Mrs. Fiske's praise echoed painfully in his thoughts.

My uncle's last words echoed painfully in my ears: "it's all over!"

A clap like thunder broke the low rumbling, echoed painfully in her ears.

The sound of his words echoed painfully through the hall.

Madigan chuckled, and the sound echoed painfully.

News of the suicides echoed painfully among the teen-agers in KIDS.

The woman laughed a hollow, slow, burbling underwater laugh that echoed painfully through the stone halls of the Keep.

He was shouting, but his shouts echoed painfully through his chest.

"Hadanelith," he said tonelessly, his head echoing painfully.

The Dai-San's voice rumbled through the chamber, echoing painfully against the walls.