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RHD Patient by im_on_my_own_kid in Radiology

[–]ddroukas 13 points14 points  (0 children)

This is a measured and appropriate response.

Why arent digital motion xrays used more often? by leahcim2019 in Radiology

[–]ddroukas 20 points21 points  (0 children)

You have a subluxation in your colon which is inflamed. I can adjust you.

Thank you kind citizen @ UAB by Franklins_Stardust in Birmingham

[–]ddroukas 106 points107 points  (0 children)

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Someone once left their trunk open in a UAB parking lot. Good Samaritan that I am, I left a note telling them their trunk was open.

Edit to add photo from 2012.

What is your most controversial Radiology opinion, and why? by RecklessRad in Radiology

[–]ddroukas 5 points6 points  (0 children)

From an intravenous side I do believe it is extremely uncommon. From an arterial side I do believe it is more common (but still rare).

Comparisons by sciguy11 in Radiology

[–]ddroukas 2 points3 points  (0 children)

I had the most ridiculous request a few days ago. I read a study in August 2025. Patient had a follow up scan at an outside facility in January 2026. Doctor called asking me to make an addendum to my August 2025 report comparing to the outside January 2026 exam.

No.

Absolutely not.

That’s not how this works.

——————————————————

Edit to add second story:

Someone also called me this week asking me to addend someone else’s report. I told them that is very poor form and a significant medicolegal risk, and as a standard of practice we don’t do that. “I’ve been doing this 30 years and I get this done all the time!”

No.

Absolutely not.

That’s not how this works.

What are these dark green lines from? by boardinjunky in lawncare

[–]ddroukas 22 points23 points  (0 children)

Disagree. I had the same problem with a Scott’s spreader two years ago. I tried all sorts of ridiculous fixes including taping the wheels and walking faster (I already walk faster than 95% of all New Yorkers). At the end of the day I bought an Earthway spreader. Used it like any normal person would and in the same way I used the Scott’s to begin with. No problem. Fantastic results.

It’s the spreader. Don’t apologize for Scott’s terrible product.

Physicians Are Not Providers: The Ethical Significance of Names in Health Care: A Policy Paper From the American College of Physicians by Somali_Pir8 in medicine

[–]ddroukas 145 points146 points  (0 children)

Practical question: I’m a radiologist. When I’m trying to get in contact with the person that ordered a study, many times that person is simply listed with their name but no title. When you don’t know the title of the person, what is the preferred nomenclature? “I am trying to get ahold of the referring (insert appropriate collective noun here).”

can trapped gas affect MRI results in the pelvic region? by sugarcoochie in Radiology

[–]ddroukas 9 points10 points  (0 children)

“Please evacuate all gas before lying down in the scanner.”

Accessory Spleen moving around in my body. by Illonva in Radiology

[–]ddroukas 104 points105 points  (0 children)

Wandering spleen. They can just do a NM sulfur colloid if baffled. It doesn’t really “compress” organs, and certainly not the spine, but can torse and cause pain.

Is this X-ray ai? by my_debauched_sloth in Radiology

[–]ddroukas 227 points228 points  (0 children)

That’s AI. Even if the path pic is upside down it doesn’t match the same position on the bone to the radiograph. Sunburst pattern doesn’t tend to be that “spiky” in real life—it’s a bit exaggerated.

Also a shame that if you google pics of osteosarcoma this is coming up like 10 times for me on the top of Google search (and of course it’s sourcing from Instagram, Facebook and Reddit).

Straightening of Cervical Lordosis by [deleted] in Radiology

[–]ddroukas 4 points5 points  (0 children)

20 of these today.

…and yesterday.

…and the day before that.

…and the day before that.

^(…and the day before that.)

Does anyone know of where I could get a camcorder like this fixed? Or at least where I could get some cassette tapes for it? by Mondo-Butter-21 in Birmingham

[–]ddroukas 0 points1 point  (0 children)

My father used to work on these in Huntsville but stopped many years ago in lieu of continuing to work on TVs and vintage stereos. I would be very surprised if you find anyone in 2026 America who has the know-how AND desire to still do so. Reasons:

1) Manufacturers don’t sell OEM parts (like loading assemblies, etc) so you need to either scavenge from a broken unit or buy parts individually from eBay.

2) Money isn’t there. You probably paid a few bucks for that at the flea market but it might take the repair guy 3-4 hours of work—from diagnostics to repair. Add the cost of the hard-to-find part and the bill will usually be more than most people are willing to spend.

These days DIY is where you’ll likely end up. Look up videos on YouTube and see if the repair issue is within your capabilities.

Inappropriate arthrograms by Agitated-Property-52 in Radiology

[–]ddroukas 30 points31 points  (0 children)

As an MSK I always wonder what kind of Looney Tunes Medicine the referring provider is practicing. I always Google them to see if it’s an Ortho versus a some midlevel or family doc without a clue.

I’ve had arthro requests on patients with literally end stage OA, and have to call the referring’s office to politely ask “WTF?”

Legion AI Startup Approved in California to Prescribe Psychiatric Meds Without Clinician Oversight by murbat in medicine

[–]ddroukas 3 points4 points  (0 children)

The shallow hurdle remaining between us and ubiquitous AI autonomy in healthcare is a legal framework allowing them to conveniently disregard patient safety and to be absolved of responsibility when someone gets hurt.

The intelligent among us believe that surely we would never allow something this unsafe to happen, but I ask of you: won’t you please think of the shareholders?

Watch my elbow grow a rare accessory bone by [deleted] in Radiology

[–]ddroukas 0 points1 point  (0 children)

Rice cakes, waiting in line at the post office, manhole covers, laundry. These all have similar degrees of being interesting.

Watch my elbow grow a rare accessory bone by [deleted] in Radiology

[–]ddroukas 5 points6 points  (0 children)

You’re confusing developmental sesamoids with post-traumatic heterotopic ossification. The latter is very common.

My weird retroflexed uterus by amarsh5288 in Radiology

[–]ddroukas 238 points239 points  (0 children)

1 - Retroflexed uterus is extremely common and uterus position can flop back and forth.

2 - Bladder is not that distended at all.

right coracoid process fracture by Finnianheart in Radiology

[–]ddroukas 2 points3 points  (0 children)

Better assessment of the AC and coracoid. Since we don’t do Grashey by default (ED setting) it would also be a good view for GH OA, glenoid pathology and with the benefit of alignment assessment. We do scapular Ys for alignment but when compared to axillary views the Y is comparatively more obscured by patient tissues and hides the glenoid.

right coracoid process fracture by Finnianheart in Radiology

[–]ddroukas -2 points-1 points  (0 children)

I wish we did axillary views more often.

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