How to confirm lumbosacral transition vertebrae on MRI when you don't have cervicodorsal spine screening for vertebral counting?

By looking at nerve root morphology anterior to sacral ala.

▶️Sacralization of L5: 3 small nerve roots (L4)
▶️Typical configuration (no lumbarization

CALF IMPLANT INTRACAPSULAR RUPTURE

Linguine sign used for breast implant rupture, also described in calf implants.
Fibrous capsule surrounds the implant and contains the silicone.

New journey, new beginnings. Joined University Hospitals of Derby and Burton as consultant radiologist with special interest in MSK

Answer: True subluxation.

Why?

Specific red flags on radiographs can identify a true subluxation. When these red flags are present, it is important to consider true subluxation rather than pseudo subluxation.

The red flags are as follows:

1. Age: If the patient is over 8

A word of appreciation for the FOAMRad educators who are transforming radiology education in India. Their value is appreciated especially by those of us who did radiology residency a decade back or more and didn't have these resources:

1. Sandeep Awal | RadiologyVibes.com : almost all residents I

More #MSKIR in a woman in her 70s with chronic tailbone pain whenever she sits.

Previous block of the ganglion impar resolved her symptoms for a few hours.

#Cryoneurolysis under CT.

🧵…

Greetings from India Paul McCoubrie ! A wonderful book, just finished reading. Would recommend to all radiology residents (& consultants too). Some of the quotes deserve to be put up as posters in reporting rooms. Also gives a nice snapshot of radiology work in the NHS👌

Planning to work in the UK as an IMG after FRCR? The UK is a top destination for radiologists looking to pursue world class fellowships or even settle permanently. A post on where to begin:

1. Subscribe to email alerts on apps.trac.jobs and jobs.nhs.uk for

Jordan Hedberg The classic post in this respect…

A nice case from yesterday, complete rupture of the infraspinatus tendon and the posterior joint capsule, partial cranial involvement of the teres minor

Our latest article:

💥 Fast 5 take home messages 🔍
carlespedret Sandra Ramon Balius Bruce Forster British Journal of Sports Medicine (BJSM) ManchesterMSKImaging

Patient & parental consent ✅

10yo skiing injury - valgus / rotation when bindings failed to release

Medial pain & focal swelling - but minimal laxity on medial collateral ligament (MCL) valgus stress, no effusion

Lachmans negative

POCUS video - proximal MCL tear

Distal Tib-Fib remodelling with neoosteogenesis and cortical thickening of the tibia/fibula—sequel of syndesmotic injury.

Underreported on radiographs.

—on-call cases

Another plug for dynamically evaluating the rotator cuff. Still image can be tough to tell if there is a full thickness tear, but dynamic contraction is clear as day

DORSALIS PEDIS THROMBOSIS:

Cyclist under evaluation for extensor tendinitis

US: Dorsal Pedis Artery Thrombosis.

Always a quick look at the vessels, it’s literally 15 secs

#foot #sportsmedicine

Consent ✅

Thought i’d posted this before but can’t find it on search 🧐

Pt much improved post this US guided injection (previously catching/ clicking with cycling, deep seated aching, reduced flexion)

ACL cyst targeted via posterior approach - medial to lateral to avoid NV

Honoured to be a part of the FRCR2B Mastercourse as faculty, thank you for inviting me again Dr Sameer Shamshuddin ! Also the Mastercourse completes 10 years, wish you another amazing 10!

Excellent resource for triaging chondral tumours

The Birmingham Atypical Cartilage Tumour Imaging Protocol

bactip.co.uk

INTERMETATARSAL NEUROMA

3rd > 2nd intermetatarsal spaces most affected

Neural edema, demyelination and perineural fibrosis

Neuroma in adjacent space: 28%
More symptomatic > 5mm Intermetatarsal bursae ≤ 3 mm is considered physiologic

#foot

Sometimes for whatever reason, you'll have just a noncontrast study. This was a nice pick up. On a bad day could have been overlooked. CTA to follow.