, MD; Taylor Simmons; Hemnishil K. Marella, MD; Jayna Kelly, MD; Uzoma N. Ibebuogu, MD, FACC
Published on: 10.18.2019
Associated with: November 2019, Volume 32, Issue 11; Journal of the American Academy of PAs. 32(11):53-55, November 2019

The patient’s aortic and pulmonary vegetations may have been caused by bacteremia secondary to removal of a rectal polyp.

All Videos
Most Viewed
Most Emailed



Creator: Pooja S. Jagadish, MD; Tamunoinemi Bob-Manuel, MD; Taylor Simmons; Hemnishil K. Marella, MD; Jayna Kelly, MD; Uzoma N. Ibebuogu, MD, FACC
Duration: 0:02
A vegetation on the right coronary cusp of the aortic valve is the likely cause of the patient’s mild to moderate eccentric aortic regurgitation.
Creator: Pooja S. Jagadish, MD; Tamunoinemi Bob-Manuel, MD; Taylor Simmons; Hemnishil K. Marella, MD; Jayna Kelly, MD; Uzoma N. Ibebuogu, MD, FACC
Duration: 0:02
The patient’s aortic and pulmonary vegetations may have been caused by bacteremia secondary to removal of a rectal polyp.
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Lung sliding
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:07
Absent lung sliding
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
RV dilation
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Normal right leg, common femoral artery and veinleg, common femoral artery and vein
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Pericardial effusion
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Cardiac tamponade
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Hyperdynamic LV function
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Small IVC
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:07
Lung consolidation
Creator: Leonid Skorin, Jr., DO, OD, MS; Colleen B. Grassley, MPAS, PA-C
Duration: 1:06
Obtaining a section of the temporal artery for biopsy to rule out temporal arteritis.
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:15
Healthy kidney
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:11
Mild hydronephrosis
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:14
Moderate hydronephrosis
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:06
Severe hydronephrosis
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:07
Renal calculus (white arrow) with acoustic shadowing (dashed arrow)
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
PLAX view of EPSS in a normal heart
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
PLAX view of EPSS in a heart with reduced LV function



Creator: Pooja S. Jagadish, MD; Tamunoinemi Bob-Manuel, MD; Taylor Simmons; Hemnishil K. Marella, MD; Jayna Kelly, MD; Uzoma N. Ibebuogu, MD, FACC
Duration: 0:02
A vegetation on the right coronary cusp of the aortic valve is the likely cause of the patient’s mild to moderate eccentric aortic regurgitation.
Creator: Pooja S. Jagadish, MD; Tamunoinemi Bob-Manuel, MD; Taylor Simmons; Hemnishil K. Marella, MD; Jayna Kelly, MD; Uzoma N. Ibebuogu, MD, FACC
Duration: 0:02
The patient’s aortic and pulmonary vegetations may have been caused by bacteremia secondary to removal of a rectal polyp.
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Cardiac tamponade
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Hyperdynamic LV function
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Small IVC with significant inspiratory collapse, indicating intravascular volume depletion
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
S4C view of the heart demonstrating a moderate sized pericardial effusion. Pericardial effusions are visualized as black, anechoic fluid collections between the visceral and parietal pericardium.
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
A4C view of the heart demonstrating a moderate-size pericardial effusion. Hemodynamic compromise is noted with RV diastolic collapse. Findings are consistent with cardiac tamponade.
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:08
Normal aerated alveoli appear as A lines at equidistant intervals below the pleural line.
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:05
Lung sliding in a normal lung appears as shimmering or sliding of the pleural line during respiration
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:07
Pneumothorax is characterized by air accumulation between the visceral and parietal pleurae and an absence of lung sliding.
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:06
B lines are hyperechoic, ray-like vertical lines emanating from the pleural line.
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:07
Consolidation of the lung parenchyma develops hepatization, an echogenicity similar to the liver.
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:06
The “shred sign” is another indication of lung consolidation.
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:06
Pleural effusions typically appear as anechoic fluid collections between the visceral and parietal pleurae.
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:05
Complex pleural effusions may have septations and loculations.
Creator: Frederick Fuller, PA-C, MPH&TH
Duration: 0:01
Anechoic fluid in the renal pelvis, sometimes called a “bear paw” sign, supports the finding of moderate hydronephrosis.
Creator: Frederick Fuller, PA-C, MPH&TH
Duration: 0:03
B lines are pleural-based, vertical, hyperechoic white lines that look like comet tails, extend from the pleural line, move in concert with lung sliding, and obliterate A line patterns.
Creator: Frederick Fuller, PA-C, MPH&TH
Duration: 0:06
Compressing this irregular mixed echogenic fluid collection with the ultrasound probe produces the swirl sign, which represents purulent material swirling under pressure. However, the exact nature of the fluid cannot be determined by ultrasound alone.