Movember Quiz Answers

Congrats to Drs Dey, Vosburg, Bonney and Bulzan - y'all did great. Below are the answers for this month's quiz - We will see you in February!

1. Males 30-49 years because of occupational exposure and risk taking behavior. Runners - affect male genitalia. (historically not currently - military) (2 points)

2. Thumb - protection when clenched in the palm. (1 point)

3. More than 24 hours after injury, use methamphetamines, or have evidence of multiple freeze-thaw-refreeze injuries (3 points)

4. SPECT-CT - precise anatomical localization of functional information for surgical planning. Define exact level of bone necrosis. Better evaluate small digits and tips of distal phalanges. Evaluate response to treatment. (3 points)

5. Penile fracture - is a tear in the tunica albuginea with rupture of corpus cavernosum. Freudian slip in the original question - sorry - 1 point

6. T1 and T2 hypointense thickening (plaques) of the tunica albuginea. Acute - enhancement of plaque. (2 points)

7. Liposarcoma - frequently demonstrates thickened septa or enhancing soft tissue components. Scrotal liposarcomas are larger and may demonstrate local invasion or metastatic disease. 3 points

8. Lymphoma - most common bilateral tumor (also most common secondary neoplasm involving the testes). 1 or more T2 hypointense masses with enhancment. Restricts on DWI and ADC (3 points).

9. 18F-NaF PET/CT is superior in sensitivity but not specificity - 1 point.

10. Focal incidental prostate activity with maximum SUV of more than 6 should be further evaluated with multiparametric MRI of the prostate.

11. Physiologic

12. Physiologic uptake in the celiac ganglia

Bonus:
C

February Articles

Hey - It is the end of 2018. We are doing well. We haven't sunken into the sea and WWIII hasn't been initiated. So let's be happy. We won't have another quiz until the First Sunday of February in 2019! Enjoy the holidays, hug your family or family pet or both. If neither - share love to someone in your neighborhood.  You never know who needs it.

Below are the articles for February. Back to Ortho!!

Traumatic Hip Dislocation: What the orthopedic surgeon wants to know

MR Imaging of Muscle Trauma

Unraveling the Posterolateral Corner

Movember Quiz!

It's the 1st Sunday in December - that means it is quiz time!!!!!

1. Who is most likely to get frostbite? Why do you not want to be a runner in cold places like Alaska or Norway?

2. When the hand is affected by frostbite, which finger is typically spared?

3. Which patients with frostbite should not get thrombolysis?

4. What are some advantages of SPECT/CT in the evaluation of frostbite?

5. What is the definition of penile tear?

6. What is the imaging appearance of Peyronie's disease? What finding would suggest acute phase?

7. What are typical findings that separate liposarcoma from lipoma?

8. Most common bilateral testicular mass? What are the imaging findings?

9. What PET/CT is considered superior in sensitivity to bone scintigraphy for prostate cancer?

10. When should an MR be ordered to evaluate the prostate after a FDG PET/CT?

11. Uptake in the liver on a Choline exam should be considered ___

12. You see uptake in a focus near the aorta near the crura of the diaphragm on a Ga68 PSMA - This may represent?

Bonus:
"Had a dream, I wanted to lick your knees" was sung by:

A. Ariana Grande
B. The Weeknd
C. Camper Van Beethoven
D. Third Eye Blind
E.  The Cure

October Quiz Answers!

Great Job Drs. Dey, Bonney, Trace and Vosburg!  Below are the answers to the October Quiz

1. D (1 Point)

2. Extracapsular rupture and gel bleed (2 points)

3. It is an ultrasound artifact  (echogenic noise artifact) by free silicone. It is evidence of extracapsular rupture or gel bleed in either a silicone granuloma or lymph node. (2 points)

4. Keyhole (lasso, noose, inverted teardrop, dark open loop), subcapsular line sign, linguine sign (wavy line sign) - (3 points)

5. Screening mammography of an augmented breast with use of both implant-included and implant-displaced views has a 45% sensitivity for detection of cancer, compared with a 67% sensitivity in the nonaugmented breast (1 point)

6. Stability is typically achieved 2-3 years after treatment.(1 point)

7. Typically 2-4 weeks but can be up to 8 weeks. They recommend follow up at 6-8 weeks - if lesion is the same or bigger - biopsy (2 points)

8. Interval change (1 point)

9. Infection (mastitis +/- abscess) and locally advanced breast cancer (2 points)

10. Dermal lymphatic involvement (1 point)

11. Initial treatment and staging - primary lesion, skin involvement, lymph node extent (ipsilateral axillary and distal), distant mets (bone and soft tissue) (2 points).

