handoshera

@ecocardio_cl Aortic regurgitation, right?

Sometimes, the answer lies in the simplest things—like a basic #WhyCMR localizer.

@LopezOpitz @purviparwani @DrFuisz @SCMRorg @ImagenCardiaca @javierurmeneta1 @saramoscatelli7 @MLDescalzo @wikimagen @eliseovano @daniel @clinicasac How did you do it? What did you change?

👨🏼‍🦰60 yo > IHD LGE “ HOMEMADE” 🧠 It's always a good idea to supervise the studies while they are being acquired! @purviparwani @DrFuisz @SCMRorg @ImagenCardiaca @javierurmeneta1 @saramoscatelli7 @MLDescalzo @wikimagen @eliseovano @daniel @clinicasac

@atultanejamd @Olympics @milanocortina26 @FIUMedicine @BaptistHealthSF @BHAcademics @BaptistCME @Rad_Partners @AAOS1 @aossm1972 @ssr_rwg I wouldn’t use this image.

Enjoying the Winter Olympics? Behind every turn and dramatic fall lies a spectrum of musculoskeletal injuries. Understanding biomechanics can help MRI reading and return to sport. Winter sports are beautiful ⛷️🎿 #MSKRadiology #WinterOlympics #SportsImaging #SportsMedicine

@danilorenzatti @SCMRorg @vineetao17 @purviparwani @DrJenniferCo_Vu Infarct and apical hypertrophy?

“A patient can have as many diseases as he damn well pleases.” Dr. John Bamber Hickam A nice example of dual pathology🫀🔍by #WhyCMR🧲 @SCMRorg @vineetao17 @purviparwani @DrJenniferCo_Vu #Cardiology #CardiacImaging #cardiotwitter

@DrJN_SportsMed What is this line traversing the femoral head?

Axial MRI of right hip.....

@sserranobmsk Too dark.

MRI Diagnosis of Impingement of the Anterior Cruciate Ligament Graft, Intercondylar Roof Type: a chicken and egg situation A 21-year-old soccer player with a history of anterior cruciate ligament surgery 3 years prior, associated with a modified Lemaire anterolateral reinforcement, underwent an MRI due to anterior pain of 3 weeks' duration that did not prevent him from continuing to compete. The MRI revealed grade II chondromalacia patellae associated with iliotibial band friction syndrome, explaining his symptoms and the biomechanical origin of his condition. In addition to these alterations, there was increased signal intensity and decreased thickness of the graft in its middle third where it contacts the intercondylar roof, associated with loss of tension in the graft adjacent to its entry into the tibial tunnel, which is located partially anterior to Blomensaat's line, consistent with the radiological diagnosis of impingement of the anterior cruciate ligament graft, intercondylar roof type. The etiology of this impingement is a very anterior position of the tibial tunnel, as initially shown in the video. However, in this patient, a three-month post-surgical MRI demonstrates the correct tunnel location and the graft's normal morphology. This would indicate that the patient suffered at some point an asymptomatic partial tear of the graft, which caused graft insufficiency and anterior tibial displacement, erroneously interpreted on the actual MRI as a very anterior tibial tunnel. Does this mean that many of these radiological diagnoses are incorrect and that it was not a problem with the surgery but rather a sequela of an asymptomatic tear?

@mskteachingroom @mskradiologyuk FD

Incidental bone lesion. Diagnosis please! 🦴

@purenoz @Margottooo Güzel çeviriniz için teşekkür ederim. Orijinal kitapta 128. sayfa. “In their sleep…” ile başlayan cümle. “On altıncı günün on beşinci turu” olmayabilir. Günde on altı tur atıyorlar Dünya etrafında, onun on beşincisi diye anlıyorum ben. Saygılarımla.

Geliyor gelmekte olan 🤗

@morrisonMSK Wow. For a moment I thought it was some kind of an AI generated image.

@morrisonMSK What is going on here?

Some septuagenarians like pudding that they consume heartily

@skeletaljournal @ISS_Bone Great case! Very educational post. Thank you. Keep them coming.

🕵️‍♂️ Dr. Murphey’s X-Files | Case #001: Closed The mystery has been solved! The “lumpy-bumpy” arthritis case turned out to be Xanthomatosis: a rare condition marked by cholesterol-rich deposition in tendons and soft tissues. 📌 Key takeaways: •Deposition often involves skin and tendons (commonly Achilles, posterior tibial, peroneal, and anterior tibial tendons). •Strongly associated with hyperlipidemia type 2, biliary tract obstruction, and primary biliary cirrhosis. •Don’t forget the congenital form: cerebrotendinous xanthomatosis. #SkeletalRadiology

@skeletaljournal Amyloid deposition?

🕵️‍♂️ Dr. Murphey’s X-Files has arrived at Skeletal Radiology! 📂 Case #001 is now live. 👉 What’s the most likely diagnosis? 💡 Share your thoughts and come back to check the answer! Because, in the end, the truth is in the images. #SkeletalRadiology

@NASCISociety @usmancardiac @GregKicska @JRevRad1 @dianalitmano @DanielVargasMD @kirschj @prachipagarwal @EscrOffice @CarlottaOnnis @DeCeccoCN Quite hypodense. Lipoma, I guess.

