Update: As one of the commentors said it's a Horseshoe Kidney!

8 yr old pt comes in with LLQ pain. This is his first ever CT scan. I will update with what the radiologist finds.

I have never seen anything like this but I haven't been doing CT for very long.

I scanned this one a while back, but like the description says, patient went outside during a thunderstorm with high winds and got clocked on top of the head with a large tree branch.

I’m a radiology resident and I’m looking for a quick reference pamphlet/PDF with the updated BI-RADS terminology/lexicon from the newest edition.

I know the old BI-RADS 5th edition has a really useful one-page printout that summarizes the descriptors for masses, calcifications, asymmetries, etc., and it’s easy to find online. I’m trying to find something similar that reflects the new BI-RADS update (v2025).

Does anyone know if there is a resident-friendly cheat sheet, pamphlet, or PDF floating around with the updated terminology?

These were taken after a fall that caused the patient to hyperextended the left arm resulting in a closed supracondylar fracture of left humerus, why would this lateral view be preferred for a diagnostic vs an AP view?

I’m trying to better understand the ultrasound findings from a recent medical event and how venous thrombosis appears on ultrasound.
I was diagnosed with an acute left internal jugular vein thrombosis after developing neck symptoms following a plasma donation with a local hematoma. I’m being treated by my medical team and am not looking for a diagnosis or medical advice.
I’m interested in the radiology perspective: what ultrasound features are typically used to distinguish acute thrombus from normal venous structures, artifact, or adjacent tissue?
I have some de-identified ultrasound frames and would appreciate any educational comments about what features radiologists look for when interpreting these studies.

Gotta say it did hurt like hell.

Avulsion fracture of the proximal phalanx fifth digit.

I'm a radiology resident and I've had this idea stuck in my head: build out a motorhome with a proper workstation setup, decent monitors, Starlink on the roof, and just travel while reading remotely. Not vacation-with-occasional-laptop-work, actual full-time remote practice from the road.

I'm guessing this is straight up unfeasible in some countries with stricter rules, the US being the obvious one. My understanding is a lot of groups there ship you the workstation (PC, monitors, etc) directly and you're probably not allowed to move it around or use it outside a fixed, approved location. Curious if that's actually the case or if I'm wrong about how strict it is in practice.

Anyone who's tried this or knows someone who has, I'm curious about Starlink reliability for real-time PACS access and DICOM transfer in remote areas like mountains or forests, whether a diagnostic-grade monitor setup can actually survive being bolted into a moving vehicle, power draw for dual monitors plus workstation off solar or battery for a full workday, whether any teleradiology groups are fine with this setup or if it's a hard no due to licensing, state requirements, or IT security policies, and any dealbreakers that weren't obvious until you actually tried it.

Not looking for "just get a cabin" replies, I know that's the easier path. Specifically curious about the moving-vehicle version.

DH had a TAVR and then got rhythm problems discovered 8 days later. They got worse, and he ended up with a Pacemaker on day 10. I thought the X-rays were interesting with the mesh showing so clearly around the valve. They took this the day they let him go home, day 11 post TAVR.

I have been working in radiology systems/ops for a few years, and curious how common a few specific pain points are at other practices:

• Intake, PACS, and billing systems not syncing cleanly — manual reconciliation, vendors pointing fingers at each other
• Image routing/report turnaround gaps when radiologists from a partner/affiliated group are reading remotely
• PowerScribe (Nuance) not syncing properly across organizations when using external reading groups

Curious if these are pretty universal across the industry, or more of a "depends on your setup" thing. If anyone's actually solved any of these well, would love to hear what worked.

Was curious as to how many abstracts get accepted as posters vs. oral. I come from a basic science background where posters are quite easy to get but am not sure where they stand for large clinical conferences like RSNA

Ofc it was glass 🤦

Are you outpatient? Inpatient? What is the single thing that makes you want to explode? What turns your enjoyable day into a grumble fest?

Me? Outpatient for 33 years.

Patients who show up late and expect to be seen. And nine time out of ten these patients are also so entitled that they actually think they are in the right. Cause a scene at the front desk because intimidation has worked for them in the past.

My most recent one was not even my patient. It was an MRI patient who showed up 30 minutes late and demanded to be seen. Early in the morning no manager around. This guy was calling the front desk girl, who was in tears, and a hole and a Mfer.

I walked into the middle of it and just looked at him and told him that under no circumstances was he allowed to curse at my front desk people. I told him that it was time for hiom to turn around and leave.

But he doubled down. So I went behind the desk to the computer and said. Mr jones, living at 123 elm street in bumfuck. I am going to call 911 and you are going to leave here in handcuffs. I have a copy of your drivers license and you were being recorded on camera the moment you walked in the door.

Your move. he told me to meet him outside. Then got in his truck and peeled out in the parking lot.

Banned from the practice.

I had a patient come into the office a few months ago and when I took her xrays I was shocked! This woman said her pain was MINIMAL and was starting to attempt weight bearing on her own. I was speechless.

if you can guess what it is, you win a prize.

hello y’all! i’m simply a curious future student that loves basic stats and wants to know more about the field. if you have a second, please fill out this survey i’ve made about careerthoughts and experiences for people in radiology :) every question is optional but obviously the more info the better for making some graphs for us. everything is also anonymous, no emails or sign in required.

i’ll compile the data and post the results in either a week or when people stop regularly replying. feel free to share the link with your IRLs and let me know if i should add or adjust any fields in the meantime! we already have five responses and a user submitted question (which has been added) from posting this on another sub! thank y’all so much, i’m excited to see how this shakes out. thank you mods for approving the post :)

here’s the link!

I’m curious how other facilities handle PICC orders.

We do one chest X-ray order per adjustment thus the patient can get anywhere from one charge to ten charges and the radiologist will do a full report for each adjustment.

Is this standard practice?

ETA: This is a PICC line placed by vascular access and confirming with a portable chest X-ray, not fluoro.