R3 Journal

This new R3 Pictorial Essay explores the radiologic findings of common plastic surgery procedures and the complications that follow.

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Slicing Through the Tibial Plateau: How Classification of Tibial Plateau Fractures Impacts Communication | AJR Tibial plateau fractures present a unique set of challenges for both radiologists and orthopedic surgeons, requiring effective communication to tailor surgical planning on a case-by-case basis. This article explores common classification systems for tibial plateau fractures, including the Schatzker, Arbeitsgemeinschaft für Osteosynthesefragen/Orthopedic Trauma Association (AO/OTA), and three-column systems. Although the Schatzker classification system has been widely used since 1974 due to its easily recognizable fracture patterns, it fails to account for involvement of the posterior aspect of the tibial plateau, which can impact surgical decision-making. The AO/OTA classification system provides a detailed description of fracture morphology; however, it suffers from high interobserver variability and overlooks the posterior tibial plateau due to its reliance on anteroposterior imaging. The more recently developed three-column classification system addresses these limitations by using CT to address posterior column fractures, resulting in more comprehensive surgical planning. Understanding tibial plateau fractures from an orthopedic surgeon’s perspective, and clearly communicating all relevant information, is essential for radiologists to assist in preoperative planning.

When it comes to tibial plateau fractures, structure matters. This R3 Pictorial Essay explores how radiologists can better support surgical decisions using modern classification systems.

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Tibial plateau fractures demand clear communication between radiologists and surgeons. This R3 Pictorial Essay breaks down how classification systems shape surgical planning.

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Classifying tibial plateau fractures isn't always a piece of cake. This new R3 Pictorial Essay details the recently developed three-column classification system that supports more comprehensive surgical planning.

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What happens when three rare cardiac anomalies appear in one patient? This report examines the case of a 34-year-old woman and highlights the critical role of advanced imaging in understanding and addressing the complex interplay of her conditions.

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Explore a medical rarity. A patient's chest pain was the result of coronary sinus stenosis, a coronary sinus aneurysm, and a right coronary artery to coronary sinus fistula. This R3 Case Report explores the diagnosis and treatment.

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Fewer than 80 cases of coronary sinus stenosis have been reported in the literature. This R3 Case Report details a case that includes an aneurysm and a coronary artery fistula in a young woman.

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Global splenic infarction is a critical diagnosis that can lead to functional asplenia. It is challenging to spot on portal venous phase CT. Read the full case report, with open access until August 22.

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Recognizing congenital internal hernias on imaging is essential for timely diagnosis and intervention. This new R3 Pictorial Essay outlines the types, key findings, and clinical implications.

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Fibrosing mediastinitis can mimic malignancy on imaging, making diagnosis a challenge. This R3 Pictorial Essay walks through classic findings, atypical appearances, and important mimics.

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Despite newer imaging options, chest X-rays remain the go-to first step in diagnosis.
Part 2 of this series explores key radiographic signs that guide critical decisions.

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Chest radiography is the most widely used imaging exam in the world, but interpretation can be tricky.
This case-based review covers essential signs every radiologist should recognize.

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YouTube video by ARRS Managing Incidental Splenic Lesions

For more on the topic, watch the Author Interview:

www.youtube.com/watch?v=VxGQ...

Incidental splenic lesions can be a diagnostic headache. This R3 pictorial essay proposes a simple classification algorithm to help radiologists manage these findings, from benign to likely malignant.

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How should you evaluate new ML reconstruction tools? These promising approaches have limitations, including a "black box" nature and a need for further validation.

Learn what to look for in the new R3 "What's New?" guide.

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ML reconstruction promises faster scans and lower doses, but it carries risks like instability and new artifacts. Our new R3 "What's New?" review helps you navigate this complex technology with care.

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Epitransverse and paracondylar processes at the atlanto-occipital junction are easy to miss but can cause symptoms and complicate surgery. Learn what they look like and why they matter in this latest R3 case report.

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Incidental splenic lesions are common with CT. This article's proposed algorithm also makes them simple to manage.

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Great chance for radiologists at all career stages to get involved!

YouTube video by ARRS Managing Incidental Splenic Lesions

For more, watch Dr. Leyendecker’s interview with Dr. Taffel

www.youtube.com/watch?v=VxGQ...

Not all splenic lesions are created equal. This new R3 Pictorial Essay introduces a simple and clinically grounded algorithm for managing incidental splenic lesions 1 cm or larger.

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The latest R3 Pictorial Essay tackles subtle thumb ligament injuries by highlighting key ultrasound techniques to avoid misdiagnosis and mistreatment.

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Lateral trochlear OCD is rare and easily missed. This case highlights how subtle radiographic signs and MRI findings can guide early diagnosis and prevent long-term elbow dysfunction in young athletes.

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The thumb MCP joint is small but complex. Explore the anatomy, imaging findings, and clinical significance of its most common injuries in this new R3 Pictorial Essay.

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This R3 Case Report highlights cardiac ischemia as a rare presentation of a sinus of Valsalva aneurysm and demonstrates the critical role of CT in visualizing complex anatomy for surgical planning.

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This new R3 Case Report presents a rare case of giant sinus of Valsalva aneurysms affecting all three sinuses with coronary artery abnormalities.

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Learn how to diagnose ectopic pregnancy and early loss using the 2024 SRU consensus lexicon.

r3journal.org/doi/10.2214/r3j.24.01041...

Lateral trochlear osteochondritis of the elbow is an easy diagnosis to miss. Drs. Karbhari and Thapa help you make the call!

r3journal.org/doi/10.2214/r3j.24.01006...

Elbow OCD involving the lateral trochlea is rare and often missed on imaging due to subtle findings and overlapping anatomy, but early diagnosis is vital to prevent long-term disability.

r3journal.org/doi/10.2214/r3j.24.01006...

This echogenic bulge into the gestational sac is a chorionic bump, a rare and easy-to-misread finding.
Learn the key imaging clues and how to avoid common pitfalls in this new R3 Pictorial Essay.

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