This tag is associated with 13 posts

How to Appropriately Order and Obtain a Radiology Test – Three Tips

My motivation for this article came while I was on a recent call shift. I was opening up a chest radiograph on the PACS workstation when I saw the clinical history field (filled in  by the clinician) which read “chest.” That was it. Just “chest.” Not even “pain,” or “chest pain.” Nope, just “chest.” As … Continue reading

Top 10 Cases from 2013

Hey all! Check it out. Below is a list of the top 10 posts from 2013, based on total annual hits. Enjoy! 1. The Differences Between the Male and Female Pelvis 2. The About page 🙂 3. Lung Mass – Differential Diagnosis 4. The Golden S Sign – Right Upper Lobe Collapse.  5. CT Neck … Continue reading

3 Tips to Formulate an Accurate and Valuable Differential Diagnosis

At the core of diagnostic radiology is the differential diagnosis. This is the set of various diagnoses that may explain certain findings on a particular radiology exam, whether it is a mass seen on ultrasound, an opacity on a chest radiograph, or abnormal signal characteristics on an MRI. I recently came across the quote above … Continue reading

Left Ventricular Free Wall Rupture

History: 70 year old male with abdominal pain status post cholecystectomy This is a case of acute contained left ventricular free wall rupture diagnosed on a CT scan of the abdomen and pelvis obtained for abdominal pain. The patient had a myocardial infarction two days prior. The table below details the mechanical complications of myocardial … Continue reading

Introducing RadiologyPatient.com

I’ve always wanted to be able to add value to patient care as much as possible. That has sort of been my overall goal as a physician. So I’m introducing a new project of mine called RadiologyPatient. I want to create a community where patients can come and get their questions answered about radiology. Go … Continue reading

Unknown Case #39 – Female with Abdominal Pain

History: 70 year old female with abdominal pain.  What are the yellow and red arrows pointing to? What is your diagnosis? Share below! Find the answer to this case here.

Periosteal Reaction in Children Mnemonic – PERIOSTEAL SOCKS

This is a commonly used mnemonic to recall the differential diagnosis for periosteal reactions in children: P – physiologic, prostaglandin therapy E – eosinophilic granuloma R – rickets I – infantile cortical hyperostosis O – osteomyelitis S – scurvy T – trauma E – Ewing Sarcoma A – hypervitaminosis A L – leukemia S – … Continue reading

Renal Cell Carcinoma

History: 50 year old male with new onset left flank pain and hematuria. No prior past medical history.  This patient went on to have a radical left nephrectomy and the tumor pathology was clear cell renal cell carcinoma (RCC), the most common type of RCC.    

Rheumatic Lung Disease

History: 50 year old male with a history of rheumatoid arthritis presents with sudden onset right sided chest pain, shortness of breath, and hypoxia.  Given the history of rheumatoid arthritis and nodularity of the visceral pleura, this is likely a case of spontaneous pneumothorax secondary to a cavitating rheumatoid nodule. The most common lung abnormality … Continue reading

Cavitating Lung Mass

History: 65 year old male with chronic lymphocytic leukemia presents with cough and left sided chest pain.  The differential for cavitating lung mass is wide, including neoplasms such as non-small cell lung cancer (NSCLC), lung metastases, lung abscess, mycobacterial pneumonia, fungal pneumonia, and septic pulmonary emboli. This patient underwent bronchoscopy which turned out to be … Continue reading