Thank you Dr Fishman!

Thanks 🙂

😮

My unltrasound result i have my parenchymal fatty liver.my.liver is normal my pancreas is also normal no vocal mash found both kidney is normal

Sir u r such an amazing teaching ❤️, i wish u were my supervisor, i never actually had good teachers.... as i belong to a very backward country pakistan

Hello and thank you for the knowledge

In 2025 these lectures are still perfect and calm and collected presented

Bowel is hard!

I hate it

What dicom reader is that? 😍

intraductal papillary-mucinous neoplasia.

I think it is also good to include cystic neoplasm of pancreases

Excellent lecture

Wht does Ipmns mean??

Liposarcoma Have minimal or no fat Large mass looks cystic involving kidney and right psoas muscle Lymphoma is solid

Best radiology lecture! Thanks from emergency medicine.

Los videos deberian estar en español

Why wasn't a true AP or lateral performed? Bot6h projections are incorrect by about 10-15 degrees. Accurate radiography is required for pre and post operative assessment

Hello sir. I've been an xray tech for 10+ years and I have some ideas on how to address the tech shortage that include better pathways to education and employment.

thank you

thank you and happy new year from Algeria

Debbie and I are in LA. The destruction in the areas of the fires like Pacific Palisades is hard to process. Once the fires are contained, the restoration will take years. Very sad and scary situation.

I learnt a lot from ur case presentations! Thanks for ol

that was great thank you 🙏

Thank you so much Dr Fishman for extremely useful lectures! Again and again!

Thanks for cases and Happy new year 2025

Happy New year 🎊🥂

Nggak tau artinya

Mine is t7. Noted in 2022. Years of pain drs ignore it say nothing to worry about

Great cases as always!Thank you so much!

Nice discussion Elliot. An additional factor is the complexity of cross sectional imaging that has exponentially exploded. When I was your fellow in the mid 80’s, a CT had three, maybe four sheets of images. Now, a routine oncology multiphase CT chest/abd/pelvis (sometimes neck too) with comparisons requires reviewing thousands of images, (typically 1.25mm slice thickness or less)…including the current case to look for findings, and then compare to the priors, sometimes several. The older the patient, the more the findings. Sometimes there are 50 or more findings per case and if each takes at least 30-60 seconds to assess, compare, dictate, you’re looking at a productivity black hole. It’s no surprise the backlog is so great. It’s also not surprising that when radiologists are paid by the click/RVU (such as private equity owned practices) accuracy/sensitivity (from what I’ve seen) seems to crater…a topic of academic interest?

I was a resident "back in the day" when jobs were scarce for rads coming out of training (mid-90s; "look right, look left"). Now I'm "the old guy" and looking to retire in a few years. Radiology has been a great career, but 30 years has been plenty. As you allude to, it's not just radiology where docs are overwhelmed. I can't think of a single colleague that doesn't feel like their work is like drinking from a fire hose.

AI is great but be warry of the perverse incentive to control its abilities, just tweak the parameter to only flag things of a certain degree, ie only subpleural fibrosis of a certain amount/location and only nodes of certain size irrespective of other features. The same already happens in most emergency rooms (if they actually even have a radiologist) ie we only report that which is obviously and immediately catastrophic to life, we are not required to report incidental findings unrelated to the reason for performing the study, the indolent lymph node can wait and in any event if it does grow P will come back anyway. This is a terrible system. Same can and will happen with AI and very much so in the public health setting. Not so much a solution but certainly something to watch out for as it will fit in very nice with current issues associated with the reductionist model for medicine. Here here for a Universal Basic Income and genuinely quality health care for all - would probably change the metric across our societies - make people happier - more likely to innovate. Two cents

Overutilization especially with mid levels ordering in the ER is a big problem. I am sure they are overwhelmed too though.

Thx for great cases.

Excellent cases, as usual. Thank you!

Nsnhk. 😢dyhdhdhxhxhxhhxhchchchchy2gdvhfnrgshdjfhs7e76r6e6rundbdhd

thank you , very interesting , and happy new year , if you can more ultrasounds cases , and thank you again

Happy new year

Cheer~~~of or situated at the base of something, especially of the skull, or of the organ of Corti in the ear.😅

👌

👌

Awesome

It will be interesting to see how onboarding AI reading of results effect error rate. Personally, I think the results should be looked at first by a human, then looked at second my AI and see if there is any discrepancies and then a second human can take a look at those discrepancies (if any)

You're doing a fantastic job! Could you help me with something unrelated: My OKX wallet holds some USDT, and I have the seed phrase. (alarm fetch churn bridge exercise tape speak race clerk couch crater letter). What's the best way to send them to Binance?

CT scans for my chest show a groundglass density structure thought likely to be residual thymus found on abterior mediastinum. Could this be something that warrants additional tests or second opinion by different radiologist?

Its probably b3cause how competive schools are now with students having to get all As to possibly get with schools rejecting students that have a 4.0 gpa my school only accepts 30 students per year but gets between 200 to 400 applications only interview the top 30 applications based on points systems getting all As in your preq is not enough you also have to do a bunch of extra credit stuff like bonus classes just to get interviewed to possilby get in a long with hand written essay that getd scored.Its a two year progam but by the time you do your preq and get accepted if you even do its gonna take you as much time as if you just did a bachelors degree.Aslo when you get into this progams its really easy to get kicked out.

Thank You Very Much !!

It is a hopelessly inadequate lateral which must reduce diagnostic interpretation

Thanks for sharing, vengo del curso de LANS de AngioTC.