2025 Honorable Mentions
2025 was an incredible year! Since there can only be two SonoProps winners each month, we wanted to highlight some well-deserved honorable mentions — and there were even more than this!
Just like before, this will be quiz-style. The team member who submits the most correct answers by January 1, 2026 will win a prize. Please send your answers to me via email, and remember to use all available information in the image.
Good luck! 🎉
Jan 2026 — now with answers!
01 - What is the concerning finding and what is the differential?
Mitral valve mobile echogenic mass concerning for endocarditis, patient found to have MV endocarditis.
02 - What is the name of this finding?
Wall-Echo-Shadow (WES) sign
03 - What is the diagnosis and what other procedure was the patient undergoing?
Non-occlusive DVT; patient was simultaneously getting a contrast echocardiogram. The whitish flow is due to ultrasound contrast.
04 - What is the most likely diagnosis and definitive next step for this patient?
Left adnexal complex mass with significant free fluid concerning for ruptured ectopic pregnancy (OB Early setting).
05 - What is being examined and what is the diagnosis?
Phlebitis (no thrombus present to make it thrombophlebitis)
06 - What is the most important clinical finding in this scan?
RV diastolic collapse
07 - What is the reason this patient might be having vaginal bleeding?
Subchorionic hemorrhage
08 - What are the 6 signs of cholecystitis and what signs are visible here?
6 signs of cholecystitis — aGBW thickening >4mm, gallbladder wall edema, stone-in-neck (SIN) sign, pericholecystic fluid, hydropic gallbladder 10cm x 5cm, sonographic Murphy’s
Signs visible on this scan — SIN, hydropic gallbladder, gallbladder wall thickening
08A - The same patient above - what is the next procedure this patient needs and why?
ERCP - choledocholithiasis - stone present in bile duct.
09 - What is the diagnosis in this post-partum patient?
Retained products, large volume of intrauterine heterogenous material consistent with blood clots
09A - What procedure is the patient undergoing?
Manual vacuum aspiration - US guided; cooperation between OB and EM!
10 - What is the abnormal finding? Is it emergent yes or no?
Anechoic collection in cervix consistent with likely Nabothian cyst, correlated with prior scans. Not emergent.
11 - What is the diagnosis and definitive treatment?
Paronychia, I&D
12 - Pediatric patient with right lower quadrant pain only - what is the diagnosis?
Reactive abdominal wall lymph node in the RLQ
13 - What is the most likely type of twin pregnancy in this ultrasound?
Monochorionic diamniotic; monochorionic monoamniotic pregnancies are significantly rare, in this case there was a thin membrane between the two fetuses.
14 - What is the diagnosis?
Left UVJ Stone
15 - What grade of hydronephrosis is this?
Severe hydronephrosis, cortical wall thinning is present.
16 - What is the concerning finding?
Large mass near the neck of the gallbladder
16A - Same patient, what is the differential diagnosis for this finding?
Questionable stone-in-neck but, does not appear to be internal to the gallbladder; found to be gallbladder carcinoma.
17 - What is the abnormality?
Atrial septal aneurysm
18 - What is the most likely diagnosis for this patient?
Idiopathic intracranial hypertension — bilateral optic nerve dilation with papilledema.
19 - What is the ultrasound finding, and what are two differentials?
Abolished lung sliding with focal B-lines; pneumonia, malignancy.
20 - What is the diagnosis?
Gastrocnemius tear
21 BONUS - What rhythm is this patient in?
Ventricular tachycardia.
