Fernando Ide Yamauchi

71 y/o make, COVID +, anorectal bleeding. No PSA available. First thought was prostate abscess...

@danatsouza @LetDdiceFlyHigh @SocietyAbdRad @hiltonmlf @NickSchiedaMD no radiation... i was thinking something like glomerular pathology , but haven't seen any...😂

@NandoIde @LetDdiceFlyHigh @SocietyAbdRad @hiltonmlf @NickSchiedaMD Interesting… Any chance she has had radiation to the spine in the last!? That’s the usual explanation for this finding… unlikely in an asymptomatic 14yo…

14 y/o female, work up for adrenal adenoma (otherwise asymptomatic). Has anyone seen this pattern of bilateral renal band of high T2WI, no restriction on ADC, slightly hipoperfused? @danatsouza @LetDdiceFlyHigh @SocietyAbdRad @hiltonmlf @NickSchiedaMD

@mauzappa @LetDdiceFlyHigh congrats @mauzappa !

#AOCR2025 in Chennai was an incredible event! I had the opportunity to represent CBR at the International Forum on Green Radiology, speak at the BRICS session on bladder cancer staging, and had the honor to serve as Quiz Master for the abdominal imaging session of the International Residents Competition Finals, with teams from over 20 countries. Grateful for the experience and global friendships during my short and intense passage through India 🇮🇳! Congratulations and thank you to the organizers from the AOSR and IRIA for the invitation and hospitality.

@ErickMRemer @SocietyAbdRad @adrenaldfp There are typical adenomas (homogeneous and <10 UH, probably still safe <20UH). There are clear "take me out" lesions, large and heterogeneous. And there are "i don't know" lesions, which unfortunately, there's little to improve with other imaging (CT washout / MRI / PET).

Time to start reevaluating how we assess adrenal nodules. @SocietyAbdRad @adrenaldfp

42 yo, LUTS, no PSA available (and unfortunately no answer yet...) Any thoughts? @SAR_ProstateDFP @Purysko @hiltonmlf @lkayat @danatsouza @CasesCookyJar @radiolobt

Recently published paper on postoperative imagining of endometriosis by Neme et.al. and commented by @WendalineVB

@MorbeckFernando @PublioViana @hiltonmlf @pedropanizza3 great talk on prostate imaging!

Congresso Imagine 2024 was amazing! There were many excellent discussions about prostate MRI in several scenarios of prostate cancer. I want to thank the organizing committee again for the invitation to coordinate the GU schedule alongside my colleague @PublioViana .

@mauzappa @MorbeckFernando @SchuchAlice @lkayat @IvanPedrollo @Felipegaliza @marcelogusmao2 @CassiaTamura @ivpedrosa @NickSchiedaMD nice case @mauzappa ! as we would say in portuguese "without rodeo": inflammatory lesion. 😂 Now you can hit me with the right answer

@coronilRMD @SocietyAbdRad @Felipegaliza @LetDdiceFlyHigh @voxelmator i'll follow @voxelmator , thick walls remind chronic infection. isn't that an excluded upper unit? do we have more coronals?

54yo patient, with left renal finding. What’s your opinion? @SocietyAbdRad @Felipegaliza @LetDdiceFlyHigh @voxelmator

@Felipegaliza not sure we are ready, but definitely the way to think of a P5: am I confident enough to skip biopsy? If the answer is yes, that's a P5, otherwise, is P4.

This patient underwent TRUS fusion Biopsy ➡️ adenoca Gleason 9/ISUP 5 🟠the combination of imaging features in this case (PI-RADS 5 + SUV>12) have very high probability of csPCa (~100%) 🔵are we moving to treat PCa based on imaging w/o histology in a very restricted scenario?

😏Prostate case 65yo - PSA 7,0 💉negative standard Bx (moderate bleeding complication) ☢️MR: anterior TZ PI-RADS 5 lesion ☢️PSMA: concordant lesion w/ intense uptake SUV 40 No extra-prostatic disease What’s the probability of such finding not being csPCa? #radres #FOAMrad

@Felipegaliza @hiltonmlf @PublioViana @LetDdiceFlyHigh @VChernyakMD @mharisinghani @coronilRMD @SamGalgano @cookyscan1 i'll follow @ankushjaj: saponification of peripancreatic fat

🤔Specialist Opinion 72yo M CT for lung nodule work up 🗓️Previous history: severe pancreatitis 20y before ☢️CT: infiltrative hyperdense mass/tissue in the pancreas, spleen, kidney, adrenal and stomach. ☢️FDG-PET negative Have you ever seen anything similar? Any thoughts?

@coronilRMD @lkayat @wroclawski_uro we are at the beginning of this journey, learning from @SchuchAlice , @lkayat and many others. Urethra is retrograde filled with lidocaine (10-15ml). High resolution T2WI are performed, as well as delayed post contrast sequences. finally, dynamic voiding is acquired

@lkayat @wroclawski_uro I’m really curious about the acquisition protocol and how you managed to get such beautiful images. 👏🏼👏🏼

Is MRI a game-changer to properly investigate urethral stenosis and plan the appropriate treatment? Or retrograde urethrography is enough? #UroSoMe

@swoo_rad @epi_rad @SAR_ProstateDFP @radiolobt @Purysko @midrisdoc every time I try to argue this, i get a disapproval from senior colleagues: "if you want to do different from what is stated on the document, than create your own system". But think about it: weren't we using bosniak on MRI before the updated version?

@epi_rad @NandoIde @SAR_ProstateDFP @radiolobt @Purysko @midrisdoc Agree with @epi_rad, but....I do hear what you're trying to say @NandoIde 👂

Different case but makes you think of the same question we asked the other day....@SAR_ProstateDFP @radiolobt @Purysko @midrisdoc Should T2WI be the dominant sequence in TZ followed by DWI (and not consider DCE) as per current PI-RADS? 🤔

@Felipegaliza @ErickMRemer @NickSchiedaMD @swoo_rad @hiltonmlf @PublioViana @LetDdiceFlyHigh @coronilRMD i would probably skip formal bosniak, but use concept: no solid component, no thick septa. calcification = benign fat = ? That's a "no touch" lesion, likely to be followed up. (could that be a calicial diverticulum?)

😳Atypical Renal Cyst How would you classify this cyst (Bosniak)? Any different idea? #FOAMrad #radres

@coronilRMD nice case! chronic hematoma/urinoma? any previous exam to help us?

66 yo patient. A PN 15 year ago for a Bosniak IV that turn out to be a simple cyst. What’s your opinion?

@danatsouza @BrighamRad @AURtweet @FOAMrad @SAR_RFS @futureradres @HarvardMacy @CBRadiologia nice case @danatsouza ! no spleen involvement ?

Rare manifestation... what a 'pearl' - pun intended (careful, Dad-iology joke): innumerable punctate calcifications corresponding to peritoneal nodules/granulomas - peritoneal sarcoidosis! @BrighamRad @AURtweet @FOAMrad @SAR_RFS @futureradres @HarvardMacy @CBRadiologia #MedEd

@TWMU_FATS tell me about it!

郡山見参。メディカルクリエーションふくしま。 地域医療格差を是正する、走る手術室、モバイルスマート治療室！

@epi_rad there's an old saying that i love to quote: "the best exam is always the prior exam"

Just happened to see a similar case here...no history of trauma or pain... 80yo. Waiting for serum markers, but really favoring a follow up here.