Annabel and I did an EFAST on a trauma patient with LUQ pain.
Here are the images
Surely this looks like splenic lac with haematoma surrounding it!
But CT revealed this was stomach containing food!
The following clip does look a bit like the hyperechoic area is seperate from the spleen, but really, did she have to make it that hard?
Usually stomach is imaged when the probe is held too anteriorly on the chest. Sliding inferiorly in the LUQ so that your hand is almost touching the bed usually eliminated artifact from stomach gas.