Female in her 60s presents with a cough. What is the differential?

Open 🧵 for explanation Explanation 1/3

Male in his 20s presents with fatigue

Open 🧵 for explanation Explanation 1/5

Male in his 60s acutely breathless

Open thread for explanation Explanation 1/3

Male with shortness of breath after a procedure. Any findings?

Open 🧵 for explanation Explanation 1/3

AP knee X-Ray anatomy

Open thread 🧵 for basic review areas: Firstly orientate yourself - the fibula marks out the lateral side

1️⃣Soft tissues: scan the image for any soft tissue swelling - this can lead you to the site of any fracture

Female smoker with right sided pain. Open thread for the case explanation Explanation 1/3

Carpal bone anatomy: how I remembered the carpal bones 🧵
2/6
There are a few mnemonics out there that can help us remember, namely:

▫️She Looks Too Pretty Try To Catch Her
▫️Some Lovers Try Positions That They Can’t Handle
▫️Sally Left The Party To Take Cathy Home

Female age 40s presents with breathlessness

Open thread for case details

As always patient consent obtained Explanation 1/3

A male in his 60s presents with acute shortness of breath. What does his Chest X-Ray show? 🧵 Case explanation 1/3

Coronary artery anatomy on CT

Open thread… 1. Left main stem and left anterior descending artery

Lateral Chest X-Ray review areas: 1. RETROSTERNAL SPACE

Assess the sternum looking for a fracture or bone lesion then look at the area of lung behind it - you should see a clear area of lucent lung. If not there could be an anterior mediastinal mass which you may not necessarily appreciate on the frontal view

CHEST X RAY QUIZ

▫️Select the most likely diagnosis on these 10 cases and then expand the thread and scroll through for explanations

▫️Some may be normal!

✅All cases consented CASE 1: Female 60s, right sided pain

If Donald Trump was a radiologist (thread) When you use the word ‘innumerable’ in your report

Some thoughts on Chest X-Ray interpretation in the COVID era (thread)... 1. Peripheral consolidation is now the first thing to look for. Can be really tricky with overweight patients and AP films. Comparing to prior, looking for asymmetry and inverting the film can help avoid overcalling

Just finished an on call. Very different to the last on call I did with a clear change in the landscape and a sharp rise in number of COVID-19 cases. A few observations from the last two weeks: 1. The vast majority of proven PCR positive patients that required hospitalisation have shown bilateral consolidation on admitting CXR. Smaller number started as unilateral consolidation and progressed to bilateral. One started as normal CXR.

It is a bit ambitious to try and sum up the magic of MRI physics in one post but here goes! (Thread 1/11) #foamrad #meded #radiology #mri #foamed Hydrogen atoms are abundant in all of us and are all made up of a single positively charged proton

Each proton has its own magnetic field

When placed inside a magnet (such as within an MRI scanner) the magnetic fields of the protons line up with the main magnetic field (2/11)