Approach to Bone Lesions: Dr Ravi Ramakantan’s film reading session

These are notes from Dr Ravi Ramakantan's film reading session in which a malignant bone lesion was presented by the residents. Mental approach to a tumor and tumor-like conditions of the bone: 1. First of all, look whether skeleton is mature or immature by looking at fusion of epiphysis and also simultaneously correlate with age. …

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Approach to prostate MRI: Dr Palak Popat’s talk

Modalities used for prostate imaging are: Abdominal and transrectal Ultrasound MRI Nuclear Imaging Ultrasonography has a poorer sensitivity and specificity for detecting and characterizing cancer, and is a better modality for guided biopsy. Multiparametric MRI prostate is now the standard of care for imaging the prostate and detecting clinically significant cancer (American and European guidelines). …

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What to read during radiology residency? The Cafe Roentgen consensus recommendations

Congratulations to all residents for securing a place in radiology residency! Radiology is an exciting and rapidly evolving field with tremendous scope for diverse clinical and research oriented work. Radiology is also extremely vast and it is impossible to cover the entire length and breadth of the subject in just 3 years of residency. Moreover, …

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‘What’s your impression, doctor?’ A guide to writing the perfect radiology impression

The Impression/ Conclusion is probably the most important part of the report. It is the one portion of the report which would almost certainly be read by both the patient and the treating physicians. Busy physicians may unfortunately not find the time to read the entire findings section of the report, and often go directly …

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Anatomy of the Radiology Report

Every radiology report should (and usually does) have a basic structure to it, particularly for CT and MRI reports. Radiologists generally follow this structure as a regular template, or sometimes may follow parts of it subconsciously. But a good way to start our ‘reporting series’ is to discuss the basic structure or the anatomy of …

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The Art and Science of Radiology Reporting

Radiology, like all branches of medicine, is a science, but also with some element of art intermixed in it. There is a lot of art involved in getting an appropriate image; in a sense, the art of radiology and of photography are related. This was even more true in the conventional radiology era, and still …

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Pediatric liver imaging: Dr Govind Chavhan’s talk

A big thanks to Dr Govind Chavhan, Associate Pediatric Radiology Professor at the University of Toronto and the Hospital for Sick Children (Sick Kids), Toronto, for his his lovely talk. A summary of the key points in his talk as given below. Utility of CT vs MRI for pediatric liver imaging: MRI technique: <5 yrs: …

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Abdominal aortic aneurysms sample template for reporting

Sample template for reporting an aortic aneurysm: (Please note this is just a suggested template and any report you write has to be individualized depending on the patient’s history and findings). The template is also available on our blog on abdominal aortic aneurysms. EXAMINATION: CTA of the thoraco-abdominal aorta CLINICAL INDICATION: … TECHNIQUE: Dedicated CT angiography of …

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‘Routine’ spine X-ray formats

The same are also available on our blog on essentials of spinal x-rays. Click here to view the blog. 1. Report format for frontal and lateral radiographs of the lumbar spine Findings/impression: There are five non-rib bearing lumbar type vertebrae. There is no fracture or destructive osseous lesion. Straightening of lumbar spine. Alignment is maintained. Mild to …

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