 Hello, everyone. My name is Khushput Ekriwal. I'm a resident at St. GS Medical College and KEM Hospital. Here I will be presenting a case series of pseudo aneurysms which were detected on ultrasound. This is the case one of a 50 year old man who presented with complaints of unresolving hematuria for 10 days following PCNL. His b-mode ultrasonogram of fried kidney shows an anechoic round structure in the renal sinus near the lower pole and there was dynamic change in the shape of the lesion which shows the pulsatile nature of the lesion. The corresponding Doppler image, color Doppler image shows in Yangstein which is classical of pseudo aneurysm. Here is the corresponding axial CT image and corresponding coronal 3D vascular reconstruction image of the same patient which shows an lobulated pseudo aneurysm in the renal sinus with heterogeneous enhancement of the renal parenchyma and the content in the pelvis which suggests hematoma in the renal pelvis. These are the digital subtraction images of the pseudo aneurysm and which was successfully managed by coiling. Hence a diagnosis of itrogenic pseudo aneurysm arising from the posterior segmental branch of the right renal artery was made which was coiled successfully. Next case is of 40 year old man who presented with complaints of unresolving hematuria for 15 days following PCNL. The b-mode image did not show anything apart from the content in the urator and the bladder which was hematoma and there was DJ stent in C2 in the same kidney. So the color Doppler image of the right kidney showed an outpouching with in Yangstein arising from the inferior segmental branch. These are the coronal and sagittal sections of the arterial in the arterial phase of CT which shows contrast small contrast build up outpouching in the renal sinus at the lower pool of the right kidney. However, the diagnosis was difficult due to multiple calculate in both the kidneys. Hence a digital subtraction renal angiogram was performed, which showed a small pseudo aneurysm which was arising from the inferior segmental artery and successfully closed by coiling. Hence a diagnosis of itrogenic small pseudo aneurysm arising from the inferior segmental branch was made, which was successfully closed by coiling. This is the case three of a 26 year old man who presented with complaints of swelling in the left leg and serious discharge from the wound which was there on the sheen of the tibia. He had the history of stab injury two months back over the lateral aspect of the left leg. There were lesions which could be seen on examination. The B mode and the color Doppler image of the anterior tibial artery showed a suit outpouching which was arising from the anterior tibial artery and which showed Indian classical Indian sign. These are the images which showed the neck which shows the neck of the aneurysm and this is the corresponding B flow sonogram image of the pseudo aneurysm. This is the classical pulse Doppler ultra sonogram image which shows two and pro pattern of the waveform. Hence a diagnosis of traumatic pseudo aneurysm arising from anterior tibial artery was made. However, the patient did not follow up with us. This is the case four of a 30 year old man who presented with pain in abdomen for one and a half months and was advised sonography for the same. On sonographic image examination and outpouching was seen which was arising from the superior mizantric artery and which showed in young flow within it. These are the actual CT images in of the actual CT images of the in the arterial phase, which showed a bilobed sacular outpouching arising from the distal SMA distal to the origin of the I. There were, there were few branches, there were few branches which were arising from the aneurysm sac. These are the MIPS projection, MIPS maximum intensity projection, coronal reformatted images and the volume rendered image of the pseudo aneurysm. Here we can see the branches arising from the pseudo aneurysm. These are the selective SMA angiogram images which confirmed a bilobed pseudo aneurysm arising distal to the illocolic branch. The aneurysm pouch were closed using the, using the vascular plug and the coils. This is the check angiogram which showed the coils in position and there was no filling of the sacs. Hence a diagnosis of superior mizantric artery sonor aneurysm was made which was closed successfully by coiling and vascular plug. This is a case five of 50 year old man who presented with complaints of gradually progressive swelling over the chest wall since one month and he underwent CABG about one and a half months back. There was a boggy swelling on examination over the midline of the chest on local ultrasound there was a local hematoma which was there since the hematoma was progressive. Hence a suspicion for a possible leak from the, from the possible underlying aneurysm was made. This is the corresponding CT image societal, we say societal section which can, which shows a pseudo aneurysm, pseudo aneurysm pouch with extensive hematoma surrounding it and the hematoma was extending till the anterior wall. These are the pre treatment and the post treatment images actual section which shows successful closure of the pseudo aneurysm by corner device. This, here we can see the multifunctional occluder device. Hence a diagnosis of itrogenic pseudo aneurysm following CABG was made and it was successfully closed using corner multifunctional occluder device. So, here we can, as we could see, pseudo aneurysms are commonly encountered in day to day practice ultrasound plays an important role not only a diagnosis but also in the management of the superficial small narrow neck pseudo aneurysms which are managed by compression or USG guided thrombin injection. Small pseudo aneurysms arising from the renal artery can be missed on CT angiography, especially in the patients of with multiple renal cal, as we could see in the case two, then progressive swelling anywhere after the trauma or intervention should raise a suspicion for an underlying vascular pathology and should be thoroughly investigated as we could see in case three and five. Thank you.