@howardm19.bsky.social
I'm a nearly-retired Thoracic Radiologist at the University of Utah. My primary aspiration as a reporting radiologist is: the narrowest Differential Diagnosis possible -- preferably one only. My comments and assertions are, of course, my own.
Hmm, Who'd have thought...
13.09.2025 01:35 — 👍 0 🔁 0 💬 0 📌 0
This seems to be a complete disruption of the aortic lumen just distal to left subclavian artery.
Thus, an interrupted aorta with rib notching also on the CXR (blue arrows).
Agree ?
@mmestas.bsky.social, @laurengroner.bsky.social, @tlhm-md.bsky.social
Sometimes the frontal CXR tells the whole story:
Ah, the Cervicothoracic Sign...
(Back to Felson basics.)
:-)
A pulmonary vein varix :-)
17.04.2025 16:11 — 👍 5 🔁 0 💬 1 📌 0
Oh, I believe you!
Here it is:
Right here...
17.04.2025 01:45 — 👍 1 🔁 0 💬 1 📌 0
@mmestas.bsky.social @laurengroner.bsky.social
Just a perceptual teaser for your entertainment and edification:
All right!
05.04.2025 01:28 — 👍 3 🔁 0 💬 0 📌 0
I'm not really surprised...
10.02.2025 18:58 — 👍 2 🔁 0 💬 0 📌 0Oh...Yes :-)
21.01.2025 18:35 — 👍 0 🔁 0 💬 0 📌 0
"But, that right focal consolidation and contralateral tiny nodules bother me though… *lepidic/muc adeno alert*"
Indeed!
Surgical Lung Biopsy: Diffuse adenocarcinoma with areas of lepidic growth.
A relevant citation below:
Hi,
Thanks for responding.
What "...appropriate clinical setting" are you thinking of ?
Here's a follow-up CT done ~ 4 months later (prior to a surgical lung biopsy done another ~ 3 months later).
A clinical-imaging diagnosis of ILD was made in this patient.
How would you describe/report the (representative) CT images ?
I'll post a follow-up CT series later.
@mmestas.bsky.social
@tlhm-md.bsky.social
@danielvargas.bsky.social
@laurengroner.bsky.social
#radsky
#chestradsky
