I'm at #ECR2026 next week. If you're around, please do say hello, and come along to my talk on Wednesday 4th March on MR imaging of acute abdominal pain in pregnancy (or watch at home if you are attending virtually). See you there!

The Midlands National Radiology Conference was a fantastic event. Huge credit to Abigail Easterbrook and the Leics Rad Soc for organising. Great to speak alongside RCR President Stephen Harden and AI expert Indrajeet Das. Inspiring to see such enthusiasm for radiology from medical students.

I'm speaking about post-mortem CT at the Midlands National Radiology Conference this weekend. Other talk topics include AI and IR, and there is a set of workshops all afternoon. Places till available, via linktr.ee/leicesterrad...

Check out these slides from a standout @radiopaedia.org 2025 rPoster. Alvin Logronio maps the ureter with a brilliant interactive design. Submit an rPoster for Radiopaedia 2026 by 22 March. Accepted posters receive a DOI and a chance to win awards. radiopaedia.org/courses/rposter

You're going to see me posting a lot about Radiopaedia 2026 over the next few months! We've just opened abstract submission for rPosters. The deadline is 22nd March - all the details are in the post below. Good luck!

Medical student interested in radiology? The Midlands National Radiology Conference is a great place to start. Talks from the RCR President, AI and IR sessions, workshops, and student competitions. I’ll be speaking on post-mortem CT. 🎟️ linktr.ee/leicesterradiologysociety

#WQuers Happy with this one in particular. Wordle 1,667 3/6* ⬛🟨🟩⬛⬛ ⬛⬛🟩🟩🟩 🟩🟩🟩🟩🟩

Happy new year #WQuers. Almost had a disastrous start to 2026 but managed to hold on to my streak! Wordle 1,657 6/6* ⬛⬛🟨⬛🟩 ⬛🟩⬛⬛🟩 ⬛🟩⬛⬛🟩 ⬛🟩⬛⬛🟩 ⬛🟩⬛🟩🟩 🟩🟩🟩🟩🟩

🎉 Dec 2025 COTM. Vote COTY: bit.ly/RadiopaediaC... ☢️ CT & 🧲 MRI: Large mixed-density abdominal mass with vessels tracking to left inguinal region. Absent normal left spermatic cord. Enlarged para-aortic nodes. ✅ Seminoma in undescended testis 📒 Magdi Mahsoub, radiopaedia.org/cases/207190

🔍 Autoimmune pancreatitis mimicking malignancy 🧲 Diffusely enlarged smooth pancreas with biliary dilatation, no PD dilatation. Mesenteric & pelvic soft tissue masses. ☢️ FDG uptake in pancreas, nodes & soft tissue. Whipple histology confirmed IgG4-related AIP 📚 radiopaedia.org/cases/199309

🎄 Festive imaging requests at Christmas. 🚀 Brussels sprouts contain raffinose. Colonic bacteria ferment it -> gas + smell. So an abdo x-ray/CT after sprouts may look extra gassy. 🩻 Like radiology, disliked early on, great when done right. ✨ Merry Christmas!

🎄 Holiday wishes from Frank & the Radiopaedia team. A breast ultrasound scar forms a Christmas tree, 25 years after cancer surgery. A reminder of the shared work of radiologists, clinicians, & technologists, & the long-term impact of what we do together. Wishing you a safe & happy holiday season.

13-year-old me at the @rigb.org Christmas Lectures. Those early experiences helped spark a lifelong love of science. Grateful for institutions that inspire curiosity, opportunity, and future scientists.

