Panagiotis Maidas, MD, EDiR
@panmaidrad
Thoracic Radiologist
ID: 1263111467659919361
20-05-2020 14:17:21
88 Tweet
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Do you know what Ortner syndrome is? A 42 yo presented with a hoarse voice for a month. Work up led to a finding of a saccular aortic arch aneurysm. A case in CircImaging #CircImage #CardioTwitter #MedTwitter ahajournals.org/doi/10.1161/CI…
F75, multiple chest CTs with "chronic bilateral perihilar consolidations". History of achalasia and constipation Soft-tissue window showed low attenuation areas and calcifications within the consolidations Dgs: Lipoid pneumonia Tan-Lucien Mohammed, MD, FACR Stefan Tigges Daniel Vargas, MD
If you see a lung nodule whose edges are blurred when scrolling axial images, check on a sagittal view. Almost always is a perifissural nodule (typical) = lymph node = benign = no follow up! Remember, one view is no view. Sameer Raniga #FOAMed #FOAMrad Tan-Lucien Mohammed, MD, FACR
Marcos Mestas Nuñez Sameer Raniga Tan-Lucien Mohammed, MD, FACR Great advice. Just be careful as this one was just above minor fissure. 3mm nodule blew up at 12 mo fu.
Wil Sameer Raniga Tan-Lucien Mohammed, MD, FACR Of course! Morphology must be typical on sagital or coronal reformat.
Pro tip for junior #radres - perifissural nodules 🫁 Cr. Marcos Mestas Nuñez #radiology #lovelungs Andrea Furlani, MD Amanda P. Marrero-Gonzalez Allison A Herring Bruno Hochhegger Shrav Sridhar, MD, MS Gabriela Galvao Rydhwana Hossain MD Ashley Prosper, MD Dr. Siobhán O'Neill Farouk Dako
53 year-old man presents w/ right chest pain & fever… Case contributed by Joshua Viana MD & Caroline Caldeira MD from Hospital das Clínicas de São Paulo.
Dra. Cecilia Ferrario It could be. Also, Calcified ductus arteriosus. Sagittal may help.
The answer, explanation, and key teaching points for last week's case, I appreciate comments for discussion, reflections, and questions. You can also comment on the most important lesson learned from this case Academy of Online Radiology Education Omer Awan MD MPH Sandeep Arora #radiologychallenge #radiology