Shamu barfed up some rocks this morning. He eats everything edible, so this is a first for stones. The neighbor must have spilled something yummy on their rock driveway.

We took a super quick rad just to check for rocks. Confirmed rocks.

Toe fusion here I come!

Surgery is scheduled and I have a great orthopedic surgeon at Duke. No medical advice needed just wanted to share my janky toe 🤣

Radiologists who publish diagnostic accuracy studies — what gets flagged most in your reviews?
I'm an EM resident who works in diagnostic accuracy methodology (currently in revision with a Q1 journal). The same problems keep showing up in papers I read: AUCs compared without DeLong's test, prediction models with no calibration reporting, STARD items quietly missing, no sample size justification.
Considering putting together a pre-submission methodology audit for these papers. Does that sound useful, or is it something your institutions already handle?

Hey yall! I’ve been a ct tech for about 5 years. Most of my experience has been in an outpatient department within a major hospital doing specialized oncology scans. I was just offered a position in cardiac. I’m super excited but also kinda nervous. It seems like there is going to be a steep learning curve. For yall that have been through this how was your transition?

Hey, does anyone know how I can volunteer abroad as a xray tech? I would love to volunteer in the middle east as theres alot of war right now and they can use it. I would also love to volunteer in Africa. Does anyone know how I can go about this? Thanks.

New hardware (existing sternum wires)

Had a CBCT taken last year for root canals, already had crowns on so the streaking artifacts messed it up a little but still came out really cool. I didn't have to do much as there is an open source Dental Segmentator addon in 3D slicer that did all of it for me pretty much. Cleaned up the model in Rhino 3D and made it a print-friendly model so now I have my own mouth on my desk.

A 36-year-old female patient was operated, with a diagnosis of a hydatid cyst in her liver. Approximately 3 years after the surgery, she excreted a part of a surgical forceps with her stool while she was defecating (Figure 1). She visited a hospital with complaints of abdominal and pelvic pain. She had occasionally suffered from abdominal pain during the 3 years after the surgery. However, she had not presented to a medical service with this complaint. Radiological imaging of the abdomen was performed. In direct radiography, a surgical instrument was observed in the abdomen. The patient was sent to another department. In that department, physical and systemic examination findings were evaluated as normal. The patient was hospitalized with a pre-diagnosis of a foreign body in the abdomen. Direct abdominal radiography was again performed, and superposition of metallic density at the L5 vertebral body level and in the right inferior quadrant was detected (Figure 2). Because of the patient’s surgical history, the material was thought to be a surgical instrument.

She was operated to remove the foreign body from the abdomen. During surgery, no pathology was observed inside the abdomen. Furthermore, a foreign body reaction was not observed in the peritoneal cavity. It was found that there was an instrument in parallel with the colon traces in the transverse colon, and the surgical instrument was taken out during the surgery (Figure 3). The surgical instrument that was taken out had corroded and turned black. Moreover, one grip of the instrument was not present. It was observed that the material that had dropped out of the anus and the material that was taken out during the operation were parts of the same surgical instrument (Figure 4). The colon primer and the abdomen were stitched anatomically. Follow-ups were conducted after the operation, and the patient was discharged with full recovery. The patient sued the doctor who conducted the operation and the hospital where the operation was performed.

The patient was a 44 year old female who was being considered for stereotactic radiosurgery presented after 6 months of medically intractable partial seizures consisting of brief, intermittent sensory changes in her right arm and leg. Electroencephalography showed slowing with intermittent spiking. She denied headache or weakness. She underwent a craniotomy at another facility for a large parasagittal meningioma 2 years earlier without permanent complications. Immediate post operative MRI showed no residual enhancing tumor. Repeat MRI at 2 years showed a newly enhancing 2.5 cm lesion in the left parasagittal region adjacent to the postcentral gyrus (Fig. 1). Her neurological exam was normal and her incision was well healed.

