A good on-axis 2D image is the foundation of any echo assessment!  It is essential for accurate interpretation and sets you up for success with those advanced measurements.  

Now, let's tackle those PLAX pitfalls:
"Cylinder effect": LV looks short & thick, appears more hyperdynamic than it is. To fix, "fan" the probe.

Foreshortening: Seeing the LV apex too early? "rotate" the probe towards the right shoulder.

Rotate for apex, fan for pap! #echopitfalls #cardiotwitter #Scanuary