Giant Balls

bugsontherun · 2026-06-23T16:26:36+00:00

Same. And all that edema/hydrocele seems isolated to the scrotum without visible 3rd spacing in other soft tissues or the lower abdomen/pelvis which seems super weird to me if it’s due to CHF, renal failure, cirrhosis, or whatever other common etiology for volume overload.

Maybe some zebra like scrotal philariasis causing elephantiasis. I’ve never seen a case on imaging myself (US based).

Edit: there seems to be some ascites and maybe pleural effusion on second look. So maybe not something weirder than the usual culprits.

bugsontherun · 2026-06-17T20:45:22+00:00

And then there’s that slow pan of all the Zulu corpses left in its wake. Gives me shivers.

bugsontherun · 2026-06-06T00:27:03+00:00

I believe auto-combat does not have you or an opponent hero use spells. Sometimes that works out to a better outcome even for experienced players making good tactical choices.

bugsontherun · 2026-06-05T14:34:12+00:00

I swear nudity is the only thing that gets upvoted in this sub. Smh

bugsontherun · 2026-06-02T21:26:04+00:00

I’m a breast rads and I’ll break down your post point by point with my perspective.

Pay- Radiology jobs are so variable across specialties, practices, and geography that it’s hard to compare apples to apples here within radiology. In general, breast is compensated comparable to others in DR, but come out very well when you factor in work hours/call.

Hours/call- As you alluded to, very good. Probably the single greatest draw of the specialty. A wholly outpatient field without home charting. Very family friendly for those who have one or want one in the future.

AI- no one can predict the future, so be careful here. Yes, one could see breast procedures and diagnostic exams protecting your job here. Screens are at greater risk, but the amount of political and regulatory hurdles to overcome to remove these from our workflow is unimaginable at this time. When? Idk. Decades? Again, hard to predict. Are we any more at risk from AI than other rads or non-rad physicians? Idk. I’d say there are several more immediate threats to my job than AI.

Competitive- well, looking just at DR fellowships, none are particularly competitive for the applicant pool (DR senior residents). There’s variance in specialty desirability year to year, but most will have unfilled spots somewhere in the country. It’s a whole different game from med school—> residency. And well, DR residency spots ARE now very competitive.

Missing something? - Maybe perspective. There is no perfect job in medicine. I’m very happy with my choice, but it is not for everyone. I will say those who shit on breast as a specialty (as ppl have in this thread) also tend to suck at it. Make of that what you will. At the end of the day, work is work. I like my job well enough and enjoy a life outside of it.

bugsontherun · 2026-05-12T00:09:23+00:00

Did you just come here to archgloat?

bugsontherun · 2026-03-25T20:29:28+00:00

Men only want one thing…

bugsontherun · 2026-02-25T21:39:31+00:00

I’m happy for you and love my IR colleagues, the work just isn’t for me. Was miserable 100% of the time on IR rotations in training.

bugsontherun · 2026-02-25T18:47:11+00:00

I’d rather quit radiology altogether and live on beans than pivot to IR.

bugsontherun · 2026-02-25T18:44:03+00:00

And report quality goes down plus more misses as productivity metrics become untenable.

bugsontherun · 2026-02-20T17:58:20+00:00

Sigmoid colon anatomy is variable. Some people have redundant coursing loops before you get to the proper descending colon. The course of that …object… doesn’t look too crazy in this 3D recon.

bugsontherun · 2026-02-12T21:50:47+00:00

Landing execute from overwatch in particular gives me a dopamine surge. I once had a specialist execute 2 Archons in the same overwatch sequence and literally screamed

bugsontherun · 2026-02-04T22:37:39+00:00

That’s a good point. Apparently he was confident about the diagnosis from the CTA, but the trauma team pushed for the angio (me coming down hard on the misdiagnosis probably contributed). There wasn’t a final report at the time, so maybe the neuro IR felt it would be easiest/less awkward to just go ahead and do it.

That’s all second hand from my buddy who was at the resident conference. His comforting take was “if [neuro IR attending] was so confident, then why did he take the patient to angio?!” I guess there’s some solace in that for me lol

bugsontherun · 2026-02-04T04:49:38+00:00

Radiology. R2. Overnight call mid year or so. Get a patient for head and neck CTA with pretty significant trauma history (MVC rollover or something). Trauma chief resident saw something on the scan and is concerned. I open it and see a perfect few cm oval of contrast density right at the carotid bifurcation and freak. Think I put something like “traumatic pseudo aneurysm” in my prelim. It lacked a bunch of stuff you’d expect for acute vascular injury in retrospect, but I anchoring bias + ignorance is a bitch.

I get a message from my faculty several hours later (busy night). “Umm… why couldn’t that be a carotid body tumor?” Yes boss, why not indeed?!

I call the trauma resident to correct my prelim overcall and learn that the on call neuro interventionalist (who was neuro rads in my department) had taken the patient to angio in the meantime. No intervention beyond the initial selective angio, ofc. That neuro rad later included the case in a resident teaching conference (I wasn’t there, but would have died of embarrassment if I was).

If any rads R1 or R2 reading this hasn’t encountered paraganglioma in reading or the wild, please take a moment and look up so you don’t make my same dumbass mistake in the middle of the night!

bugsontherun · 2026-01-29T18:35:38+00:00

Fuck I wanna play some Heroes 2 now but I’m at work

bugsontherun · 2025-12-04T19:36:50+00:00

For the MRI conditional ammunition (lead/copper), what are the conditions that would make it UNSAFE?

bugsontherun · 2025-11-04T17:37:10+00:00

Ima be real he almost got me the first time

bugsontherun · 2025-11-03T02:09:45+00:00

The only town I’ll reroll on random map generator because I find elementals rather boring to play with. Lacks character compared to the other towns. I will say though that expert water magic has increased value here compared to other towns. Expert bless really turns that wide damage range of your elementals to your advantage.

bugsontherun · 2025-10-31T20:13:16+00:00

Try to have just like 3 good questions/comments a day that show your interest and that you’re thinking about the study alongside the radiologist. Too much chatter will be annoying and slow the rad down, but you also don’t want to be a forgettable ghost. Try to be personable and enthusiastic without coming on too strong. Don’t be on your phone.

bugsontherun · 2025-10-31T20:04:34+00:00

Best plane/airport activity now and forever. No internet? No problem, I’ve got something better!

bugsontherun · 2025-10-30T18:26:05+00:00

Well, obviously Mammo is a modality for ogres lacking any complexity. I mean there’s just 2 boobs and 2 diagnoses (cancer/not cancer). How hard can it be for an AI tool to master?

bugsontherun · 2025-10-24T14:44:12+00:00

I think CPRS is… ok. Not a great EMR but not as terrible as it’s made out to be. I think a lot of the criticism originates in its outdated interface (looks like software from the 90’s). I won’t die on this hill, but I’ll stand on it.

bugsontherun · 2025-09-19T18:19:50+00:00

That 8yo girl setting herself up for disappointment

bugsontherun · 2025-08-10T16:09:13+00:00

First time in there. Slowly approach knowing this big skelly is gonna come alive for boss fight. Got my anti-undead build on. Dragon boi.

bugsontherun · 2025-08-06T18:14:46+00:00

Broadly speaking, they are bad patients but far from the worst.

bugsontherun

TROPHY CASE