Bhavin Jankharia

Case 60: The Pitfalls of Rib Uptake on PSMA PET 63-years old with Ca prostate had uptake on PSMA in the left 3rd rib anteriorly and right 6th rib posteriorly. The CT does not show any lesion there (Fig. 1). The post discusses this false positive pitfall with review of a recent article. bstneoplasms.com/p/case60 #bstneoplasms #PSMAPET #rib

Lecture: 2025 Updates on ILD Classification. A lecture I gave last week for the ICRI Chest series. youtu.be/guVSRvIVY-k #ctchest #ctchestreview #ILD #ILDguidelines

Is Fasting an Efficient Way to Control Food Intake in an Environment of Abundance? Calorie control is important in an era of abundance. Is fasting or dietary restriction efficient? Or are GLP-1 agonists better? Audio and Text atmasvasth.com/fasting04/ #atmasvasth #healthfulageing #longevity #lifespan #healthspan #weightloss #fasting #calorierestriction #GLP-1 #tirzepatide

Case of the Day - 191 - Effortless Segmentation - The AI We Want 41-years old treated for sigmoid colon carcinoma came for a PET/CT. The video describes the use of the Totalsegmentator plugin in Osirix MD that can segment the liver in less than 5 minutes, in the background. I then added the liver vessel module superimposed on the segments. This is the kind of AI we want, something that makes our lives easier and simpler, within our existing workflows. Full Video youtu.be/gSXr5N1OQ6w #caseoftheday #liver #liversegmentation #totalsegmentator #osirix @rossetantoine @JakobWasserthal

Case 242: Dot-Like Myocardial Septal Enhancement 30-years old had clinical evidence of ischemia and angiography showed a specific anomaly. He was sent for a stress cardiac MRI Findings Linear and dot-like signal and enhancement in septum on 4C Scar - mid and apical anterior wall Mid-myocardial linear enhancement Ischemia at rest in the septum with inducible ischemia in other segments of the LAD territory Retrograde filling of the LAD via collaterals LAD arising from the pulmonary artery with retrograde filling via collaterals from a hypertrophied RCA The video describes the case and the final diagnosis Video mricardiac.com/case242/ #cmrsimplified #cmr #cardiacmri #whyCMR #stressCMR

@Dokutah_Vyew 😂

@bhavinj This is only 3/5 difficulty??? What 5/5 😂

Case 176 - Supine Anterior Approach for an Aortocaval Node 22-years old with dysgerminoma ovary treated 5 years ago came with backache and following an abnormal MRI, a PET showed an abnormal aortocaval node which needed to be biopsied The post shows how the biopsy was done ctbiopsy.com/case176/ #ctbiopsy #retroperitoneum #aortocaval #dysgerminoma

Case of the Day - 190 - Septal Thickening and Infiltrative Lung Disease 51-years old with progressive dyspnea. CT scan shows 1. Septal thickening - mostly regular - some irregularity 2. Variable-sized, randomly distributed nodules 3. Irregular fissural thickening 4. Cystic change 5. Lymphadenopathy - subtle calcification Diagnosis? The video describes the case, a flow-chart of how to approach septal thickening (with the earlier flow charts of ground glass plus septal thickening and diffuse small nodules) and explains how the diagnosis was reached. Full Video youtu.be/zANFA5t4-nA #caseoftheday #lung #septalthickening #infiltrativelungdisease

Wet-Bulb Stupidity and Why Running Zones Matter Run smart within the constraints of the weather you are in. How the organizers of ICT Marathon in Matunga should have known better than to keep a run on a day with a wet-bulb of 23 degrees and why for older people, pacing yourself with Zone 1, Zone 2 and Tempo Runs helps. Audio and Text atmasvasth.com/temperature05 #atmasvasth #healthfulageing #longevity #lifespan #healthspan #heat #heatwaves #wetbulb

Apr 4 - Saturday Night Live Webinar 984 Congenital Inner Ear Malformations - Dr. Hiren Panwala, Consultant Pediatric Radiologist and Clinical Lead at NH SRCC Children's Hospital, Mumbai Join here: us02web.zoom.us/j/85666220065?… Webinar ID: 856 6622 0065 | Passcode: REFCAFE

RA, RA-ILD, AEF, CPFE - So Many Acronyms in One Patient 64-years old with rheumatoid arthritis on treatment had dyspnea. He was a 15-pack years smoker who had stopped 10 years ago. He was known to have ILD since 2023 and was on anti-fibrotics. The CT shows so many findings as listed in the title. ctchestreview.com/post04/ #ctchest #ILD #smoker #rheumatoidarthritis #RAILD #AEF #CPFE

