In this episode, Tatiana Havryliuk, MD, and Randy Glick, BSB/PM, MCP discuss a case in which a patient presents with symptoms of simple pyelonephritis, but point-of-care ultrasound (POCUS) reveals something more urgent: an obstructing stone. They explore how POCUS in primary care changed the diagnosis and led to timely intervention and provide insight into how renal POCUS can improve safety, reduce delays, and guide better clinical decisions.