“…Radiologic imaging, however, is highly sensitive and specific with computerized tomography (CT), magnetic resonance imaging (MRI), trans-esophageal echocardiography (TEE), and angiography being the most sensitive [1]. In contrast, transthoracic echocardiography (TTE) has a sensitivity and specificity ranging from 35 to 80 and 39-96%, respectively, depending on the anatomic location of the dissection [5][6][7][8]. Yet, as more clinicians begin to use sonography at bedside, the characteristic signs of dissection, floating intimal membranes, the enlargement of the aortic root or arch, and an increase in the aortic wall thickness are occasionally encountered while the clinician is evaluating for other conditions [1].…”