Case of the Day 088 - 2025 08 19 - Modic Type 1 Changes & the Claw Sign - Degeneration of Infection?

52 years old with back pain.

First MRI- T2 bright disc with Modic type 1 changes

The video discusses the case, the follow-up study, the claw sign and diagnosis.

Video
youtu.be/UHpz9TiSUAA

Case of the Day - 087 - 2025 08 18 - Multiple Lung Nodules and Associated Findings

66-years old with weight loss.

CT chest shows multiple varying sized lung nodules with a peribronchovascular distribution pattern.

The video discusses the case and approach

Video
youtu.be/1mBuIpyrINY

REF Classroom III - A Unified Approach to ILDs Including the New Aug 2025 Guidelines

17th Aug to 07 Dec 2025

1st Week lecture "Interstitial Lesions (Fibrosing and Non-Fibrosing) - Definitions and Terminologies - on YouTube in 4K

youtu.be/fJKtpU3G_bc

To Register
rzp.io/l/REFClassro...

Counting Down to 90 - Week 1536 - Touristy SoBo, The Gateway, The Taj and The Crowds

A weekend opposite the Gateway and in touristy SoBo

Audio and Text
www.bhavinj.com/1536/

#bhavinj #countingdownto90 #1500weeks #tajpalace #gatewayofIndia #SoBo

Perhaps Smartphone and Other Tech Usage is a Good Idea as We Age

It is possible that the increasing use of smartphones and the internet in the elderly contributes to the reduction in the rate of loss of cognitive decline.

Audio and text
www.atmasvasth.com/cognition06/

Case 55 - Typical or Atypical?

70-years old with a growing thigh mass

Thoughts?
A. Lipoma
B. Atypical lipomatous tumor
C. Well-differentiated liposarcoma
D. Myxoid liposarcoma

To answer

www.bstneoplasms.com/p/case55/

#bstneoplasms #softtissuetumor #thigh

Case of the Day - 086 - 2025 08 13 - Three Density Sign and the Bronchiolocentric Interstitial Pneumonia (BIP) Pattern

56-yrs old with known HP

The video - the three density sign and the new bronchiolocentric interstitial pneumonia (BIP) label/pattern

Video
youtu.be/cubj6Cd0nHA

Case of the Day - 085 - What the Mind Doesn't Seek, the Eye Won't See

10-yrs old with right scapular pain for 3 months, no fever.

The video discusses the concept of "you can't find what you're not looking for", the reason this diagnosis is missed again and again.

Video
youtu.be/DYKm8t5O0HA

Lecture - Spine Infections - Diagnosis, Imaging

1 hour lecture with Q & A that I took on 6th August 2025 for the REF-Cafe Roentgen series.

It covers various aspects of spine infections, with a focus on biopsy. There are 8 rules to be followed.

youtu.be/kk-OfQ1mp50

#spine #spineinfection

Case of the Day - 084 - FAVA

45-yrs old with a 15-yrs history of pain and swelling along the medial aspect of the elbow,

MRI shows a typical appearance characteristic of FAVA, a newly introduced term.

The video explains the diagnosis and shows another similar case.

Video
youtu.be/Rzbh2mTQG7c

The Many Faces of Airspace Enlargement with Fibrosis (AEF)

AEF is a distinct entity where fibrosis within areas of emphysema produces a characteristic appearance in patients with COPD, both in smokers and never-smokers

Discussion of entity with cases
www.ctchestreview.com/snippet27/

Counting Down to 90 - Week 1537 - How did the Pious Act of Pigeon Feeding Suddenly Become a Potentially Cognizable Offense?

Pigeon feeding's around for centuries, and is now a public health problem. Filing FIRs is like taking a sledghammer to a nail.

Audio and Text
www.bhavinj.com/1537/

Personal Air Purifiers Do Make a Difference to Blood Pressure

Since we can't depend on the system to help with reduction of traffic related air pollution, it is worth investing in personal air purifiers at home and in the office

Audio and text
www.atmasvasth.com/airpollution04

REF Classroom III - A Unified Approach to ILDs Including the New Aug 2025 Guidelines

17th Aug to 07 Dec 2025 - added two extra weeks

17 Weeks Asynchronous Learning Course Based on this Flow-Chart

youtu.be/xUf4-6biaaQ

To Register
rzp.io/l/REFClassro...

Snippet 208: “Snippet 208: “Masses” on Echo but “Pseudotumors” on Cardiac MRI

Calcified amorphous tumor of mitral valve, vegetations, thrombus, endomyocardial fibrosis membrane

Video and discussion
www.mricardiac.com/snippet208/

Case of the Day - 083 - Diffuse Cystic Lung Disease with Additional Findings

31-yrs old woman with mild dyspnea.