Case 175 - Transsacral Approach for an S1 Lesion Biopsy 43-years old treated buccal ca had progressive lung and nodal lesions (arrow in to panel), stable liver lesions and a new S1 osteolytic lesion on PET. The patient was referred for a CT guided biopsy of the sacral lesion. The post shows how the biopsy was done ctbiopsy.com/case175/ #ctbiopsy #sacrum #transsacral

The "E" Sign of a Bipartite Medial Cuneiform 39-years old with chronic foot pain. The patient came for a CT. The axial (A) and sagittal (B) show a bipartite medial cuneiform with cystic areas at the pseudoarthrosis. The 3DCT shows the "E" sign created by this configuration. There is a dorsal osteophyte like due to long-standing stress, but without cartilage loss (arrows in C and E). youtube.com/post/UgkxyEGFk… #foot #medialcuneiform #bipartite

Case of the Day 189 - Idiopathic Pleuroparenchymal Fibroelastosis (iPPFE) - Volumes, Flat Chest and Meandering Trachea 37-years old with gradually progressive dyspnea. CT images show classic findings of pleuroparenchymal fibroelastosis (PPFE), with no other associated etiology, hence idiopathic - iPFFE The video describes all the additional findings that often go hand in hand as in 1. Playthorax - flat chest - progression of platythorax associated with poorer prognosis 2l Anterior and downward rotation of the ribs - associated with poorer prognosis 3. Reduced upper lobe lung volumes 4. Deep suprasternal notch (not present in our patient) 5. Tracheal deviation and meandering trachea Full Video youtu.be/E-Y2MLaTvS4 #caseoftheday #lung #ILD #PPFE

Case of the Day - 188 - A Bird's Nest on an Atoll 70-years old immunocompetent patient with fever. CT scan showed an unusual lesion in the right upper lobe with a reversed halo (atoll) sign and a unique bird's nest appearance. The video describes the case, the findings, the differentials of a bird's nest, bubble lucencies and the reversed halo (atoll) sign and how the final diagnosis of mucormycosis (Rhizopus) was reached, including how to differentiate from invasive pulmonary aspergillosis (IPA). Full Video youtu.be/9zPn6xZDkdg #caseoftheday #lung #fungal #mucor #bird'snest #atoll #reversedgroundglass

Lecture - CT Chest Indications for Physicians A lecture I took last Sunday aimed at physicians Topics covered 1. Diffuse lung diseases 2. Focal lung lesions 3. Pulmonary vascular lesions 3. Mediastinal lesions 4. Pleural lesions 5. What scan to do when 6. Something new YouTube Video youtu.be/bt6h2cYH59A

Post 02 - Progressive Pulmonary Fibrosis (PPF) and Biologic Behavior 70-years old with a fibrosing ILD that shows a usual interstitial pneumonia (UIP) - like pattern on the left, but a three-density sign on the right suggesting this could be a bronchiolocentric interstitial pneumonia (BIP) pattern, suggestive of fibrotic hypersensitivity pneumonitis, if there was no underlying etiology. This patient however has scans from 2016 spanning 10 years showing progression (PPF). The post shows 8 of these scans together to understand the biologic behavior of this disease over 10 years. Post ctchestreview.com/post02/ #ctchest #ILD #BIP #hypersensitivitypneumonitis #PPF

Heat: The Invisible Barrier to Long-Term Health and Longevity Increased temperatures increase physical inactivity in low and middle income countries. Heatwaves increase the risk of death, cardiovascular and otherwise with an exponential increase above a level specific for the region concerned. Compound heat (daytime and nighttime both) is the worst. Green covers can significantly make a difference in reducing heat-related deaths. We need to make a personal effort to reduce our exposure to extreme heat, both short-term and long-term. Audio and Text atmasvasth.com/temperature04 #atmasvasth #healthfulageing #longevity #lifespan #healthspan #heat #heatwaves

Case of the Day - 187 - Stone in the Bronchus 71-years old man with fever. CT shows miliary nodules likely due to miliary tuberculosis. It also shows a calcified subcarinal node extending into the intermediate bronchus. The video describes and discusses this case of a transbronchial broncholith. Full Video youtu.be/S3pAjID5PaE #caseoftheday #mediastinum #subcarinal #broncholith

Case 174: Left Upper Lobe Consolidation - The "Parallel-to-Vessel" Approach to Avoid Hemorrhage 59-years old with fever and non-resolving consolidation in the left upper lobe of the lung The video below describes the case and the reason for performing a biopsy parallel to the vessels and not perpendicular Video ctbiopsy.com/case174/ #ctbiopsy #lung #consolidation #tuberculosis