PT - JOURNAL ARTICLE AU - C-L Tsai AU - H-P Wang AU - W-C Lien AU - C-C Chen AU - T-I Lai AU - W-J Chen TI - Ring down artefacts on abdominal sonography to predict pulmonary abnormalities in the emergency department AID - 10.1136/emj.2004.016352 DP - 2005 Oct 01 TA - Emergency Medicine Journal PG - 747--748 VI - 22 IP - 10 4099 - http://emj.bmj.com/content/22/10/747.short 4100 - http://emj.bmj.com/content/22/10/747.full SO - Emerg Med J2005 Oct 01; 22 AB - Ring down artefacts are sometimes found when emergency physicians perform abdominal ultrasound to differentiate between various abdominal problems. We describe a patient who presented with right upper quadrant abdominal pain and whose ultrasound examination showed ring down artefacts posterior to the right hemidiaphragm, which led to the eventual diagnosis of pneumonia. Ring down artefacts on ultrasound may be used to predict pulmonary abnormalities. Awareness of this sonographic finding may assist in accurate diagnosis and administration of appropriate treatment without delay.