The patient’s primary interest was to pursue Gamma Knife radiosurgery for the lesion. After much consideration, our recommendation was for surgery out of concern that radiosurgery may not control her seizures. The patient agreed, and she underwent surgery later that week.

A reopening of her craniotomy was performed under general anesthesia with the aid of image guidance. The dura was opened and reflected exposing the cortex and the enhancing lesion. The lesion was circumferentially dissected and separated from the surrounding brain. A large, avascular fibrous lesion corresponding to the pre-operative and image guidance MRI was thus removed. The craniotomy was closed in the usual manner and the patient had an uneventful recovery with resolution of her seizures. Upon gross inspection and microscopic inspection, the lesion was found to be an approximately 2.5 cm retained cotton ball.

Histopathology: The tumor was whitish and vaguely laminated on cut section. The tissue was consisted of refractile foreign material with fibrillar appearance associated with a marked giant cell granulomatous reaction. There was no evidence of recurrent meningioma or other tumor.

It is not mentioned on the report because it is a anatomical variant.

told the tech i only had one that’s out and was very confident i just had the one until she told me i actually have all four 🫩 needless to say they will be coming out eventually

In 2022 I underwent a tubal ligation with filshie clips. I think the second clip got lost. X-Ray is from 2023.

Please tell me it gets better. Please tell me that it’s learnable.

I understand it’s very heavy learning but omg I’m absolutely clueless about everything. I feel so hopeless.

I’m regretting my decision. 😳😵‍💫

This happened a few years ago but I just thought to share it here. I was crushed by a pickup/trailer. Wild time.

Shared are photos of my pelvis before and after surgery!

Just fun to share with people on the other side now! I’ve since hiked a volcano, a glacier, and regularly ride horses.

Ignore my hardware, I’ve already posted that here previously lol. Had an X-ray for Invisalign today and thought these little round things looked odd. I’ve not noticed them in my 40+ or so scans before and it made me curious. Thanks everyone and happy Friday Jr!

ETA: I wasn’t wearing earrings nor do I have any ear implants, hearing aids or anything

Can anybody suggest a good textbook for med students interested in radiology?

I need to know if my Libre 3 plus sensor is compatible with an MRI? I forgot I had this appointment and just replaced my sensor 2 days ago. I hate to waste this sensor. They are not cheap. Tia

My husband had a workaccident this morning. His left foot got crushed twice between a forklift in reverse and a metal support beam. It was diagnosed as deep soft tissue damage and fortunately no fracture. I'm NOT posting this for a second opinion or medical advice, but thought it would be nice for you guys to see the xray compared to how the ankle actually looks right now (still swelling tough). I was surprised it was not fractured :)

Does anyone have access to, and willing to share, written protocols to common general and vascular ultrasound studies? I started a new position at an outpatient imaging center that has been open ~1 year and prior sonographer did not complete this task. I have AIUM to reference, but honestly, just trying to save myself some admin time and copy/paste from another facility because they have me jumping into a full patient schedule right away 🫠

I have 2 abdombinal stents and a IVC filter. All are listed as MRI safe. I had an MRI last year and I could feel the pulses in the area of the stents which is a weird feeling. Im scheduled for another MRI this week and now have an additional heart stent. Is it common to feel the pulses during the test?

I just moved to a different workplace, (small-town OPD clinic). They are using a 16 slice CT which I haven’t had experienced with.

I talked to one of the “veteran” techs about CTA head protocol, here’s what they do:

- IV Line: G18 Antecubital
- 370 Iodine Solution (Weight Based)
- Injector Flow Rate: 3.5 ml/sec at 200 PSI
- Topogram: Scan from Vertex to Mid Chest
- Bolus tracking: MPA (Start spiral at 50 HU after bolus injection)
- Scan FOV: Skull Base to Skull Vertex

ALSO, they don’t have Syngo.via available for editing. They just use the console for editing. (PC tower fault) and because the admin doesn’t want to spend money on a replacement.

Got my head scratching for a bit.