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@KamsanMary Thanks Mary!!

@wimbledog Happy birthday 🎂

Happy birthday to me

Queen Square Teaching Images #7 Adult with cancer and an extra-axial tumour. Dural metastasis or incidental meningioma? 68Ga-Dotatate PET-CT shows uptake typical of meningiomas with somatostatin receptors. The patient is spared unnecessary biopsy / treatment. #FOAMed #RadRes

BEST NEW MUSICAL 😭

Good luck to pit band pal @jred9749 and everyone at Paddington the Musical for the @OlivierAwards today! I'll be watching on BBC2. The most technically demanding show I've seen? But totally flawless, and totally full of heart. Your show is ma-ma-marvellous in every way! 🐻

@WillyRontgen Sectra > Carestream

Quick survey of rads. What is the best PACS you have ever used? Reply and I will tally results and post follow up.

Queen Square Teaching Images #6 "Signs" not always specific. Middle cerebellar peduncle hyperintensity an example. Massive list of causes. This case - older adult with inherited tremor and ataxia (FXTAS - Fragile X-associated tremor/ataxia syndrome). #NeuroRad #RadRes #FOAMEd

Somehow, somehow, we’ve made it to 5 years old. Recently we’ve watched our first football match at AFC Wimbledon, pretended to be vets for the day at London Zoo, and eaten a LOT of Easter chocolate.

Should you delay anticoagulation for stroke patients in AF with large infarcts? This work took us a long time! From @OPTIMAS_UCL , @UCLStrokeRes , @JKRuffles . pubmed.ncbi.nlm.nih.gov/41906919/ #NeuroTwitter #NeuroX #Neurology

Queen Square Teaching Images #5 "Idiopathic" C5/C6 myelopathy in a young adult male. Without dynamic MRI we wouldn't have seen the epidural collection on flexion (purple arrow) to make the diagnosis of Hirayama Disease. radiopaedia.org/articles/hiray… #NeuroRad #RadRes #FOAMEd

Starting Christina Applegate’s “You with the Sad Eyes”. I guess part of it is a patient’s journey with multiple sclerosis. But I thought she was great in Friends, Samantha Who?, and Dead to Me. Also a Tony Award Winner for Sweet Charity!

@Praveen38068318 Fair enough - here's the corresponding image from lower down with basal enhancement. Though as always we made the diagnosis on the basis of the patient, not the scan!

@wimbledog we need basal exudates to be sure about TB,

Queen Square Teaching Images #4 2 difficult things on 1 scan. Leptomeningeal enhancement (on the left, vs normal sulcal vascular enhancement on the right). Hydrocephalus (unexpectedly big ventricles vs small sulci in a child). Tuberculous meningitis. #FOAMed #MedEd #RadRes

February Broadway sight-reading. Corner of the Sky (Pippin). Classic Reed 1 part - a whole generous 4 seconds to flip between clarinet and flute.

@ShiYunZhao @AmbJapanUK Legend.

@wimbledog @AmbJapanUK He came to visit and even went INTO the flat !! ❤️

Found the world's most famous traffic cones in the centre of Glasgow!

Queen Square Teaching Images #3 Personal opinion - "quick sagittal to rule out cord compression" isn't a thing. It was done here (1st image), but axial T2 (2nd image) shows the problem. Subacute combined degeneration of dorsal columns from nitrous oxide use. #RadRes #FOAMed

Join me & Debarata Bhattacharya on Wednesday for another @theBSNR Grand Round online. We'll be discussing encephalopathy in children. Register for FREE - bsnr.org.uk/grandround And hear about this year's WFNRS meet in London - it's like the World Cup for brain geeks! #FOAMed

My resident gave me this mug. It may be the nerdiest present I've ever received. It is fabulous. #NeuroRad

Queen Square Teaching Images #2 Dissection "with minimal luminal compromise" = tricky to spot on standard MR angiogram. Scan too early and the classic T1 hyperintensity of intramural thormbus may not be there. Bilateral dissections = "puppy dog sign". #RadEd #RadRes #FOAMrad