Diagnostic dilemma poses one of the challenges in the mission field due to lack of ideal or reliable tools. Integrating ultrasound findings with clinical assessments can help improve diagnostic certainty at the bedside. During this 1-hour session, we will briefly review the capabilities and limitations in assessing intracranial pressure, fractures, and acute tendon ruptures along with a more traditional assessments for pneumonia, heart failure, and DVT, among other diseases. We will also briefly compare some of the available portable ultrasound devices.