John O'Keefe

Cryptococcal Meningitis 1. Leptomeningeal (basilar predominant) +/- Perivascular enhancement 2. Gelatinous Pseudocysts 3. Hydrocephalus 2/2 impaired CSF resorption 4. Cryptococcoma- can be seen in immunocompetent patients #neurology #neurorad #radres #meded #foamrad

@RVUhound What's the neuroradiology ranking, 37?

@DeanMeltzer @NatalieHouserPA @GriffithObserv @KECKSchool_USC That looks fun! Just a few clouds in the sky, I bet the trail was a blast

Enjoying a beautiful hike with ⁦@NatalieHouserPA⁩ ⁦@GriffithObserv⁩ ⁦@KECKSchool_USC⁩

@RVUhound Absolutely! The audience will appreciate the practical tips/advice

@RVUhound As many pics of real cases as possible. I also find it helpful when compared to images of other things that would come up in your differential diagnosis, highlighting differences

@BrentWeinberg @EmoryRadiology @StefanTigges @RyanBPetersonMD @EmoryNeurorads I'm surprised that tv isn't tuned to mtv beach house or maury povich re-runs

@BrentWeinberg @RVUhound @RyanBPetersonMD @nakoontz @JudyGadde @EmoryRadiology @TheASNR @gennadanna @WmOBrienDO @EmoryNeurology @AURtweet @ENThawk "Cav Mals don't enhance" = Fake News

Emory Radiology COTD #200 (Happy #AUR2022) Hx: Asymptomatic volunteer testing 3T MRI sequences NO SPOILERS!!! Give answers as GIFs ONLY or submit to bit.ly/EmoryCOTD Answer in 24hrs #Neuro #Neurorad #radres #FOAMrad #FOAMed #Neurosurg #EmoryRadCOTD

@RyanBPetersonMD @BrentWeinberg Expect to see a lot of "drunk and fell down stairs" today

If it’s a full moon on St Patricks day, do all the crazy Irish come out… or is that every day?@BrentWeinberg @JohnJOkeefeMD

@RVUhound Haha, that was like all of my academic days after I realized that I can give case conferences instead of making a new powerpoint for every noon lecture. Enjoy your time off! Well earned

@RyanBPetersonMD @JudyGadde @BrentWeinberg @RVUhound @TheASNR @chrisho_md @ER_Rad_Hanna @nakoontz @ASER_ERad @CynXinWu @HenryZhanMD lol, this is so Grady

So I texted some residents about a STAT case that needed to be looked at. I always try to teach the importance of looking at the SCOUT so this was a test … they got the pneumocephalus but took them a sec to figure out why

@RyanBPetersonMD @RVUhound and monster energy drinks

@JohnJOkeefeMD @RVUhound How do you think I survive all the strokes, intracranial infections and massive traumas. 1) Great residents finding most all of the findings making great prelim reports 2) A great pacs system 3) Wonderful colleagues in other specialties collaborating together

Faculty are we feeling the workloads increasing but more so for our trainees. Is it better??? 🥴😬😕 I’m sure there are a lot of opinions. We need to discuss how to optimize education in this busy environment!!

@BrentWeinberg @RyanBPetersonMD @EmoryRadiology @EmoryNeurology @nakoontz @JudyGadde @gennadanna @TheASNR @ASER_ERad @CincyPedsNeuro Ryan should submit this question for the next CAQ exam

Emory Radiology COTD #177 Hx: HIV with altered mentation & low CD4 count NO SPOILERS!!! Give answers with GIFs ONLY or submit to bit.ly/EmoryCOTD Answer in 24 hrs #Neuro #Neurorad #radres #FOAMed #FOAMrad #medtwitter #EmoryRadCOTD

@HernanBelloMD @EmoryRadiology Congrats Hernan!

@aukeappelman @frankgaillard sometimes I'll say focal encephalomalacia and specify location (eg in the left middle frontal gyrus)...i stopped saying encephalomalacia and gliosis because it feels redundant as they almost always co-occur

The results are in! What would you call the area with the star? Find out here: patreon.com/posts/encephal… #radiology #MRI #NeuroRad #pathology

@tabby_kennedy @JudyGadde @TheASNR @cmtomblinson @pbunchmd @CMGlastonbury @DShatzkes @callyrobs @UWiscNeuroRad @LorenzoPinelli Nice graphic!

Posterior Fossa Mass ddx in kids Diffusion can be helpful to narrow the ddx. If DWI + think medulloblastoma 4th ventricle mass - along roof: medulloblastoma - along floor: ependymoma Cyst + Nodule - probably a pilocytic astrocytoma - flow voids ++ hemangioblastoma #MedEd

@mdneurorads wow, great case

Answer: Malignant or Necrotizing otitis externa MRI: bit.ly/3cpuyb4👈Full annotated DICOM *Please use the notes icon in the top right for discussion notes #Radres #Neuroradiology #FOAMrad #FOAMed #NeuroRad #radiology #Radfellow #ENT

Case #57: Uncontrolled diabetes. Most concerning diagnosis? 👇 Click links to access full DICOM via @pacsbin CT: bit.ly/3r5oVTx MRI: bit.ly/30YaxSn Case from @SivaGaddam #Radres #Neuroradiology #FOAMrad #FOAMed #NeuroRad #radiology #Radfellow #ENT

@RyanBPetersonMD @BrentWeinberg You mentioned this in your post...For trainees it's good to know that age-advanced parenchymal volume loss is an early sign and sometimes the only sign of HIVE. The volume loss can be pretty dramatic between scans over several years.

Answer: HIV associated dementia I always called it HIV encephalopathy. This has significant confluent abnormal white matter signal which to quote @BrentWeinberg - "if this was PML with this much WM disease, they would be dead". #EmoryRadCOTD

Emory Radiology COTD #156 Hx: Younger patient (<40yo), with altered mental status, immunocompromised NO SPOILERS!!! Give answers w/ GIFs ONLY or submit to bit.ly/EmoryCOTD Answer in 24hrs #Neuro #Neurorad #radres #Erad #FOAMrad #FOAMed #medtwitter #EmoryRadCOTD

@RyanBPetersonMD @JudyGadde @nakoontz @EmoryRadiology @EmoryNeurology @TheASNR @CincyPedsNeuro @gennadanna @JeffersonRads @BrentWeinberg oh man, that's some good stuff...grady has all the fun cases

@JohnJOkeefeMD @JudyGadde @nakoontz @EmoryRadiology @EmoryNeurology @TheASNR @CincyPedsNeuro @gennadanna @JeffersonRads @BrentWeinberg It is. Got permission to post from the original reader. Was called MSA (what I was originally looking for for a book chapter). Digging into history and notes was illuminating. PS i still wish you were here to lead this infectious disease neuroradiology service.

Emory Radiology COTD #154 Hx: Gait problem & imbalance, young patient. Learned something new myself with this case!! NO SPOILERS!!! Give answers w/ GIFs ONLY or submit to bit.ly/EmoryRadCOTD Answer in 24hrs #Neuro #Neurorad #FOAMrad #FOAMed #Erad #radres #EmoryRadCOTD