Dr Ravi Ramakantan took a fantastic film reading session with some classic radiographs on display for description and learning. We lay down the descriptions for everyone to learn from. Case 1: These are frontal and lateral radiographs of the upper humerus and shoulder of an immature skeleton. (How do we tell which is lateral view …
Author: caferoentgen
CT Assessment of ‘Resectability’ of Pancreatic Cancer: Can we do better?
Radiology has a major role to play in baseline assessment of pancreatic adenocarcinoma, with use of a dedicated pancreatic CT protocol and a dedicated pancreatic reporting template recommended by all major radiology societies. The current limitation of our imaging unfortunately is that we predominantly focus only on surgical 'resectability' of the pancreatic tumor, viz classifying …
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Prophylaxis for contrast-induced nephropathy: Does anything work?
Contrast-induced nephropathy (CIN) is traditionally defined as a 25% or a 0.5mg/dL increase in serum creatinine value over the baseline at 48-72 hours after contrast administration. Various prophylactic measures including IV hydration using NS or sodium bicarbonate or administering N-acetylcysteine, amongst others, are often used to try and prevent CIN in at risk patients receiving …
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The Cervicothoracic sign: Dr Ravi Ramakantan’s film reading session
This is a frontal chest radiograph (do not state AP or PA in exams nor talk about well-centralized or rotated unless you are prepared for the viva to go there!). There is a well-defined homogeneous 5x3 cm vertically oval soft tissue lesion (in practice, prefer stating ‘lesion’ or ‘shadow’ over ‘mass’, especially for benign findings, …
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Introducing ‘Journal Watch’
I did my medical school and radiology residency from India, but was also fortunate to spend three years in the US for subspecialty training in various clinical fellowships. I believe these amazing experiences in my formative years across both the systems made me a more complete radiologist. If I compare the residency training in both …
ICU Chest X-ray: Dr Ravi Ramakantan’s film reading session
History: Patient with cervical carcinoma admitted in the ICU with urosepsis. DESCRIPTION: This is a frontal chest radiograph. (As a routine, prefer to say frontal rather than AP or PA as then the discussion could go tangentially!.. In this case of course this is a supine AP film as it is an ICU patient). The …
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Chest Imaging I: Dr Bhavin Jankharia’s talk
On CT chest, many pathologies can present with the same radiological findings. Hence a systematic approach is required to narrow down the differential diagnosis, and make appropriate recommendations. Dr Jankharia used various cases to discuss the approach to chest imaging. Here are few representative examples. 1. Approach to solitary pulmonary nodule Solitary pulmonary nodule (SPN) is …
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Online Learning Resources for the Radiologist
Continuing from the previous blog on What to read for radiology residency, we will now discuss various online learning resources for the radiologist. Radiology is a vast branch and is evolving continuously. To be relevant, radiologists need to constantly update themselves with the recent advances in the field and there is no better place than …
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A to Z of FRCR 2B: How to Prepare and What to Read
Congratulations everyone on clearing the FRCR 2A! Part 2B is the last hurdle of the long and arduous journey before the inscription of golden words- FRCR to your name. After our earlier blogs on how to prepare for FRCR part 1 and part 2A, we will talk about tips and tricks to clear part 2B …
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The Findings (Body) of the Radiology Report: What to say and how to say it?
After discussing how to write a good impression in the previous blog, I will now talk on how to describe findings succinctly but completely. Apart from discussing some basic rules in brief, I will again give examples of how I would describe a particular finding to make it more practical. 1. As discussed in the …
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Cafe Roentgen 