Ziad Risheq, MD's Avatar

Ziad Risheq, MD

@nuclidenotes.bsky.social

Nuclear Medicine | Hybrid Imaging Board Certified Nuclear Cardiology, CBNC Board Certified Cardiovascular CT, CBCCT Board Certified NM, FEBNM #MedSky #RadSky #NucMed

59 Followers  |  55 Following  |  16 Posts  |  Joined: 24.11.2024  |  1.8716

Latest posts by nuclidenotes.bsky.social on Bluesky

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โ˜ข๏ธ SPECT/CT: Intense uptake in osteosclerosis and involucrum.
Lucent tracts extending to defects with the involucrum = cloacae.
Cold, dense fragment within cystic cavities = sequestrum.

โœ… Final diagnosis: Chronic osteomyelitis.

#NucMed #RadSky #MedSky

13.06.2025 07:59 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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โ˜ข๏ธ SPECT/CT MPI: Irreversible, large sized (4 segments) perfusion abnormality of moderate intensity located in the inferior and inferolateral walls.

โœ… Diagnosis: Non transmural MI.

#MedSky #RadSky #NucMed

18.05.2025 18:59 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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โ˜ข๏ธ SPECT/CT: diffuse perfusion and delayed tracer uptake in acetabular zones (I, II, III) osteolysis, subcortical sclerosis, periosteal reaction.

โœ… Diagnosis: septic loosening of acetabular component.

#MedSky #NucMed #RadSky

10.05.2025 16:16 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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โ˜ข๏ธ Pituitary focal FDG uptake:
โœ… Adenoma
โœ… Autoimmune hypophesitis
โœ… Metastases

#NucMed #RadSky #MedSky

23.04.2025 18:21 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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โ˜ข๏ธ FDG PET/CT: irregular retroareolar soft tissue mass of intense FDG uptake and spiculated margins, typical appearance of IDCa.

โœ… Diagnosis: IDCa (NOS) ER+, PR+, HER2- (Luminal A).

#NucMed #MedSky #RadSky

18.04.2025 18:22 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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โ˜ข๏ธ SPECT/CT: well defined ovoid subperiosteal lesion along the lateral cortex of the right 2nd MC diaphysis. cortical mild tracer uptake suggestive of active regional bone remodeling.

โœ… Diagnosis: Periosteal chondroma.

#NucMed #RadSky #MedSky

18.04.2025 09:08 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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โ˜ข๏ธ FDG PET/CT: left lung subpleural oval shaped mass like consolidation without significant FDG uptake with indwelling of pulmonary vasculature.

โœ… Diagnosis: Rounded atelectasis.

#MedSky #RadSky #NucMed

17.12.2024 05:43 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿ—“ 32-year-old male with prior successfully treated chronic osteomyelitis and septic loosening of the femoral stem (see chronic osteomyelitis post) with debridement and revision surgery, presented with right hip and groin pain for the past 3 months and unremarkable radiographs

03.12.2024 06:01 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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โ˜ข๏ธ SPECT/CT: intense uptake in acetabular roof fracture with callus formation, and greater trochanteric (Vancouver type A) fracture.

โœ… Diagnosis: Periprosthetic acetabular and greater trochanteric fractures. #MedSky #RadSky #Nucmed

03.12.2024 06:01 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

It forms at the junction of left subclavian and internal jugular veins, courses inferiorly on the left side of the aortic arch and anterior to the left hilum, draining either into the coronary sinus (90%) or directly into the left atrium (10%).

29.11.2024 18:15 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Left-sided superior vena cava is the most common venous congenital anomaly in the chest. The reported incidence is 0.5% in normal population and in 5% in individuals with congenital head diseases.

29.11.2024 18:15 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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โ˜ข๏ธ PET/CT scan shows a rounded tubular structure adjacent to the aortic arch coursing inferiorly anterior to the left hilum draining into the coronary sinus.

โœ… Persistent left SVC.

#RadSky #MedSky #Nucmed

29.11.2024 16:13 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0
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๐Ÿšจ Join me tomorrow for an exciting online session! ๐Ÿšจ

bcv.app/talks

๐ŸŽฏ Topic: The Role of Nuclear Medicine SPECT/CT in MSK Problems

Weโ€™ll explore how SPECT/CT revolutionizes MSK imaging by offering precise diagnoses and improving patient outcomes

#RadSky #MedSky #NucMedSky

27.11.2024 05:54 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Right hip pain 2 years after arthroplasty - BerlinCaseViewer A 64-year-old female with a history of right hip hemiarthroplasty performed over 24 months ago presents with a recent complaint of right hip pain. The pain has ...

64-year-old female with history of right hip hemiarthroplasty and right hip pain. #MedSky #RadSky #NucMedSky

public.berlincaseviewer.com/WebApp/Key/H...

25.11.2024 16:17 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿ™๐Ÿผ๐Ÿ™๐Ÿผ

24.11.2024 07:01 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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A 32-year-old patient underwent FDG PET/CT, showing a well-defined mass in the right anterior mediastinum with intense FDG uptake (SUVmax= 8.5), smooth lobulated margins, and internal low-density necrotic regions. There was no vascular invasion, and mediastinal planes were intact. #medsky #radsky

24.11.2024 06:45 โ€” ๐Ÿ‘ 7    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

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