Finishing a drawing that is extra special to me. Hennepin Healthcare

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

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

Anterior junction line on CXR and CT. Line forms where the pleura meets anteriorly. #FOAMed #radres

Iodinated contrast for emergency scans update by RCR👇🏻👇🏻👇🏻

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

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

Partial duplication of ureter on 3D CT urogram. #FOAMed

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

Contrast induced nephropathy

A very informative and comprehensive review of “Multi-Energy CT of acute abdominal Emergencies” by Dr. Gopal Punjabi American Society of Emergency Radiology | ASER #ASER23 #ERad #Radiology #Radres

#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 ➡️🧵

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

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…

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

Nondisplaced left transverse process fractures on 3D CT of the lumbar spine. #FOAMed

Acute MI on #SpectralCT. Much easier to see on low-keV image and iodine overlay. #FOAMed #radres

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!

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.

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