@mmestas.bsky.social @laurengroner.bsky.social Just a perceptual teaser for your entertainment and edification:

Finally, the time has come. I'm just going through Rule #13 and really enjoying it. Highly recommended for any radiologist (not to say mandatory). @pmccoubrie.bsky.social

Lipoid pneumonia: Aspiration/inhalation of animal, vegetable, or mineral oils. Low CT attenuation dependent consolidation (-10 to -150 HU). Examine all lung lesions w/ mediastinal & bone windows - look for fat (80%). Tx - avoid source of aspiration #radiology #radsky @danielvargasmd.bsky.social

Nice example of increased systemic arterial flow into the left pulmonay artery Hypertrophied left bronchial artery in a patient with LUL lung cancer See more here: pubs.rsna.org/doi/abs/10.1... @howardm19.bsky.social you will like this one

Large pleural lipoma 🫁 - rare benign neoplasm - asymptomatic - can appear more opacified than fat on CXR - two types: hour-glass (with extrathoracic extension) & intrathoracic #radiology @laurengroner.bsky.social @thexraydoctor.org @pulmpeeps.bsky.social @chestdb.com @mmestas.bsky.social

Common findings associated with interstitial lung disease 🫁 #radiology #radsky @pulmpeeps.bsky.social @laurengroner.bsky.social @mmestas.bsky.social @thexraydoctor.org

"But, that right focal consolidation and contralateral tiny nodules bother me though… *lepidic/muc adeno alert*" Indeed! Surgical Lung Biopsy: Diffuse adenocarcinoma with areas of lepidic growth. A relevant citation below:

Another morning arriving at Hospital del Mar 🤩

A clinical-imaging diagnosis of ILD was made in this patient. How would you describe/report the (representative) CT images ? I'll post a follow-up CT series later. @mmestas.bsky.social @tlhm-md.bsky.social @danielvargas.bsky.social @laurengroner.bsky.social #radsky #chestradsky

#Chestrad - Pulmonary alveolar microlithiasis 🫁 - idiopathic, F>M - middle/lower lung predilection - Look for 'crazy paving', calcified interlobular septa (virtually pathognomonic), small subpleural cysts/emphysema - black pleura sign - Tx: lung tx #radiology #radsky @danielvargasmd.bsky.social

"Barely looking at the images purely to get on to the next case isn’t why we became doctors" @pmccoubrie.bsky.social on @auntminnie.bsky.social www.auntminnie.com/practice-man...

Proud of my team and colleagues for our educational exhibits that earned Certificates of Merit at #RSNA24 ✅ Gaps in the Heart: ASDs Revisited ✅ Radiologic Approach to Persistent Consolidations @rsnasky.bsky.social @mmestas.bsky.social

Elastofibroma dorsi (bilateral): asymptomatic benign soft-tissue tumor (mean age: 65 - this pt was 62). MC location - infrascapular regions, deep to serratus anterior & latissimus dorsi musculature. Mild-moderate FDG uptake on PET #radiology #radsky @laurengroner.bsky.social @mmestas.bsky.social

Non-Athersclerotic Vascular Disease by Drs Broncano, Ghoshhajra, @katehanneman.bsky.social , Robb ✅Remember diff patterns of involvement (TKA vs GCA) ✅Beading 📿 in FMD ✅Arch sidedness is determined by bronchus crossed ✅TAA in the young or unusual think of HTAD #RSNA24 #cvrad #radsky #radiology

Immotile Cilia Syndrome (aka - Kartaganer): congenital, a/w situs inversus, impaired fertility CXR: hyperinflation, airway thickening/bronchiectasis CT: mid & lower lung bronchiectasis #radiology #radsky @laurengroner.bsky.social @chestradiologist.bsky.social @danielvargasmd.bsky.social

ICYMI 🔑 in CAD #yescct session by Drs Vliegenthart, Ghoshhajra, Agarwal, and Schoepf ✅ Qualify CAC in plain chest CT ✅ Use multiple views, especially in LM dx ✅ CADRADs score does not replace the impression, give context ✅ FFR-CT is helpful and seeing ⬆️ use #RSNA24 #radsky #radiology

Another fantastically productive year with wonderful educational exhibits presented at #RSNA24 Amazing team of colleagues and trainees! @katehanneman.bsky.social @mmestas.bsky.social @rsnasky.bsky.social

#RSNA2024 starts today! If you are there, check out our 3 exhibits on: - Smoking Related Pulmonary Parenchymal Disease; - Persistent Pulmonary Consolidations; - Chest Wall Tumors Hope you like them! #radiology #Radsky

Emphysema: centrilobular, panlobular and paraseptal 🫁 Cr. @radiopaedia-org.bsky.social #radsky #chestrad @laurengroner.bsky.social @lauraheyneman.bsky.social @stefantigges.bsky.social @mmestas.bsky.social @avrahamcoopermd.bsky.social