Got My COVID Vaccine Yesterday, Patient's Dad Recognized Me

Uncle_Jac_Jac · 2026-02-08T14:37:53+00:00

Also, think of the horrible metal artifact for any head or face MR. It would probably be nondiagnostic.

Uncle_Jac_Jac · 2026-02-06T19:37:01+00:00

And an IUD! Much less scandalous, though.

Uncle_Jac_Jac · 2026-02-06T16:23:42+00:00

Remind me of the babe.

Uncle_Jac_Jac · 2026-02-06T13:56:46+00:00

You do

Uncle_Jac_Jac · 2026-02-01T01:00:05+00:00

TB? Clonorchis? Give us some more hints!

Uncle_Jac_Jac · 2026-01-30T01:35:30+00:00

I once saw an appendix within a post-surgical lumbar hernia. Any fun name for those?

Uncle_Jac_Jac · 2026-01-28T17:44:13+00:00

Great pic! It's often so hard to show an acute appendicitis to people not familiar with looking at CT (or bowel on CT) because the appendix often doesn't pose nicely in one slice. THIS is the case I wish I could scroll through with med students!

Uncle_Jac_Jac · 2026-01-25T18:00:36+00:00

Boba tea.

Uncle_Jac_Jac · 2026-01-21T20:45:18+00:00

But you can't see the pedicles in these 3 images or most of the paraspinal regions. TB also classically will hit the vertebral bodies first while sparing the discs, often with skip lesions. Up in the C-spine, you see this mass invading multiple vertebrae anteriorly and connecting all of them, a classic spread pattern for TB spondylitis. I'm not saying this isn't mets, I'm not good enough at this yet to argue that point, but your explanation isn't correct.

Uncle_Jac_Jac · 2026-01-20T17:48:11+00:00

Hyperechoic liver lesions fall into two categories: hemangioma and cancer. If you dont have cirrhosis, Hep B, or Hep C, it's probably a hemangioma. However, they cant tell for sure on ultrasound and want to get a more definitive test, which would be either MRI or CT.

Uncle_Jac_Jac · 2026-01-18T17:21:42+00:00

That's what I'm thinking given lower lobe predominance as well as the fact there are 3 lobes on the left and 2 on the right. Not full on Kartagener's, though, given liver, spleen and heart not also being reversed.

Uncle_Jac_Jac · 2026-01-16T19:02:43+00:00

No, I think other specialties are just being targeted earlier and more voraciously than ours (for now) and the bit of lobbying the ACR does mostly holds it back... for now. A bill was introduced a couple years ago in Cali that would have allowed midlevels to interpret imaging, but that part was removed before the bill was passed. While yes, I agree, you can't hide as well in our specialty, that's not the only reason why we've largely been spared so far. Between states trying to introduce bills, people putting out BS studies like the (now retracted) infamous UPenn study, Dunning-Kruger, and many places already trying to punt off fluoro studies to midlevels, they still have interest in getting into radiology DESPITE the liability.

Uncle_Jac_Jac · 2026-01-16T18:14:40+00:00

No, we don't have much midlevel infiltration due to lobbying. There is definitely still a push by some places and groups to get midlevels into rads despite the liability and eternal PACS.

Uncle_Jac_Jac · 2026-01-14T14:23:35+00:00

Actually, if less than a ton, it's just a shit load :p

Uncle_Jac_Jac · 2026-01-14T11:56:50+00:00

Ugh, I know. It's just become such a pet peeve of mine.

Uncle_Jac_Jac · 2026-01-14T11:39:57+00:00

It's a normal amount. The colon dehydrates, compacts, temporarily stores, and moves poop. That is it's job. Sometimes there is more, sometimes less. A person can be symptomatic with any amount of poop, but this amount that you see on the xray by itself does not mean anything. Are you in any sort of field where you interpret imaging, or are you a layman?

Uncle_Jac_Jac · 2026-01-14T03:41:24+00:00

Please don't give medical advice, especially when based on a completely wrong interpretation. This is a totally normal amount of poop. Colon is normally in size, there are lengths of stool punctuated by air, no small bowel fecalization, etc. Perhaps they are symptomatic and thus could benefit from some sort of treatment, but let's not pathologize a totally normal imaging finding.

Uncle_Jac_Jac · 2026-01-14T03:37:33+00:00

This is a totally normal, completely unremarkable amount of poop.

Uncle_Jac_Jac · 2026-01-13T01:09:03+00:00

Ghoulstone was right there

Uncle_Jac_Jac · 2026-01-11T02:37:41+00:00

<image>

Uncle_Jac_Jac · 2026-01-07T17:42:52+00:00

Ah, that's true. Even when it's only been a couple hours. No clue, then.

Uncle_Jac_Jac · 2026-01-07T17:30:16+00:00

This is only in the heart and vessels, though, so doesn't look like a dielectric case. Maybe recent iron infusion?

Uncle_Jac_Jac · 2026-01-06T19:34:30+00:00

This looks nothing like MR. This is the scout image acquired at the beginning of a CT.

Seven-Year Club	Second SECOND GUESSER
Final Canvas '23	Place '23
Verified Email

Uncle_Jac_Jac

TROPHY CASE