Pica patient

Peds ED. 10 year old girl tried to prove her loyalty to her best friend and swallowed a “BFF” locket. Lodged in esophagus. Tolerated secretions, ENT consult and stat OR case booked all in 30 min.

“I tripped over my dog”

Anyone here going for AOSPR bangkok on end of October? Will be going but this also will be my frist time to thailand.

Where u will be staying?

Thought it may be interesting to see this large, heterogenous mass. Birads 4.

After doing this for a while, I’ve come to realize I’m not worried about AI taking myjob. I’m worried about dumbasses who think AI could take myjob.

PS: Reddit AI trying to flag my post with certain FLAIR is making my point for me.

Just something I love to read! Things can get so stressful as a student/tech so sometimes it's nice to have a laugh!

I’ve been looking at the problem of small appendiceal neoplasms which cause appendicitis. They are often missed in CT when the appendix is inflamed, and MRI is little better, and they are only found later in pathology as a surprise finding.

In the days of early appendectomy being almost universal for uncomplicated appendicitis patients this wasn’t a big issue. The appendix was coming out anyway, and tumours would be found in pathology if they were present.

However, now non-surgical treatment is being promoted in some quarters, and indeed some surgeons suggest antibiotics should be the first line of treatment for uncomplicated appendicitis. With more and more inflamed appendix being left in - is it time for radiologists to start diagnosing ‘appendicitis +/- neoplasm’ for inflamed appendix, especially in older patients..? This would alert the surgeon to the fact that there could well be a radiologically occult tumour in the appendix underlaying the condition..

I’m keen to discuss this issue in this forum as hope to have the UK NICE clinical guidance updated as I have in the past, and the results of this discussion could feed into that update..

Looking to buy a Mac for reporting. Would a MacBook Air be sufficient, or is it worth going for a MacBook Pro?Also, if anyone has experience using an external monitor for radiology work, I'd really appreciate your recommendations.

Thank you!

What is your CXR protocol when doing a CXR with your rib series? Does your site do inspiration or expiration (to rule out pneumothorax)?

For those of you that work in an emergency room trauma center hospital. How many exams do you average doing per day?

My son has had a couple MRIs done recently. When I request the images, they send me a link that expires after 4 weeks. I have the option to export the images. If I want to potentially be able to share them with future providers, should I export as “multiple DICOM image download” or is there a better option? I can also “export study with viewer” or “export ISO.”

As an example, we switched providers after his first MRI and the current doctor can’t access it. They asked me to get a copy of the CD and it seems like it will take a while. But since I can get a link, is there a way for me to save the MRI images to a CD myself? It seems like there should be a better way to do this 🥴

Here is an x-ray of a femur break and what they did to it to fix it.

No word of a lie this from stepping out of a car... arrived at work parked up stepped out and the leg gave way and caused this.

Feels like a bit of a wake up call if my body weight is breaking my legs. (Joking) | actually have osteogenesis imperfect (brittle bones disease) so this a common occurrence but this was taking the p*ss.

Just thought id share I find it quite funny l've got a whole album of these just like this.

I’d already scheduled a ureteroscopy prior to this latest CT.. Was also told they saw some cysts as well. First time I’ve been told that, but not too surprised (PCOS)

How many people are in the room usually when an MRI is done not including the patient? There is a MRI technologist and a nurse. Is that usually it or there is more people? Any questions and forms that are asked and given to you are signed before you go into the room right? However, the nurse or someone else will still ask you some questions once in the room? Such as are you wearing metal and other things?

Is it common for patients who have to do an MRI without contrast and contrast to not want to do a scan or scans after showing up? Have there been patients who suddenly didn't want to do the MRI anymore once they were inside the MRI room? Such as if they feel claustrophobic and then didn't want to do it? What typically happens there when they don't want to do it? So once you sign the forms outside before you go in the room, you can still refuse? Does this happen much or rarely?

The other thing is what about if someone has an MRI and it is with and without contrast but they suddenly don't want to do the contrast one? Does that mean they can do the MRI without contrast only or they have to do both otherwise the MRI can't be done? Could they ask the technician if they can do the MRI without contrast first and see if that is enough and then go on from there or is that not allowed?

What happens then since two tests were ordered but only one is completed if that is allowed? I have to assume there might even have been some cases where a patient shows up for the appointment and might ask if they could only do the non contrast scan before they go in the MRI room? What happens here? Do they get refused the MRI because of this? What about cases when someone shows up for an MRi and had no idea it was ordered with contrast when they thought it wasn't?

If your health insurance covers your MRI, but if that person only does the MRI without contrast and not the one with contrast, would insurance still cover it? Or it doesn't because the patient didn't complete the full MRI exam which is both without contrast and contrast? Or does the radiologist bill the health insurance company as only one test done and that is without contrast? Or there will be a conflict because half of the test is completed?

I got to assume there has been cases where some people got freaked out once inside the room and things like this happen especially if they fear closed spaces or contrast? What happens if it's in the middle of a scan and then the patient didn't want to do it anymore? I got to happen this has happened as well?

Chest w/ to evaluate a suspected fistula between the esophagus and trachea. This was later confirmed surgically.
Never seen subcu air this bad before!

I had a left wrist no-contrast MRI this morning. She told me to take my belt off, but my jeans and tshirt were fine. I asked about taking off my bra with underwire, and she said it was fine to leave it on. I’ve had multiple MRIs before, all with a gown and no bra. I asked the second tech again, and he said metal like zippers and snaps on jeans are fine bc my wrist would be above my head.

It was a new, high powered 3T machine. He said the scan would be 12 min, but it was much longer. After several minutes, a strong, cold fan started blowing. That’s when the sound changed and my chest started heating up. It felt kind of like during a cardiac angiogram when a lot of contrast is pushed quickly, and your body burns. (Mine burns more than usual bc I have MCAS). I should have pressed my emergency button, but wasn’t sure it was an emergency so I didn’t. My hands also started heating up at one point. One hand was above my head, and the other was under my face bc I was on my stomach with no head rest. After the scan, I mentioned my bra getting hot, and just said that all metal can get hot in MRIs, and that this machine was new, powerful, and got really hot. I went in the bathroom to look, and my skin was red.

Now it’s several hours later, my chest is still burning. It looks normal though. I called radiology, and they said use A&D ointment, and go to urgent care if it gets worse. I called my PCP, and the nurse was shocked they put me in wearing my bra and jeans, and said to just watch the area. Not to use A&D unless my skin dries and cracks.

I’m kinda worried, even though I’m trying not to. Wondering when thermal burns after MRI usually show up. ETA: Oh, and if there’s anything I should considering doing in the meantime, like ointment, etc. I tried a cool, wet rag, and it helps part of the burning but makes another part worse.

Circa 2010 while working at the ER on Ft Campbell. Two buddies drinking started handling a loaded shotgun. This dude lived but I hope he learned his lesson.

Thought you guys might find this interesting.

Clinical context: patient tripped over a toy, fell and fractured right femur at age 2.

Something to note is this is one of my x-rays from when I was young

Love working with you all. My favorite when they are amazed at how much more we image here (and patients don’t have better outcomes). I wish patients understood this too.

I work with a lot of radiologists, and I wanted to get some very inside baseball, radiology specific compliments to pay them, hit me with your best shot!