WOW! Is really all i can say. Trying to visualize anatomy intercostally can really throw someone for a loop if you can't wrap your head around the angle that you are trying to visualize the anatomy in! Again another great lab showing us techniques to use and also positions to put the patient in if he/she can not lie on their back. This image above was taken intercostally and it actually turned out very good. Trying to avoid shadowing from the ribs is a big issue when scanning between the ribs! Taking images intercostally really makes us realize how important acoustic windows are. It also made me realize how important shallow and deep breathing is when scanning a patient. With nice deep breaths its great when visualizing anything through the liver because the deep breath helps to move the liver down, thus creating a beautiful acoustic window for us! =)
Shallow breathing would probably be best when visualizing something such as the aortic bifurcation because a deep breath really would not affect it all too much. Also once we get into the lower abdomen shallow breathing will probably be best for imaging those structures as well! =)
XOXO Sam

