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“Bone within bone” appearance of proximal femoral diaphysis in sickle cell disease. This appearance is due to chronic medullary bone infarction with a sclerotic rim (reflecting the new bone formed around old infarctions). The lucent rim between the cortex and the medullary

Life is mostly froth and bubble. Two things stand like stone. Kindness in another's trouble, Courage in your own. -Adam Lindsay Gordon

Double contour sign! It is a sonographic sign specific for gouty arthritis. Why does it occur? In gout, monosodium urate crystals deposit on the surface of the hyaline cartilage within the joint. This results in two distinct echogenic lines: 1.Deep line = normal

If one does not know to which port one is sailing, no wind is favorable. — Seneca

Tell me which is your favorite radiographic projection and why it is axillary view of the shoulder? 😅 Majestic! I have a soul crush on this view!

Imperfections are not inadequacies; they are just reminders that we're all in this together.

Nothing fancy today! One view is NO view! Finger avulsion fractures are often only seen on lateral view!

🚨A 28-year-old woman becomes comatose after sudden headache and vomiting. No history of trauma; previously healthy except for episodic migraines. Intraventricular hemorrhage is identified on initial imaging. 🕵️What could underlie this presentation in this young patient?

The joy of science isn’t in the certainty; it’s in the struggle to make sense of the chaos. —Richard Feynman

By three methods we may learn wisdom: First, by reflection, which is noblest; Second, by imitation, which is easiest; and third by experience, which is the bitterest. —Confucius

Layering or hematocrit level or differential density within an acute intraparenchymal bleed on CT? Think: 1. coagulopathy 2. anticoagulants 3. Tumor-related bleed 4. evolving /expanding hematoma with active bleed. —On-call pearls from my reporting list

Nothing fancy today! This is just a classic case with an elevated posterior fat pad (also called the “posterior fat pad sign”) on an elbow X-ray, with an ultrasound to back it up. —Classic signs in radiology from my reporting list

If it costs your peace, it’s too expensive. Let it go.

Nothing fancy today! Just a classic case of papilledema on MRI: 1. Flattened posterior sclera 2. Protrusion of the optic nerve head (bulging into the globe) —Classic signs from my reporting list