It costs time

 Imagine preparing to operate on an obstructed hernia… and as soon as general anesthesia (GA) is induced, the hernia disappears. No bulge. No obstruction. No need for surgery, right? Wrong. 🔍 What Just Happened? The phenomenon is called  spontaneous reduction , where the hernia slips back into the abdominal cavity due to muscle relaxation under GA. While it may seem like a stroke of luck, this can  dangerously mask underlying bowel ischemia or obstruction . 🩺  Surgical Perspective: The Hidden Danger Muscle relaxation  under GA reduces intra-abdominal pressure, allowing herniated bowel to reduce. This is especially common in  inguinal and femoral hernias . It might  falsely reassure  the team that surgery is no longer needed. But what if the reduced bowel is  non-viable or strangulated ? If you close the case without inspecting the bowel, you risk  missing ischemia , which may lead to  perforation, peritonitis, or death . 🚩 The mo...

  🚽 Why It Matters Pediatric voiding dysfunction is one of the most  common but underappreciated referrals  to pediatric radiologists. While most children with urinary incontinence don’t have an underlying anatomic abnormality, imaging can be the  key to unlocking missed diagnoses , guiding treatment, and providing parental reassurance. This blog post explores the  embryology, neural control, clinical presentation , and  radiologic approach  to voiding dysfunction in children — so you, as a radiology resident, know when and what to look for. 🧬 The Embryologic Link: Why Bladder and Bowel Go Hand-in-Hand During 4–6 weeks of gestation, the  cloaca divides  into the bladder (anterior) and rectum (posterior). This shared origin means: Both organs are innervated by  S2–S4 sacral segments Dysfunction in one often affects the other Constipation can worsen urinary incontinence 🔁  Think of it as a two-way street between rectal and bladder ...

  Ever received a fetal scan report saying “mild pyelectasis,” and then the postnatal ultrasound called it “hydronephrosis”? Was it the same thing? Did it need follow-up? Antibiotics? A VCUG? Or was it just going to resolve on its own? If you’ve been asking these questions in your rounds or reports—you’re not alone. Let’s unravel the  why ,  what , and  how  of the updated  UTD Classification System  for pediatric urinary tract dilation, and why it matters for us as residents in radiology and pediatrics alike. 🔍  Why was a new classification system needed? Confusing Terminology : Terms like  hydronephrosis ,  pyelectasis ,  pelviectasis , and  pelvicaliectasis  were being used interchangeably—but not consistently. Disjointed Communication : Antenatal and postnatal reports often didn’t “speak the same language.” Pediatricians, nephrologists, urologists, and radiologists all interpreted the findings differently. Missed or O...

Hello Believers! Yesterday I performed USG guided percutaneous biopsy on a case of endoscopy negative gastric mass. Here are some take aways. - Gastric lesions are most commonly evaluated via "endoscopy with biopsy". - However, in certain cases — especially when the lesion is "submucosal, extrinsic, or inaccessible endoscopically" — "image-guided percutaneous biopsy" becomes necessary. - These techniques are increasingly used in "interventional radiology" with good diagnostic yield and safety profiles. 1. Indications for Percutaneous Biopsy - Endoscopy failure (due to poor access or inadequate sampling) - Large exophytic gastric masses - Suspicion of GISTs (Gastrointestinal Stromal Tumors)with extragastric growth - Lymphomas or metastases presenting as gastric wall thickening Reference:* Kim JH et al. Radiology*. 2014. CT-guided biopsy for gastrointestinal masses showed high diagnostic accuracy and minimal complications.  2. Imaging Modalities Us...

Youtube Channel      **Introducing "Radioglia" – A YouTube Channel Exploring Radiology and Beyond**   In the fast-paced world of medicine, time is one of the most valuable resources. That’s why I created " Radioglia ", a YouTube channel dedicated to bringing you engaging and informative content about **radiology, medical imaging, and healthcare advancements**.   Our channel is designed to **educate, inspire, and spark curiosity** among medical professionals, students, and anyone interested in the world of radiology. Here’s what you can expect:   🔍 **Deep Dives into Radiology** – From X-rays to MRIs, we break down complex imaging techniques in an easy-to-understand way.   🧠 **Expert Insights** – Case studies, and discussions 📡 **Latest Innovations** – Stay up-to-date on AI in medical imaging, new diagnostic tools, and cutting-edge radiology technology.   🎓 **Educational Content** – Whether you're a student or a seasoned professional, we provide...

Hola Everyone ! When it comes to diagnosing pituitary microadenomas, precision is everything. These tiny, yet significant, tumors can cause hormonal imbalances leading to conditions like  Cushing’s disease . Traditional imaging methods often struggle to detect them, leaving many patients without a clear diagnosis. But what if a new MRI technique could change the game? A Breakthrough in MRI Imaging A recent study explores how  contrast-enhanced 3D T2-weighted SPACE MRI  is proving to be a game-changer in detecting  adrenocorticotropin (ACTH)-secreting pituitary microadenomas . This cutting-edge technique provides higher sensitivity and accuracy, allowing doctors to pinpoint even the smallest tumors with unprecedented clarity. Why Does This Matter? For years, detecting pituitary microadenomas has been challenging because of their  small size  and  similarity to surrounding tissue . Conventional MRI scans often fail to capture them, leading to delayed or ...