Discover and read the best of Twitter Threads about #Wetread

Most recents (5)

#Wetread Case 19

Hx: Abdominal Pain

Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #bodyrad
#Wetread Case 19 Answer: Cecal volvulus

= torsion of the cecum around it's mesentery
~10% of intestinal volvuli
30-60yo
often prior abd surgery or pelvic mass
present as prox colon obstruction (pain,n,v, distention)

#FOAMrad #FOAMed #radres #errad #bodyrad
Cecal volulus:
2 types:
-Axial - twists about axial plane (either way) but remains in RLQ
- Loop type - twists and inverts moving to LUQ

Bascule is a variant where the cecum doesn't twist, just folds up anteriorly (NO torsion!)

From UpToDate (a=axial, b=loop, c=bascule):
Read 6 tweets
#Wetread Case 18

Hx: Chest Pain

Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad #CXRarehard Image
#Wetread Case 18

So hopefully everyone saw this pleural based opacity in the RUL. But does anyone see the other finding? 🤔 #CXRarehard #chestrad Image
#Wetread Case 18

Turns out pt had some pain radiating to their neck so they got this C-spine X-ray. Perhaps one of the rare times a non-trauma C-spine X-ray is helpful? 😁 Image
Read 8 tweets
#Wetread Case 17

Hx: Wrist pain

Professionally appropriate gif responses only please. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #MSKRad #orthorad

Social media breaks are a good thing!😁 ImageImage
#Wetread Case 18 Answer: Trans-scaphoid Perilunate dislocation

-lunate still "normal" position while other carpal bones dislocate dorsally
++ assoc scaphoid fx! ⭐️⭐️ (count the proximal row 😁)

#FOAMrad #FOAMed #mskrad #errad #orthorad Image
Perilunate Dislocation:

Mechanism: high-energy trauma (MVA) or FOOSH (fall on outstretched hand)

Injury: torn radioscaphoid, scapholunate & lunotriquetral ligaments

👀 for the scaphoid fx!
Read 5 tweets
Wetread Summer Series Case 7

Hx: scrotal pain (we got a bit different hx from the pt...)

Please answer with PROFESSIONALLY APPROPRIATE gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad Image
#Wetread SS Case 7 Answer: Penile Fracture

Hx was actually classic "Heard pop w/ pain during intercourse"

US shows 1 corpus spongiosum + 2 corpus cavernosa. Examine for rupture of the tunica albuginea which surrounds the CC and CS ->deflation. Hematoma (red) extends proximally. ImageImage
-Hx is typical
-Imaging classic once you get there.

-ER often just orders a scrotal US (need penile US).
-Uncommon so US techs may/may not know how to scan

Get trans/long images looking for CC/CS ruptured hyperechoic albuginea and/or hematoma

Urtheral injuries rare but occur
Read 3 tweets
Wetread Summer Series Case 1

Short, easy and simple because we all need a break sometimes.

Hx: Assault, face swelling Finding?

Professionally appropriate gif responses only please. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #NeuroRad? 😆 Image
SS Case 1 Answer: Radiesse cosmetic filler

Most collagen fillers are ~fluid density

Radiesse is calcium hydroxylapatite so it is hypderdense on CT (low-intermed on T1/T2 MRI).

Resorbs >2yrs and can see initial local inflam
#wetread #RadRes #ERRad #Neurorad #InstagramRadiology
Glad to see so much interest in this one. I thought it might fall a little flat! 😮🤦‍♂️ And I LOVED all the gifs! 👍🤣

Nice article from AJNR on Injectable Fillers : ajnr.org/content/34/8/1…
Read 3 tweets

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