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okay so lets go back to that position that we discussed before perfect turn on again the ultrasound so again hitting this fine button we start and we see these white line is telling us that we are off-center so you want to bring those line that line up to the midline where actually we can see there already spinous process as shown by this dot here and you can see it represented there in the 3d image so you want to in order to have a clean entry point you want to get rid of that spinous process so you try to move your ultrasound up and down until you dont see that little dot that represents the spinous process so this here will be an eye a good interspace and Im very important to keep in mind the trajectory of your ultrasound and meaning the trajectory of the beam of the ultrasound so try to remember the angle at which you obtain this image at this point once you locate the interspace you want to make sure that you are not pressing on the skin as that could affect the accuracy of th
