Learning from Sherlock Holmes: Deductive Reasoning in Echocardiographic Enigma

Clinical diagnosis is in many ways similar to the work of a detective. Every day, we are presented with clues or evidence to solve a problem or, at times, a mystery. Echocardiography is ultimately just a tool with various capabilities of interpreting the truth; its utility, therefore, will depend on the comprehensiveness, experience, and insight of the echocardiographer. Like a detective who may come to the wrong conclusion based on selective attention to only certain clues, we can at times fail to make the connection among several seemingly incongruent findings.