Sonography is an essential imaging modality, known for its real-time capabilities, relative low cost, and multiple diagnostic applications. Although there are protocols which are well-established for specific examinations, there are not clear guidelines for sonographic examinations of soft tissues. Many sonographers have to establish their own imaging protocols when completing a soft tissue examination. This case series details five soft tissue examinations that represent just a few of the clinical requests generated in an Urgent Care (UC) facility. Since UC usage has increased over the past several years, it appears likely that any sonographer working in such outpatient settings will benefit from as much exposure to soft tissue examinations as possible.

Best practice in rehabilitation counseling should consider larger economic trends in the provision of vocational rehabilitation services. In the current knowledge-based economy, education or specialized training is crucial to gain entry into employment in which one could earn a living wage (Sharf, 2012; Sullivan, 2010). Most people living with serious mental illnesses (SMI) have intermittent recent work histories, which put these individuals in an almost intractable situation where they lose all attachment to the workforce, and develop an identity related to their status as a person receiving mental health services, or an illness identity (Yanos, Roe, & Lysaker, 2010). Workforce participation rates for persons with SMI remain very low, ranging from 10% to 30%

Pregnancies within rudimentary horns of unicornuate uteri are extremely rare. These pregnancies account for approximately 1 in 76 000 to 1 in 140 000 worldwide, with uterine rupture being the most concerning complication. A case is presented of a 24-year-old female, gravida 2, para 0, who underwent multiple sonograms pertaining to two gestations over a 3-year period. Both pregnancies occurred within the left rudimentary horn of a unicornuate uterus. The left rudimentary horn was confirmed, on magnetic resonance imaging, to have no communication with the right horn or endocervical canal. The first pregnancy resulted in a missed abortion, and the second pregnancy, 3 years later, was a twin gestation, which was carefully monitored. At 20 weeks, the uterus began to rupture, and an emergency C-section was attempted. Neither the fetus nor the rudimentary horn survived, which was excised. This case demonstrates a rare uterine finding, a pregnancy occurred twice within the horn that lacked communication with the cervix.

Dissections have the potential to occur in a variety of segments throughout the vascular tree. More than 95% of aortic dissections begin within a few centimeters of the aortic valve in the ascending aorta and beyond the branch of the subclavian artery. However, less common dissections are sometimes seen in the descending aorta. Carotid dissections are considered quite uncommon. Yet, they are estimated to be responsible for 5% to 20% of strokes in people under the age of 45. Three cases are presented, which demonstrate dissections in uncommon anatomical locations using diagnostic medical sonography and computed tomographic angiography (CTA). The first two cases demonstrate abdominal aortic dissections. The third case demonstrates a bilateral carotid dissection. One of the abdominal aortic dissections was seen clearly on corresponding CTA, while the other aortic dissection was noticed on sonography, but not on CTA. All three cases are discussed with details of patient clinical findings as well as their medical and surgical histories.

Calf muscle tears are relatively common. They can be identified well as incidental findings using duplex sonography when performing a lower extremity venous Doppler exam. A case is presented of a 43-year-old male patient who underwent a sonogram to diagnose deep vein thrombosis. The exam results demonstrated patent and compressible common femoral, femoral, popliteal, and calf veins without evidence of deep vein thrombosis. As the sonographer was documenting the popliteal fossa, a complex fluid-filled structure within the left gastrocnemius muscle was identified. The diagnosis was reported as a gastrocnemius muscle tear. This case demonstrates a fairly common incidental finding, gastrocnemius muscle tear, when performing a venous Doppler exam.