12. Designate biopsy sites  and guide biopsy (2 points). 

Bonus: 
D. New Order - Blue Monday This has to one of my favorites songs by one of my favorite bands. Sorry - I am very 80's British heavy. It was my thing in middle and high school. 

21 total possible points

November (Movember) EVMS (not official) Journal Club Competition Articles

It is November! The unofficial grow your mustache month. So ladies stop waxing your lip and live a little! Below are some articles to enjoy the male pathology and an extra article on what might happen to you if you move to Alaska or Canada instead of staying warm in Virginia.

Frostbite - or Yoni keep your toes warm or they might look like this!

MRI of the Penis or Scrotum

Clinical PET in Prostate Cancer

October (unofficial) EVMS Journal Club Quiz!

It is time for the monthly quiz! I hope everyone had a great Halloween and now are waddling toward Thanksgiving. Let's see how you do!

1. Which of these is/are true?

a.  The low sensitivity of mammography is because of the relative radiolucency of silicone implants.

b.  Calcifications imply capsular contracture and/or implant rupture.

c.  Rounded implant over time may imply contracture and integrity issues of the implant

d.  Bulge or herniation may imply a focal point of weakness in the elastomer shell

e.  All of the above

2. Silicone are noted in axillary lymph nodes on mammogram. What are 2 possible etiologies?

3. What does a snowstorm appearance in a nodule on ultrasound mean?

4. What are 3 possible findings of intracapsular rupture on MRI?

5. What is the sensitivity for detecting malignancy in breast implants?

6. Mammographic stability is typically seen how long after treatment?

7. According to the article, "Assessment and management of challenging BIRADS-3 mammographic lesions", how long do the authors recommend follow up for suspected hematoms? How long do hematomas typically resolve?

8. What trumps or supersedes benign morphology?

9. What is the differential diagnosis for inflammatory breast cancer? 

10. What is the pathologic hallmark of IBC? 

11. What are the advantages of PET/CT?

12. What is the most important role of ultrasound in the pretreatment workup?

Bonus:

What song is currently the best selling 12 inch single of all time?

a. Billie Jean - Michael Jackson

b. Born in the U.S.A. - Bruce Springsteen

c. West End Girls - Pet Shop Boys

d. Blue Monday - New Order

e. Earned It - The Weeknd 

September EVMS (unoficial) quiz answers

Great Job everybody that participated - Dr. Dey, Dr. Trace, Dr. Bonney and Dr. Vosburg each scoring high marks!

1. Right atrium, right ventricle, coronary sinus. 3 pts

2. Swan Ganz Catheter - it is in a branch of the right pulmonary artery. It should be retracted. 2 pts

3. NG tube in a right lower lobe bronchus. 1 - reposition it. but they should be prepared for pneumothorax and possible need for chest tube placement and get a chest x-ray. 4 pts

4. Notice the right atrial lead is displaced from its position in the second image. So it needs to be resecured. 1 pt

5. Mediport - should have tip in the distal SVC. This is in an internal mammary vein. 2 points

6. Left subclavian line with tip near the coronary sinus in a retained left SVC. 2 points

7. Right mainstem intubation. 1 pt

8. Right sided PICC line with tip going into the neck. It should be in the SVC. 2 pts

9.  C - 1 pt. They are MR unsafe

10. LVAD (several answers acceptable); pericardial - 2 pt

11. Heart transplant (but could be resolution of prior problem). Used as a bridge. 2 pt

12. LA appendage clip (LAA closure device). Used for a. fib so doesn't need anticoagulation. yes; 3 pt

13. c - 1 pt

14. D - 1 pt

15. False - latent has positive lab findings with negative imaging and clinical findings - 1 pt

16.  D - a and b - 1 pt

Bonus - George Ezra

September EVMS (unofficial) Journal Club Quiz

What Time is It? Time for a Quiz! This quiz is based on the articles from September. May the best person win! Remember - EVMS residents - email me. Nonresidents - DM me on Twitter!

