Gopal Punjabi (@ctspectral) 's Twitter Profile
Gopal Punjabi

@ctspectral

Chair, Dept of Radiology @HennepinHC.
All views & opinions my own, nothing to do with employer.
I share my experience with Spectral CT, 3D CT, learning cases.

ID: 998967321397006338

linkhttp://www.ctspectral.com calendar_today22-05-2018 16:42:24

1,1K Tweet

2,2K Followers

310 Following

Gopal Punjabi (@ctspectral) 's Twitter Profile Photo

Small right atrium in right tension hemothorax. Hypotension and tachycardia improved significantly on chest tube placement. Well described sign of pericardial tamponade on echo. Similar mechanism? #FOAMed #radres

Small right atrium in right tension hemothorax. Hypotension and tachycardia improved significantly on chest tube placement.
Well described sign of pericardial tamponade on echo. Similar mechanism?
#FOAMed #radres
Joshua Nickerson (@neurokinghippo) 's Twitter Profile Photo

Don’t shoot the messenger, but here is a striking bit of data from the #A3CR2 Chief #radres survey. Everyone thinks “yes, but WE do it well.” When anonymous data is collected, maybe not as well as you think. #AUR23 The APDR

Don’t shoot the messenger, but here is a striking bit of data from the #A3CR2 Chief #radres survey. Everyone thinks “yes, but WE do it well.” When anonymous data is collected, maybe not as well as you think. #AUR23 <a href="/theAPDR/">The APDR</a>
Gopal Punjabi (@ctspectral) 's Twitter Profile Photo

Adrenal nodule? Tiny speck of air shows up on lung windows (red arrow), confirming this is a gastric fundal diverticulum, likely congenital. More common than literature suggests, easily misdiagnosed as adrenal lesion. #FOAMed #radres

Adrenal nodule?
Tiny speck of air shows up on lung windows (red arrow), confirming this is a gastric fundal diverticulum, likely congenital. 
More common than literature suggests, easily misdiagnosed as adrenal lesion.
#FOAMed #radres
Ana Villanueva (@anavillanuevaca) 's Twitter Profile Photo

Thank you ESGAR for the Magna Cum Laude award of this #Esgar2023. This award is not only mine but also from my colleagues Dra.Canales, Dra. Garcia Latorre and nicolas almeida and great collaboration of Gopal Punjabi

Thank you <a href="/EsgarSociety/">ESGAR</a> for the Magna Cum Laude award of this #Esgar2023. 

This award is not only mine but also from my colleagues Dra.Canales, Dra. Garcia Latorre and <a href="/nicoalmeidaa/">nicolas almeida</a> and great collaboration of <a href="/CtSpectral/">Gopal Punjabi</a>
Gopal Punjabi (@ctspectral) 's Twitter Profile Photo

Anterior column fracture of the acetabulum on 3D CT. Classification of acetabular fractures so much easier on 3D CT. #FOAMed

Anterior column fracture of the acetabulum on 3D CT. 
Classification of acetabular fractures so much easier on  3D CT.
#FOAMed
Adrià Roset Altadill (@arosetaltadill) 's Twitter Profile Photo

#12 The Many Faces of Organizing Pneumonia (OP) 🎭 1⃣ OP is a term used to describe a nonspecific response to lung injury (infection, drugs, RT, autoimmunity, cryptogenic...) 🫁 Radiological features of OP are wide: consolidation, GG, nodules & other more specific features ➡️🧵

#12 The Many Faces of Organizing Pneumonia (OP) 🎭

1⃣ OP is a term used to describe a nonspecific response to lung injury (infection, drugs, RT, autoimmunity, cryptogenic...) 🫁

Radiological features of OP are wide: consolidation, GG, nodules &amp; other more specific features ➡️🧵
Jonathan Chung, MD (@jonherochung) 's Twitter Profile Photo

Excited to share that our educational exhibit on the current state of interstitial lung disease imaging was awarded a MAGNA CUM LAUDE award by RSNA. Please come check it out. UChicago Radiology UCSDRadRes Stephen Hobbs UW Radiology CU Radiology @UKyRadiology OHSU Radiology

Excited to share that our educational exhibit on the current state of interstitial lung disease imaging was awarded a MAGNA CUM LAUDE award by <a href="/RSNA/">RSNA</a>.  Please come check it out. <a href="/UChicagoRADS/">UChicago Radiology</a> <a href="/UCSDRadRes/">UCSDRadRes</a> <a href="/ChestXrayDoc/">Stephen Hobbs</a> <a href="/UWiscRadiology/">UW Radiology</a>  <a href="/CURadiology/">CU Radiology</a> @UKyRadiology <a href="/OHSURadiology/">OHSU Radiology</a>
Jonathan Chung, MD (@jonherochung) 's Twitter Profile Photo

For anyone who wants to view this offline, here is a pdf copy. I took out some of the animated images, so there is a slide or two that is incomplete, but nearly complete. dropbox.com/s/8b72ij0wvfu1…

Gopal Punjabi (@ctspectral) 's Twitter Profile Photo

Rounded atelectasis can occur anywhere! Indeterminate RUL lung nodule, with pleural thickening (red arrows). Oblique parasagittal recon nicely shows "comet-tail" sign. On #SpectralCT, characteristic intense iodine uptake. Stable on follow up for several years. #radres #FOAMed

Rounded atelectasis can occur anywhere!
Indeterminate RUL lung nodule, with pleural thickening (red arrows). Oblique parasagittal recon nicely shows "comet-tail" sign.
On #SpectralCT, characteristic intense iodine uptake.
Stable on follow up for several years. #radres #FOAMed
Gopal Punjabi (@ctspectral) 's Twitter Profile Photo

Small LV thrombus, much easier to see on iodine map and overlay with #SpectralCT. Can be hard to see on echo. #radres, you may save a life when you call this on CT!

Small LV thrombus, much easier to see on iodine map and overlay with #SpectralCT.
Can be hard to see on echo. #radres, you may save a life when you call this on CT!
Gopal Punjabi (@ctspectral) 's Twitter Profile Photo

Mimic of LV "ischemia" on CT: LV anterior/apical hypodensity from fatty metaplasia, NOT from decreased enhancement. Easily resolved with #SpectralCT: Abnormal area is fat density on virtual non-contrast.

Mimic of LV "ischemia" on CT: LV anterior/apical  hypodensity from fatty metaplasia, NOT from decreased enhancement. 
Easily resolved with #SpectralCT: Abnormal area is fat density on virtual non-contrast.
Ana Villanueva (@anavillanuevaca) 's Twitter Profile Photo

Attention to #spectral images! Gopal Punjabi ⚠️ The endobronchial content is enhancing --> solid! 1️⃣Virtual non-contrast (VNC)= 39HU 2️⃣Conventional= 71UH (>20UH compared to VNC) 3️⃣ Iodine density =1.26 mg/ml

Attention to #spectral images! <a href="/CtSpectral/">Gopal Punjabi</a>

⚠️ The endobronchial content is enhancing --&gt; solid!

1️⃣Virtual non-contrast (VNC)= 39HU
2️⃣Conventional= 71UH (&gt;20UH compared to VNC)
3️⃣ Iodine density =1.26 mg/ml