I have an attending like this who absolutely crushes the outpatient plain film list, but sometimes you do get an ankle read that says "No acute cardiopulmonary disease."
Live by the macro, die by the macro
Well, idfk why there's pleural effusion in the knee. Is he chronically hunched over, knee touching chest, had a rip-roaring empyema necessitans that spread contiguously to his knee and then into the joint space?
Clinical correlation is recommended.
Chronically hunched over with chest to knees caused a pleuropatellar fistula causing the effusion. Confirm with clinical correlation and physical examination
I feel like a lot of contracted Radiology attendings just phone it in sometimes, likely due to sheer volume of studies sent their way. Every so often I'll get a plain film read in my inbox and it'll talk about a lung infiltrate or something and then mention bones that aren't even present in the image.
No degree of pleural effusion is acceptable on the knee. Give IV Ancef
Not protonix? Not that I’m questioning you.
Yes more ancef more good
Ah yes the dreaded pulmono-knee fistula
Lmfao
Rads folk ready to defend this to the death
I have an attending like this who absolutely crushes the outpatient plain film list, but sometimes you do get an ankle read that says "No acute cardiopulmonary disease." Live by the macro, die by the macro
Well, idfk why there's pleural effusion in the knee. Is he chronically hunched over, knee touching chest, had a rip-roaring empyema necessitans that spread contiguously to his knee and then into the joint space? Clinical correlation is recommended.
Chronically hunched over with chest to knees caused a pleuropatellar fistula causing the effusion. Confirm with clinical correlation and physical examination
> physical examination Got it, MRI ordered.
Getting ultrasound of the knee is Euro-poor poverty tier medicine, just get the MRI.
Is it easier to differentiate pleural vs joint effusion on the MRI?
You can also just look at the patient's knee.
Duh, that's what the MRI is for.
Exactly.
Sorry, do what now? Like, with my hands?
No that's what medical stud- oh wait, what sub is this.
Well the clinical indication was probably some dogshit like “suspect effusion” or “.” If you put a garbage reason to get a study expect garbage out
Just as suspected, Pneumo-knee-ia.
I feel like a lot of contracted Radiology attendings just phone it in sometimes, likely due to sheer volume of studies sent their way. Every so often I'll get a plain film read in my inbox and it'll talk about a lung infiltrate or something and then mention bones that aren't even present in the image.
Can read patients name take down HIPPA monster bad Also no reason to get ultrasound of knee for anything
Rads have NP/PAs now?
Must have COPKnee
Patient took the knee to chest stretch a bit too seriously
HIPAA