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How would you adjust your ultrasound settings to go about proving this diagnosis? What waveform characteristics would you be aware of in adjacent vasculature?

What is the method of diagnosis for this patient? How would you as the sonographer prove the findings seen below? What is the prognosis for this patient?

Here at All About Ultrasound, we will be using this forum to create a place for sonographers to freely collaborate on case studies, protocols and more. Have a case study to share? You can submit it through our website here.