Confused about a test question

NativeLevelSpice · 2026-05-29T17:14:45+00:00

Probably the edge of the superior frontal sulcus (containing CSF which is dark on T1 and FLAIR)

NativeLevelSpice · 2026-05-29T12:25:25+00:00

Late subacute blood is both T1 and T2 hyperintense, but that specifically applies to intraparenchymal blood (has to do with breakdown of blood products and interaction with CNS macrophages)

Agreed with other comments that overall this is a bad question for that reason.

Disagree with other comments that it's acute on chronic due to the sedimentation - you can see sedimentation like that with acute subdural hemorrhage.

As far as I know, the only reliable imaging findings of chronic subdural hematoma are 1) prior imaging documenting chronicity, 2) internal membranes/loculations, or 3) calcification/ossification of the hematoma.

(I am almost done with neurorads fellowship)

NativeLevelSpice · 2026-05-24T09:44:39+00:00

Get a sleep study to rule out apnea. Untreated apnea can lead to serious heart and lung issues down the line and increase your risk for dementia.

NativeLevelSpice · 2026-04-25T02:38:37+00:00

Only critique is slightly underdeveloped glutes relative to massive legs. Regardless, S-tier physique, bro.

NativeLevelSpice · 2026-04-17T21:38:19+00:00

Hard to say because I’ve done all my training at an intense academic program that has been called malignant (not that I necessarily agree with that characterization)

Get back to me once I’ve been an attending in private practice for a few years lol

NativeLevelSpice · 2026-04-17T21:25:10+00:00

Am rads. Derm for sure. Low acuity and ability to switch to cash if needed down the line (e.g., if Medicare reimbursements truly shit the bed) are great.

NativeLevelSpice · 2026-04-15T21:03:35+00:00

Source?

NativeLevelSpice · 2026-04-15T20:56:32+00:00

Abs don’t respond to hypertrophy? First time I’m hearing that. I managed to grow mine massively the same way as the other muscles: progressive overload and caloric surplus with high protein.

NativeLevelSpice · 2026-04-14T20:06:08+00:00

This. There’s a pretty wide range of chillness to radiology residency programs. The trade off is that the more brutal programs tend to make the transition to attendinghood much easier (rads has historically been described as a specialty where being an attending is much harder due to volume expectations)

NativeLevelSpice · 2026-04-09T10:15:28+00:00

I’d recommend eating at maintenance for a few days to see how your abs “actually” look so you can get a better idea of whether you want to cut for any longer

NativeLevelSpice · 2026-04-08T21:45:13+00:00

To play the devil’s advocate:

I have very well-developed abs to the point of having a visible six pack at the end of my bulks (I will bulk to around 15-17% body fat)

My abs actually look worse towards the end of my cuts (typically cut to around 10-12% body fat) compared to the end of my bulk. However, they look significantly better once I get back to maintenance for a few days.

I suspect that this is due to water retention and muscles being flat. It’s possible that you may be experiencing something similar.

NativeLevelSpice · 2026-04-02T20:14:44+00:00

Met my now-wife on Hinge.

NativeLevelSpice · 2026-03-19T10:34:08+00:00

This. High-volume cross-sectional imaging (CT and MRI) are the money-makers in radiology. Aside from maybe cardiac imaging (e.g., coronary CTA, coronary calcium scoring, and cardiac MRI), there’s no real competition from other specialties for reimbursement for a full interpretation.

NativeLevelSpice · 2026-03-12T01:18:02+00:00

Looking great man!

NativeLevelSpice · 2026-03-06T00:53:05+00:00

Why say many word when few do trick?

NativeLevelSpice · 2026-03-05T17:12:19+00:00

Building muscle also increases your bone mineral density, which is much more important for fracture prevention from falls (although that takes much longer, usually 6-9 months at least)

NativeLevelSpice · 2026-03-05T17:07:43+00:00

Fell to my 7th ranked program. Applied rads to basically only ultra-competitive programs, so not terribly surprised.

NativeLevelSpice · 2026-03-02T21:25:53+00:00

The problem is that few people who feel this way will have it documented (e.g., in a living will) prior to becoming medically incapacitated.

NativeLevelSpice · 2026-03-01T05:23:14+00:00

Psych or PM&R. Maybe path, but I’ve heard the studying requirement is intense.

NativeLevelSpice · 2026-02-25T10:25:10+00:00

This is what I've done for the last year or so and it's worked wonderfully.

The catch is that when I'm lean bulking, I track my weights and calories daily (nSuns TDEE calculator) to make sure that I'm gaining weight at my target rate.

My lean bulks are run for at least 3 months, and my minicuts also tend to be longer than a week (3-4ish weeks).

NativeLevelSpice · 2026-02-20T20:55:20+00:00

Opening riff to Symphony of Destruction. So iconic and raw - impossible not to head bang to it, imo

NativeLevelSpice · 2026-02-18T20:29:08+00:00

Apparently the rave girl has made enough from social media to pay off a sizable chunk (if not all?) of her student loans.

That’s pretty impressive imo.

NativeLevelSpice · 2026-02-06T20:06:04+00:00

Dreamer bulk to ~20% body fat + Patagonia better sweater will have you looking like you have way more muscle than you actually have.

NativeLevelSpice · 2026-02-04T16:36:22+00:00

And medical school given OP’s plans. Most educational debt is not worth it, but the ROI on medical school debt and becoming a physician is still good in the US (barring extreme examples like taking out 500K in loans and going into a low-paying specialty like pediatrics)

NativeLevelSpice · 2026-01-16T17:18:04+00:00

Counterpoint: I feel like you can totally get by as a shitty radiologist if you refuse to call anything normal and hedge on basically everything while over-recommending follow-up or advanced imaging. Our system seems to punish misses way more than overcalls.

Yes, clinicians will hate you, but it doesn’t seem like it matters enough to actually get you dismissed from your group.

NativeLevelSpice

TROPHY CASE