🚀 Multimodality imaging of mature cystic ovarian teratoma (dermoid) 🔊 US: mixed echo mass w/ layering hyperechoic content ☢️ CT: mixed density with fat, complex fluid, central rounded focus 🧲 MRI: fat & fluid layering with interface nodule (Poke ball) 📚 radiopaedia.org/cases/171196

🎉 Feb 2025 COTM. Vote for COTY and win a free 12-month Radium Supporter Status: bit.ly/RadiopaediaC... ☢️ CT shows an obstructing left main bronchus lesion with complete left lung collapse. 🔬 Inflammatory myofibroblastic tumour. 📒 Case courtesy of Christin Wei Tong Lim radiopaedia.org/cases/192175

🎉 January 2025 COTM. Vote for COTY and win 12 month Radium Supporter Status: bit.ly/RadiopaediaC... 🧲 MRI shows an aggressive pelvic mass involving bladder and uterus. 🔬 CT guided biopsy confirmed pelvic actinomycosis, a key inflammatory mimicker. 📒 Laura Machado, radiopaedia.org/cases/188615

🩻 3D CT showing an inferior vena cava filter. ⚙️ Infrarenal IVC device to prevent pulmonary embolism from lower limb DVT when anticoagulation is not possible. 📐 Residual calcium flecks remain, but major vessels, kidneys, liver and heart are seen.

🚀 Gallbladder volvulus 🔑 CT: distended thick-walled GB, poor enhancement, horizontal lie, medially pointing fundus, beak at neck, twisted vessels 🔪 Surgery: torted cystic duct/artery → cholecystectomy 📚 View on @radiopaedia.org : radiopaedia.org/cases/183929

☢️ FDG PET-CT: abnormal tracer activity of aorta & subclavian arteries > indicates arterial wall inflammation 🧬 CT: low density smooth circumferential aortic wall thickening 📚 Non-infectious aortitis has many causes, including giant cell arteritis, Takayasu arteritis and rheumatologic diseases

🚀 Multimodality imaging of MEN 1 1️⃣ Pancreatic NET (gastrinoma) → Zollinger Ellison, DJ perforation 2️⃣ Parathyroid adenoma → ↑ calcium, renal stones 3️⃣ Pituitary adenoma → ↑ prolactin 🔥 Exam tip: autosomal dominant 📚 radiopaedia.org/cases/206567

Plenty of consultants like me will be working to provide FULL emergency care, and support our current resident and future consultant colleagues in their strike action.

🚀 Gossypiboma: retained surgical swab. Low-density mass w/ curvilinear strands and spongiform gas 📍 Exam tip: abscesses show non-dependent air or air-fluid levels, not diffuse bubbles 🔥 Reporting tip: main mimic is haemostatic material. Check the op note 📚 radiopaedia.org/cases/100302

Which one will you vote for as @radiopaedia.org’s case of the year 2025? View all cases and vote at bit.ly/RadiopaediaC...

🚀 Perforated small-bowel diverticulitis: prior barium extensive diverticulosis; new CT shows gas, fluid & fat stranding in the mesentery 📍 Exam tip: false diverticula don’t contain all bowel layers 🔥 Reporting tip: mesenteric-focused inflammation → run the small bowel radiopaedia.org/cases/206579

🚀 Meckel diverticulitis 🔑 Blind-ending tubular structure arising from the mid small bowel 📍 Remnant of omphalomesenteric duct 2️⃣ Rule of 2s useful to learn facts 🔥 Inflammation: fat stranding +/- fluid & gas in small bowel mesentery, wall thickening Scroll: radiopaedia.org/cases/206545

Radiology has changed. I’m just here trying not to get buried.

“And then they made him a fake trophy because he kept whining and moaning and wouldn’t STFU.”

CT scout image shows a distended & gas-filled loop of bowel occupying left mid-abdomen, with a central crease (coffee bean sign), with a normally positioned caecal pole. Yes, that is a key in a pocket. Sigmoid volvulus, coronal image shows whirling pattern of the vessels near the point of twisting.

I just asked my kids “hey which numbers will you be opening in your advent calendars this weekend?” Continuing to earn cool dad points. IYKYK. @gammacounter.bsky.social

🤔 What is the key 🔑 finding on this scout image of a CT abdomen and pelvis? What do you think the CT images will show? Put your answer in the comments!

Coronal CT displayed in bone window: Paget disease with coarse trabecular thickening of left ilium and femur, and decreased angle between femoral neck and shaft, also known as coxa vara. This is called the Shepherd crook deformity as it resembles the stick carried by shepherds...sort of.

