A 72 year old male with no PMH presents to the emergency department (ED) for vague abdominal discomfort and fullness. The patient is hemodynamically stable on arrival and received a point of care ultrasound (POCUS) for evaluation of his abdominal pain. FAST performed was negative for free fluid, however, the renal ultrasound showed unilateral mild hydronephrosis on the right side. POCUS was then performed to evaluate the aorta, and a large abdominal aortic aneurysm (AAA) was seen, measuring 14cm at its largest diameter…

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