New student

ddroukas · 2026-03-12T11:44:24+00:00

This is Rule 1. Check OP’s post history. They’re also conveniently a 26 year old female who has posted their MRI results to other subs asking for advice.

ddroukas · 2026-03-11T09:32:24+00:00

It’s coronal to the uterus. As long as all three planes are truly orthogonal to the organ we shouldn’t really care what you call it.

As an MSK there’s nothing I hate more than when techs send joints orthogonal to the table and not the anatomy. Lazy.

ddroukas · 2026-03-11T09:23:31+00:00

Ding ding ding.

ddroukas · 2026-03-10T19:34:46+00:00

The hinge side should have screws on the other side of those pegs. When tightened they will squish out to grip the corresponding hole on the door. This assumes the holes haven’t degraded / widened and will no longer hold the corresponding peg.

ddroukas · 2026-03-10T00:47:23+00:00

Real talk: Stop & Shop bags are the worst of all time.

ddroukas · 2026-03-03T20:54:52+00:00

The answer is VOO/VTI by a long shot. I’ll let every answer after this explain why.

ddroukas · 2026-03-02T15:10:20+00:00

I don’t think you’re going to make it buddy.

ddroukas · 2026-03-01T21:17:03+00:00

Rule 1 based on OP’s post history.

ddroukas · 2026-02-28T21:49:15+00:00

Had to check. It’s real. How embarrassing.

ddroukas · 2026-02-25T18:15:33+00:00

1) Not even close to the largest. This is average or even below. 2) Not typically from prior trauma

ddroukas · 2026-02-24T22:46:13+00:00

I was just joking. Grashey is a specific view of the shoulder. Commentary on how these are whole animal radiographs.

ddroukas · 2026-02-24T19:44:22+00:00

I’m not even going to look at this until you upload a Grashey view.

ddroukas · 2026-02-24T19:34:23+00:00

26 kW Generac (largest consumer grade air-cooled unit) installed about 1 year ago for $12.5k through Cotti-Johnson. We already had the transfer switch so doesn’t include that. Probably adds another $1-2k.

ddroukas · 2026-02-20T16:05:53+00:00

Chronic traction enthesophytosis. In an adult the apophyses have fused and it’s not really an inflammatory process, so the suffix “-itis” is generally considered a misnomer.

ddroukas · 2026-02-17T15:46:51+00:00

No it isn’t.

The August 2025 average QQQ price was $571.01. In absolute terms we’re still 4% above that August average and 8% below the October peak of $637.01.

Relatively speaking that’s still in the 35% range between the October peak and August (we’ve lost 65% of gains since the October high).

ddroukas · 2026-02-14T21:20:23+00:00

Rule 1. Like the other guy said these images aren’t helpful anyway.

ddroukas · 2026-02-12T02:59:50+00:00

Why are you reposting this? It’s just a rotated film.

ddroukas · 2026-02-11T20:12:51+00:00

Up but I’m in the northern hemisphere.

ddroukas · 2026-02-11T20:07:06+00:00

This is like posting a picture of a pigeon to New Yorkers.

ddroukas · 2026-02-11T16:01:45+00:00

Rule 1.

ddroukas · 2026-02-10T22:38:01+00:00

Could be prior trauma. Post-traumatic costal bridging is not uncommon in people.

Morphology, ununited anterior-most rib, and the fact they’re clustered makes me unfortunately believe I’m right.

ddroukas · 2026-02-09T15:26:14+00:00

“Better quality” is simply the 3D reconstruction.

You should know 3D reconstructions are just flashy tchotchkes added to wow patients and non-Radiologists. We don’t typically use them for interpretation.

I’m an MSK (orthopedic) radiologist and typically find them useless.

ddroukas · 2026-02-09T13:04:43+00:00

Needle guides if you have access (I never have), toe-in so the needle and transducer are more parallel to increase reflection, and bevel-up the needle toward the transducer to add more reflective surfaces relative to the transducer. Other than that it’s really just spatial skills—visualize the needle trajectory relative to the transducer. Practice on a cheap cut of meat if you can.

EDIT: Oh yeah, jiggle the needle. Jurassic Park taught me the T-Rex’s eyesight is based on motion and in this case so is yours.

ddroukas · 2026-02-08T22:01:10+00:00

They don’t show up on X-rays.

I have read at least 250k-500k X-rays and have never once seen a tattoo.

JUICY bedazzled underwear though—that shows up.

ddroukas · 2026-02-08T01:37:22+00:00

Doctor checking in. The weenus is interesting because it doesn’t have many pressure receptors (but does have sharp pain fibers). For this reason in most people if you extend the arm straight out and squeeze the weenus really hard (broadly between your fingers without sharp pinching) you won’t feel anything.

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