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• The scan is moved laterally identifying the following structures as the probe is kept still and perpendicular to the skin over the posterior axillary line (PAL): skin, fat, lateral part of the erector spinae muscle, quadratus lumborum, part of the external and internal oblique muscles and transverse process of L4

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This causes the Eustachian tube, which helps equalize pressure in the ears, to repeatedly open and close