#NASCI Case Series Case 88 Courtesy of @usmancardiac Dr Abbas, Dr Rehan Riaz from Faisalabad Institute of Cardiology What is the right answer? #whyCMR #YesCCT @GregKicska @JRevRad1 @dianalitmano @DanielVargasMD @kirschj @prachipagarwal @EscrOffice @CarlottaOnnis @DeCeccoCN

@NASCISociety @GregKicska @JRevRad1 @dianalitmano @DanielVargasMD @kirschj @prachipagarwal @EscrOffice @DeCeccoCN @CarlottaOnnis Cor triatriatum sinister?

#NASCI Case Series Case 86 Courtesy of A. Batheja and S. Fadl from Virginia Commonwealth University School of Medicine What is the right answer? #whyCMR #YesCCT @GregKicska @JRevRad1 @dianalitmano @DanielVargasMD @kirschj @prachipagarwal @EscrOffice @DeCeccoCN @CarlottaOnnis

@DrJN_SportsMed Sorry to hear that.

Update - L radicular leg pain & foot drop almost resolved Unfortunately symptoms evolved to become bilateral gluteal, pelvic & groin - 2 weeks ago When the pain got to 9-10/10 & I couldn't sleep / walk, I decided to forego watching the Hungarian Grand Prix & head to Urgent Care at PGH instead - raised CRP & neutrophilia MRI on Sunday at Fortius (amazing service) - raging bacterial disciitis & epidural abscess Don't tell anyone but it's affecting the psoas so I can't SLR 😆 So now in hospital awaiting PICC line and 2-3 months antibiotics 😕❎

@ASK_MSK Would you care to add Turkish?

🔍 Read the ‘How To Use’ guide before trying the app 🖥️ Desktop & laptop only (not optimized for smartphones) 🌐 Wilhelm: wilhelmai.net 💻 GitHub: github.com/ameyarad/Wilhe… 💫Built using an AI coding agent (Replit) and LLMs (Claude 4 Sonnet, Opus and Gemini 2.5 Pro). I changed over to Replit from Cursor at the end because Replit builds absolutely beautiful user interfaces, something my beginner coding skills cannot accomplish yet. @Replit @AnthropicAI @googleaidevs

🚀 Launching Wilhelm, a free and open source 🩻 medical imaging reporting AI assistant 💡 You shouldn't have to pay for medical transcription AI in 2025. Wilhelm is the first step towards a future where medical transcription AI is available free and open source for every doctor worldwide 🌍 ⚡️ Save time with lightning-fast reporting 🧭 Workflow: 📁 Upload & store your report templates 🎙️ Dictate or 💻 type your findings 🤖 Wilhelm auto-selects the correct template 📄 Generates your final report 🕒 From dictation to report in under 3 seconds 🗣️ Multilingual: Generate reports in 8 languages 💯 Fully free and open source 🧑‍⚕️ Built by a radiologist with experience across 3 countries, in public & private sectors, for radiologists and medical imaging professionals worldwide. 🔬 Named after Wilhelm Roentgen, Nobel laureate & discoverer of X-rays 🥇 📸 The logo is inspired by the first X-ray ever taken, his wife Bertha’s hand, symbolizing human-AI collaboration. 📚 Coming soon: A library of 100+ report templates built-in! ⚠️ The current web version of Wilhelm is for educational & research purposes only – not for clinical use. 🛡️ A fully HIPAA & GDPR compliant version, running locally and built for all medical specialties, is currently under development– launching in the coming months. 💬 Your feedback is vital for shaping the clinical version! I’m looking for insights from radiologists & residents working day and night on the radiology frontlines, because what matters for AI in the real world is: ✅ Saving time ✅ Faster reporting ✅ Better patient care 🗣️ Please leave your feedback in the comments or via the Contact page after logging in. 👇 Links below in the 🧵

@mskteachingroom Lymphoma?

49 y o male with a left clavicular lump. What would you do next? #bonemarrow #bones #pathology

@mskteachingroom Electric shock or seizure.

What has happened to this patient? 🤕 Link to case: pacsbin.com/c/Zy71qlmYRj #orthotwitter #radres

@MSKfellowship Compartmentalization

36 yo M with anterior knee pain. Good example of complete suprapatellar plica with suprapatellar bursitis. The complete suprapatellar plica (arrows) separates the suprapatellar bursa from the remainder of the joint space.

@JM_Zulueta_O @themskarchive @pepelermarx @drwillyjara @intskeletal @ESSRmsk @SermeMsk @residentesSERAM @secotsecot @SICOTortho @agtenc Iliotibial band syndrome.

Young athletic patient, runs 5 days a week, complains of lateral knee pain during running and while going up or down stairs. Diagnosis? What would your treatment approach be? #FOAMed #SportsMedicine #MRI