This is definitely the most bizarre ultrasound paper I have ever seen, bar none. Charlier P of France recently explored the significance of fresh cadaver ultrasound for differential diagnosis of cause of death in Med Sci Law. They performed ultrasound on a total of 38 fresh adult cadavers and found a major flaw in ultrasound: internal organs (e.g., liver, spleen, kidney, aorta, etc.) were very difficult to visualize due to the hyperechoic abdominal and chest walls with pneumatization of the GI tract and subcutaneous tissue, as well as cadaver stiffness and subject inability to cooperate. Ultrasound yielded very limited diagnoses compared to autopsy findings, including ascites, gallbladder stones, chronic kidney disease, cirrhosis, thyroid cysts and enlargement, and intrauterine devices. Ultrasound missed findings included fatty liver, pleural effusion, thoracic aortic coarctation, and focal organ or soft tissue lesions (e.g., trauma or infarction). The authors conclude that cadaveric ultrasound is of little significance in the identification of the cause of death.