Paul McCoubrie

Washed up: the end of an era for adrenal incidentaloma CT - Insights into Imaging Abstract For over 20 years, the two key tenets of adrenal incidentaloma (AI) evaluation have been the upper threshold of 10 Hounsfield units (HU) on noncontrast CT (ncCT) to delineate benignity, and t...

Bit of a game changer for the radiology of incidental adrenal lesions.

Fairly compelling argument for (1) doing away with washout CT (2) calling <4cm 10-20HU lesions benign

My life may just be about to become a little easier

insightsimaging.springeropen.com/articles/10....

A red squirrel on a dry stone wall

Happy #squirrelsunday! This little fellow posed very kindly and I just happened to have my big lens to hand

Seen this afternoon in Grizedale Valley, Lake District. Nikon Z8, 400mm, heavily cropped

You can ask me which of my colleagues said this to me but I’ll never blab

In truth, it could have been any of them

Seconded

Have you people [guestures vaguely] tried chewing them?

Apparently easier to expectorate when you inhale them

Or better, not eating that revolting ultraprocessed pink crap in the first place

Ah, thats shite. Sorry, man.

Long exposure effect picture of a Welsh waterfall, in black and white

Sgwd Yr Eira Waterfall in Wales on my old iPhone 11

If you have an iPhone, take a Live Photo then toggle the settings to “Long Exposure”. Bingo. No need for a tripod and dSLR

But don’t tell people. Honestly. All they do is take the piss

Unless you are prepared for a discussion about the etymology of the term saturnine gout and how modern sufferers are stigmatised with class-based discrimination

Just suck it down and never mention it. Honestly. They can be so cruel

Oh yeah. Welcome to The Most Unsexy Disease on Earth Club

Allopurinol 100mg doubling until you don’t get any twinges ever

And keep 3x20mg of pred on hand as it settles acute podagra better than colchicine, naproxen or whatever

(Touch wood, nothing for 7 yrs on 200mg allopurinol)

Back then such post mortem studies used rather thick and dense metallic salt solutions.

Moniz first used 25% sodium iodide in his first ever angiogram patients in the late 1920s

Lipiodol was used from the 1920s but water soluble iodinated contrast media was >1950s

Yup to both. Post mortem angiogram of a child. Plus image quality too good for an early study.

You have always been centrist, in fairness

Not often you hear the words ‘gentle’ and ‘vuvuzela’ in the same sentence

It’s deceptively youthful, innit? Not the smooth glass of soft Christmas cake that I was expecting

Section of Bob Mortimer’s autobiography

‘A fart that can only be described as lengthy but important’

“I was at a national radiology conference four years ago when a consultant surgeon stood up and stated, ‘Clinical examination is dead’. There was a stunned silence for a few moments then hushed murmurs of discontent.” www.bjsacademy.com/bjs-academy/... by @pmccoubrie.bsky.social

Very mild conditions

Tributes are flowing for Prof Barry Kelly from #belfast, a key figure in Irish #radiology. "He was a polymath, effortlessly weaving art, poetry, literature, philosophy, and medicine into mesmerising talks. He was radiology’s Stephen Fry," says
@pmccoubrie.bsky.social. buff.ly/R3SxYGA

Clinical examination is dead I was at a national radiology conference four years ago when a consultant surgeon stood up and stated, “Clinical examination is dead”. There was a stunned silence for a few moments then hushed…

🩻 A new view is here... and it's coming from the dark side...

Dr Paul McCoubrie brings you the radiologist's point of view (and kicks off this new series) with 'Clinical examination is dead'
➡️ buff.ly/Ws5HIz7

#surgery @pmccoubrie.bsky.social‬

I’m writing a new series of columns for @bjsacademy.bsky.social

Should be fun; come along for the ride

Richard. Not again. You know what the judge said after the last time you did this.

A picture of Amy Edmondson’s Right Kind of Wrong book

Should be mandatory reading for all doctors and healthcare leaders. Simply brilliant

@amycedmondson.bsky.social

Is that you naked? Again?

A particular Laurel tree in Fanal forest, Madeira, known as the witch tree. I fought it bare-handed and [ahem] rang rings around it

I fought an ent today

There was a very average girl at our school who was fond of honey liqueur. We called her Meady-Ann.

Alexei Sayle posing as Benito Mussolini in the Young Ones

Can also confirm that contrary to popular belief, I am not related to Benito Mussolini. Or Alexei Sayle.

A photo of me posing next to a statue in Monte Palace Gardens, Madeira

Such a resemblance it’s uncanny

Radiologists should employ simplicity of phrase, avoid arcane jargon and ensure reports are not Joycean, writes @pmccoubrie.bsky.social. buff.ly/3cJbfcq #Radiology #jamesjoyce

It’s Sal Ayesa’s new book, professional skills in radiology!

Just in time for my summer holiday - perfect poolside reading!

@salayesa.bsky.social

Glorious thread. Just glorious