Radiologist @HennepinHC. All views & opinions my own, nothing to do with employer. I share my experience with Spectral CT, 3D CT, learning cases.

Minnesota, USA
Joined May 2018
Attention to #spectral images! @CtSpectral ⚠️ The endobronchial content is enhancing --> solid! 1️⃣Virtual non-contrast (VNC)= 39HU 2️⃣Conventional= 71UH (>20UH compared to VNC) 3️⃣ Iodine density =1.26 mg/ml
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#12 The Many Faces of Organizing Pneumonia (OP) 🎭 1⃣ OP is a term used to describe a nonspecific response to lung injury (infection, drugs, RT, autoimmunity, cryptogenic...) 🫁 Radiological features of OP are wide: consolidation, GG, nodules & other more specific features ➡️🧵
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For anyone who wants to view this offline, here is a pdf copy. I took out some of the animated images, so there is a slide or two that is incomplete, but nearly complete. dropbox.com/s/8b72ij0wvfu1f5…
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Excited to share that our educational exhibit on the current state of interstitial lung disease imaging was awarded a MAGNA CUM LAUDE award by @RSNA. Please come check it out. @UChicagoRADS @UCSDRadRes @ChestXrayDoc @UWiscRadiology @CURadiology @UKyRadiology @OHSURadiology
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A very informative and comprehensive review of “Multi-Energy CT of acute abdominal Emergencies” by Dr. Gopal Punjabi @ERadSociety #ASER23 #ERad #Radiology #Radres – at San Diego, CA
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Contrast induced nephropathy
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Thank you @EsgarSociety for the Magna Cum Laude award of this #Esgar2023. This award is not only mine but also from my colleagues Dra.Canales, Dra. Garcia Latorre and @nicoalmeidaa and great collaboration of @CtSpectral
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Iodinated contrast for emergency scans update by RCR👇🏻👇🏻👇🏻
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Don’t shoot the messenger, but here is a striking bit of data from the #A3CR2 Chief #radres survey. Everyone thinks “yes, but WE do it well.” When anonymous data is collected, maybe not as well as you think. #AUR23 @theAPDR
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Finishing a drawing that is extra special to me. @HennepinHC
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Gopal Punjabi retweeted
T2 bright, T1 dark, heterog arterially hyperenhancing, no uptake hepatobiliary phase: hepatic adenoma, inflammatory subtype! Most common, previous 'telangiectatic FNH', 'atoll sign' can be helpful @BrighamRad @AURtweet @FOAMrad @SAR_RFS @futureradres @CBRadiologia #MedEd
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Gopal Punjabi retweeted
Replying to @northwoods1980
Positive oral contrast? Nope. To quote @CtSpectral: Five percent of the time it helps. Five percent of the time it hurts. Ninety percent of the time it’s useless.
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#Oncallcases for Radres. 30yo with fever. Whats your dg? What would you tell the ER doc? Which spaces are usually involved? Whats the space name (arrow) in the last image and potential complication?@CtSpectral @AnaVillanuevaCa @RadiologyVibes @daniel_gewolb @nattvb1 @nverma21
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A new #yescct case at @RMyTC_Rosario by @eliseovano. Coronary CT of a 50-yo patient, because of previous history of chest pain. This is the calcium score. @CastellaccioDr @TLHM_MD @DanielVargasMD @CSmuclovisky @FCademartiri @AnaVillanuevaCa @marcosmestas @draceciferrario
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Congenital right atrial aneurysm @HennepinHC @CtSpectral #Cardiotwitter
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Hot study alert! 🔑Stand-alone performance of the AI-tool disappointing <<< marketed performance of the software 🔑Reader performance remained unsatisfactory w/ AI 🔑Reading time increased 😱 👉10.1007/s00330-022-09315-z #AI #radiology #ArtificialIntelligence @ESR_Journals
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Gopal Punjabi retweeted
One of my favorite quotes from a Recents RSNA lecture. “IPMN’s are essentially a disease of modern, high resolution imaging”. Me-The life years and quality life years saved by radiologists working up, following pancreas cystic lesions probably a negative number🤷‍♂️😩😬
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In the following weeks I will be sharing some tips that I believe will help you when reporting #trauma #EMRad cases Case 1. 20 yo M. Fall from 7 stories high. What are the arrows pointing at? ❔Pneumomediastinum ❔Pneumopericardium ❔Pneumothorax ❔ All of the above
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Replying to @CtSpectral
Companion case seen the other day at @RMyTC_Rosario. Posterior gastric ulcer in a proven gastric neoplasm, better seen in the low-KV images and in the iodine overlay than on the conventional images. @eliseovano @CastellaccioDr #FOAMed #SpectralCT
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CT did confirm minimal depression of the lateral plateau.. (this would be schatzker 3). And just because we have fancy tool of dual energy CT, we can see the bone marrow edema also (green colour). #MedTwitter #radtwitter #orthotwitter @CtSpectral you might like the image.
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