What are the opening hours?

Monday 8am - 4:30pm Tuesday 8am - 4:30pm Wednesday 8am - 4:30pm Thursday 8am - 4:30pm Friday 8am - 4:30pm

ESP Ultrasound

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United States
Houston, TX
ESP Ultrasound

www.ESP-Inc.com
Welcome to ESP Ultrasound, the nation's largest and most successful ultrasound registry review organization. Your success is our success!

What begins here can change your world. ESP offers ultrasound review preparation in physics, abdominal, breast, musculoskeletal, ob/gyn, vascular, and pediatric sonography, as well as adult, fetal, & pediatric echocardiography. We prepare professionals for their RVT, RVS, RDCS, RCS, RDMS, and RMSKS registry exams. ESP Ultrasound is the nation’s largest and most successful educational forum offering board review and continuing medical education. We’re known for quality, integrity and efficiency. We are the most successful because our students are the most successful.

02/19/2026

On breast ultrasound, that clustered, cystic pattern points to juvenile papillomatosis – a rare but important diagnosis in young patients.

For sonographers, this is where pattern recognition meets responsibility. Multiple small cysts, ductal changes, solid components… pause. Scan it thoroughly. Document vascularity. Correlate with age and history.

Because what's on the screen carries weight in real life.

02/18/2026

Building confidence.
One webinar.
One textbook.
One practice question at a time.

www.esp-inc.com

02/17/2026

Wishing everyone in our community who celebrates a happy Lunar New Year.

02/10/2026

Don’t be a silly goose.

If you’ve been meaning to register for the February Registry Review Webinar… this is it.

Today is the LAST day to sign up.

No more “I’ll do it later.”
No more open tabs.
No more dilly dallying.

www.esp-inc.com
We’re covering:
• Physics
• Abdomen
• Adult Echo
• Fetal Echo
• Pediatric
• OB/GYN
• Vascular

Structured review. Focused content. Real accountability.

Registration closes tonight — Feb 10.

Let’s get you ready.

02/09/2026

Staying up late to “get one more chapter in” feels productive.

It usually isn’t.

Ultrasound board exams require pattern recognition and application.
Those skills decline when you’re sleep-deprived.

If you’ve been studying consistently, the best thing you can do the last few nights before your exam is this:

Sleep.

Let your brain consolidate what you’ve already learned.

Exhaustion doesn’t build confidence. Retention does.

02/08/2026

Super Bowl Sunday is here 🏈

Who are you rooting for today?

🤍 Seattle Seahawks
💙 New England Patriots
❤️ The Ads
Drop your vote below 👇

Bonus question:
Do you remember that ultrasound commercial from years ago? Still one of the most iconic ad moments.

02/07/2026

Congenital heart disease isn’t rare. It’s one of the most common birth defects. And in many cases, the first person to suspect it isn’t a physician.

It’s a sonographer.

During a routine anatomy scan, we’re evaluating the four-chamber view, outflow tracts, three-vessel view, rhythm, and symmetry. We’re looking for what’s there… and what isn’t. A slightly small left ventricle. An outflow tract that doesn’t cross correctly. A vessel that feels “off.”

Those subtle findings can lead to the diagnosis of conditions like Tetralogy of Fallot, Transposition of the Great Arteries, or Hypoplastic Left Heart Syndrome.

And that changes everything.

A prenatal diagnosis can mean:
• Delivery at a tertiary care center
• Immediate cardiology involvement
• Planned surgical intervention
• Better outcomes

After birth, sonographers continue that role. In pediatric echo labs and NICUs, we assess ventricular function, valve integrity, shunts, gradients, surgical repairs, and long-term remodeling. These patients are followed for years, sometimes for life.

CHD detection and management isn’t just about capturing images.

It’s about pattern recognition.
It’s about critical thinking.
It’s about knowing when something doesn’t fit.
It’s about speaking up.

The quality of our images directly impacts diagnosis, surgical planning, and long-term care.

That’s not small.

That’s impact.

And if you’ve ever paused on a fetal heart because something didn’t feel right… you already know the weight of that responsibility.

02/06/2026

We doom scroll too… but it can’t be all bad when our algorithm keeps showing us moments like this.
We’re grateful to be part of so many sonographer wins—let’s keep celebrating!

02/05/2026

Sonographers have hearts of gold.
Science in their hands. Care in their hearts.

02/04/2026

We're letting the organs play DJ, what's next on the playlist?

02/03/2026

One week until registration closes.
Future-you will be glad you didn’t wait on this one.
Bring your questions ...We'll meet you there!

www.esp-inc.com

02/02/2026

6️⃣ Signs of Acute Appendicitis on Ultrasound

1. Non-compressible appendix
A normal appendix should collapse with graded compression. If it does not compress, assume pathology until proven otherwise.

2. Enlarged appendiceal diameter
Outer wall to outer wall > 6 mm. Be cautious: a borderline measurement, without other signs, is weak evidence

3. Blind-ending tubular structure
Must arise from the cecum, which helps differentiate the appendix from the small bowel. Peristalsis = bowel, not appendix!

4. Target (bull’s-eye) sign
Seen in the transverse view, a thickened hypoechoic wall with an echogenic center.

5. Hyperemia on color Doppler
Increased blood flow in the appendiceal wall is often seen with early appendicitis. Absent flow can suggest necrosis or perforation.

6. Appendicolith
An echogenic focus with a posterior acoustic shadow is strongly associated with appendicitis, especially in pediatrics.

Secondary (supportive) signs:

These don’t diagnose appendicitis alone but strengthen the case:

Free fluid (especially periappendiceal)
Echogenic surrounding fat (inflammation)
Localized tenderness with probe pressure (sonographic McBurney sign)
Adjacent bowel ileus

Address

Houston, TX

Opening Hours

Monday	8am - 4:30pm
Tuesday	8am - 4:30pm
Wednesday	8am - 4:30pm
Thursday	8am - 4:30pm
Friday	8am - 4:30pm

Telephone

+12812929400

Website

https://esp-inc.com/

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What We Do

ESP offers ultrasound review preparation in physics, abdominal, breast, musculoskeletal, ob/gyn, vascular, and pediatric sonography, as well as adult, fetal, & pediatric echocardiography. We prepare professionals for their RVT, RVS, RDCS, RCS, RDMS, and RMSKS registry exams. ESP Ultrasound is the nation’s largest and most successful educational forum offering board review and continuing medical education. We’re known for quality, integrity and efficiency. We are the most successful because our students are the most successful.