Liver haemangiomas (or strictly speaking 'venous malformations') show "centripetal peripheral nodular discontinuous enhancement" on MRI with gadolinium - this means they fill in from outside to inside, and tend to retain contrast on delayed images.

"Rorschach" radiology. When an image makes you think of something completely unrelated. This abdominal xray shows small bowel obstruction with Gastrografin, but my brain keeps turning those coiled loops into a cinnamon swirl.

🔥 Radiopaedia’s biggest sale is live. 🎟️ All Access Pass up to 35% off with 400 CME credits. 🧒 Paeds Xray 50% off. 🧠 Stroke Learning Pathway 25% off. 📘 CT Physics 25% off. If you’ve been waiting to dive in, this is the moment. radiopaedia.org/courses/blac...

🧩 CT colonogram with oral contrast in the colon. The bright tubular structure inside the inguinal hernia is the appendix, filled with contrast. An Amyand hernia. A finding that feels a little like spotting something from the Upside Down. #radiology #FOAMed #strangerthings

🔥 Radiopaedia’s biggest sale is live. All Access Pass up to 35% off with 400 CME credits. Paeds Xray 50% off. Stroke Learning Pathway 25% off. CT Physics 25% off. If you’ve been waiting to dive in, this is the moment. radiopaedia.org/courses/blac...

At work, I introduced DWI & volume body MRI, cine enterography, MRI proctography, oral contrast for GI leaks, & iodinated contrast for CT colonography - all now routine. Fused T2/DWI in rectal MRI never took off. With TNT and the need to detect a complete response, time for a come back?

My answer each time: "even better news: it's twins" (clip of UK MP Emily Thornbury on a news show]

✅ MEDULLARY NEPHROCALCINOSIS DUE TO TYPE 1 RENAL TUBULAR ACIDOSIS 🖼️ AXR: bilateral kidney-contour calcification 🌀 US: hyperechoic medullary foci with shadowing and no hydronephrosis. 🧊 CT/3D/cinematic rendering: dense medullary calcification. #radiology #FOAMed

⏰ Quiz time! 🩻 What is the main abnormality, and what are the causes? #radiology #FOAMed

🎯 CXR: Rounded opacity partly obscuring the right heart border. 🎯 CT: Fat density mass at the right cardiophrenic angle extending through a right anterior diaphragmatic defect. 🎯 Morgagni hernia. 👤 Craig Hacking, radiopaedia.org/cases/206397

❗️Quiz time! What can you see on this CXR? Drop your report into the comments and we'll share the answer tomorrow!

The start of this week was spent in Hull, speaking to radiology consultants and residents about post-mortem CT. No conferences for a little while now. Time to focus on building the exciting things lined up for 2026.

Here’s the answer 👇 Hyperinflated lungs with flat diaphragms suggest emphysema.Triangular opacity over the cardiac shadow plus increased left upper zone lucency gives the sail sign of left lower lobe collapse with left upper lobe hyperexpansion. #radiology #FOAMed

🤔 What can you see on this chest X-ray? Reply with your thoughts. #radiology #FOAMed

What lividity/hypostasis looks like on PMCT and how it helps work out the position someone died in. #radiology #FOAMed

Epiploic appendagitis in two locations. Torsion and infarction of epiploic fat tags, mimicking diverticulitis but with near-normal blood tests. CT shows ovoid fat focus, enhancing rim, central dot and fat stranding. Usually settles with conservative management. #radiology #FOAMed

Post-mortem CT can help distinguish between types of haemopericardium; one of the many ways imaging provides answers after death. I’ll be speaking at BSER next week about the technique, normal appearances, and imaging findings in natural disease. #radiology #postmortemCT #forensicimaging #BSER2025

🚨 Brand new FREE teaching series! The Leicester Medical School Radiology Society are hosting 6 sessions, delivered by students, and supervised by consultants. The first one covers chest imaging, and is on Monday 17th November at 1900 UTC. Sign up at linktr.ee/leicesterradiologysociety

👋🏼 If you use any other social media platforms and want to learn radiology, just search "thexraydoctor" and you'll find me there. Come and say hello 👋🏼 #radiology #FOAMed