The CT shows classic round cysts highly suggestive of lymphangioleiomyomatosis (LAM).

The video discusses additional findings .

Video
youtu.be/KghnW6BVs60

Case of the Day - 082 - Where is the Nodule?

72-yrs old with a left mid-zone nodule on a chest radiograph.

The CT scan did not show a lung nodule.

What was that nodule then on the chest radiograph? Artifact? Resolved? Something else?

Video
youtu.be/ATSdCFYSp_Q

Snippet 27: Airspace Enlargement with Fibrosis (AEF)

Airspace enlargement with fibrosis (AEF) - a distinct entity with fibrosis within areas of emphysema. Characteristic appearance in patients with COPD, both smokers & never-smokers

Discussion of entity with cases
www.ctchestreview.com/snippet27/

Case of the Day - 081 - High Density Foci in the Lungs - Cause?

57-yrs old with cough.

CT shows scattered high-density foci in the lungs.

Thoughts?

Video
youtu.be/KMv5vXCnMZs

#caseoftheday #lungnodules #highdensity

Case of the Day - 080 - 2025 08 04 - Rapidly Progressive ILD (RP-ILD) and Pneumomediastinum - A Deadly Combination

55-yrs old with myositis ILD and RP-ILD in 3 1/2 months with pneumomediastinum and superimposed infection.

Video
youtu.be/lc5jnyim4yE

#caseoftheday #ILD #CTDILD #myositisILD

Being Safe on the Roads is as Important as Screening for Cancer

Since we can't depend on the system to help with road safety, it is up to take all precautions possible to avoid getting injured or killed.

Audio and text
www.atmasvasth.com/roadaccident...

#atmasvasth #healthfulageing #longevity

How to Approach Pelvic Nodes for CT Guided Biopsy

Different approaches

www.ctbiopsy.com/case169/

#ctbiopsy #irrad #pelvis #pelvisnodebiopsy

Case of the Day - 079 - 2025 07 31 - Calcified/Ossified Tracheal Rings in the Young are Abnormal

31-yrs old known to have idiopathic tracheal stenosis, perhaps post-tuberculous.

A follow-up CT showed calcified/ossified tracheal cartilage, which is abnormal

YouTube video link
youtu.be/j8Ml0o5vqbo

Case 169: Common Iliac Node Biopsy with a Posterior Transiliotransverse Ligament Approach

66-years old with Ca breast and a new right common iliac node

The video discusses the case, the biopsy and the various approaches to pelvic nodes.

www.ctbiopsy.com/case169/

#ctbiopsy #irrad #pelvis

Case of the Day - 078 - 2025 07 30 - Looking at the Sagittal Spine in all CT Chest Reads

68-yrs old with a non-UIP ILD.

This video is about how I read new ILD scans, and the importance of looking at the sagittal spine in all cases

YouTube video link
youtu.be/JQ_DQtNdKoc

Case of the Day - 077 - 2025 07 29 - Decoding Septum Predominant Hypertrophic Cardiomyopathy

56 yrs old with HCM on echo.

The video describes the various findings that we have to look for and report.

YouTube video link
youtu.be/d23QY0Pbz0o

Case of the Day - 076 - 2025 07 28 - Bubble Lucencies

68-yrs old with pelvic surgery 4 months ago and 5 days history of fever.

CT chest shows an RLL opacity with bubble lucencies.

The video explains the concept, the differentials and the eventual diagnosis

YouTube video link
youtu.be/0fLgZ7h7ts8

Counting Down to 90 - Week 1539 - Twenty Fours of the Wadala IMAX

The Wadala IMAX has been part of our lives for almost a quarter century now.

Audio and Text
www.bhavinj.com/1539/

#bhavinj #countingdownto90 #1500weeks #imax #imaxwadala

Diagnosing Diabetes Early and in the Elderly and the Prediabetes Label

Diabetes is one of the 5 components of the modern syndemic. The biggest tragedy is the number of undiagnosed people around us - we can help by getting everyone around us tested.

Audio and text
www.atmasvasth.com/diabetes03/

Case 54 - Multiple Bone Lesions

41-years old with fever

Thoughts?
The answer is lymphoma

The video explains the case, the differentials including two others and how the diagnosis was reached

www.bstneoplasms.com/p/case54/

#bstneoplasms #radres #spine #pelvis #bonetumor #bonelymphoma