We describe an adult patient in whom live three-dimensional transthoracic echocardiography illustrated the exact site and full extent of the subaortic membrane as well as the narrow opening within the membrane, indicative of severe stenosis. To our knowledge this has not been reported previously.

We report the usefulness of live/real time three-dimensional transthoracic echocardiography in the visualization of Chiari network.

A 43-year-old South Korean male presented to urgent care with pain free jaundice and weight loss. An abdominal ultrasound was ordered and demonstrated a 2.5 cm irregularly contoured ampullary mass that was obstructing the common bile duct (CBD). Endoscopic biopsy demonstrated ampullary villous adenoma with high grade dyspasia. Villous adenoma is a type of polyp typically found in the colon, but it is rarely seen at the ampulla of Vater. To our knowledge this is the first documented case found by transabdominal sonography.