This month will be a little more visual based and will have more variable points.

1. Looking at these films - Where are the 3 leads placed?

2. Ignore the pacemaker. What is the other catheter? Is it placed appropriately? Where is it recommended to be?

3. Ignore the pigtail drain and ekg leads. There is an abnormally placed tube. What is it? Where is it? What do you tell the care team to do after removing and/or repositioning (2 things)?

4. Patient is symptomatic. The second image was obtained 1st. The images are separated by hours to a day. What is the finding?

5. What type of catheter is this? Where is it supposed to be? Is it where it is supposed to be?

6. Left Subclavian Line - Where is the tip? Why?

7. Ignore the mediport and EKG leads - What is wrong? What complication is present?

8. What is going on? Where should this line be?

9. Which of the following is false regarding LVAD?

A. Can be used as a bridge to recovery.

B.  Axial flow VADs are associated with nonsurgical bleeds such as GI bleed in avms or acquired von Willebrand disease. 

C. The majority of currently used versions are MR compatible

D. All of the above

10. What kind of device is this? Is the device pericardial or preperitoneal?

11. The next image is the same patient as in 10 several months later. What do you think happened? How do you think the device in 10 was used?

12. What is the marked device? What is it used for? Is it MR compatible?

13. Primary Tuberculosis

a. Thoracentesis of pleural effusions in TB commonly isolates m. tuberculosis

b. Ghon focus is an acute finding in primary TB.

c. Commonly involves right paratracheal and hilar lymph nodes

d. Empyema necessitatis is the result of an enteropleural fistula.

14. Postprimary Tuberculosis

a. Cavitation is rare postprimary tuberculosis.

b. Air-fluid level in a cavitation is almost always a sign of severe tuberculosis

c. Miliary tb is nosocomially spread

d. Poorly marginated opacities in the upper lobes and superior segment lower lobes are common

15. True or false: Latent tuberculosis has negative lab findings with positive imaging and negative clinical findings of tuberculosis. 

16. Tuberculosis

a. Inactive tuberculosis may have fibronodular changes in the upper lung fields but no evidence of active disease

b. Miliary tuberculosis can be seen in primary and postprimary tuberculosis especially in the setting of HIV.

c. Bronchial involvement can happen in primary or postprimary but especially postprimary

d. A and B

e. B and C

Bonus: Which of the following artists was endorsed by Magneto/Dumbledore? The songs are not the answer - but simply examples of the artists in action. I personally like all these artists especially Robert Post for personal reasons even though I should sue for using my name. We are both on instagram but I think mine is better - @robsradiology

A. Kongos Hey I Don't Know

B. George Ezra Shotgun

C. Robert Post Got None

D. Vampire Weekend Giving Up the Gun

E. Dashboard Confessional Hands Down

October EVMS Journal Competition Articles

It is October - Pink Ribbon Month - In honor of this month, let's review some articles in the field of Breast Imaging!

Multimodality Imaging of Single Lumen Silicone Breast Implants

Assessment and Management of Challenging BI-RADS 3 Lesions

What Radiologists Need to Know about Inflammatory Breast Cancer

Answers August Journal Club Quiz

Great job everyone - Drs. Dey, Lazarow, Bulzan, and Trace got 12/13 possible points. Dr. Bonney got 11/13 points. Also congrats to @hopeforfuture3 who got 11/13. Thank you for your work and dedication! The current standings - 1. Dey (24/26), 2. Dr. Bonney (23/26). 3. Dr. Hampton (13/26). Everyone else is still in the hunt! On the nonresident hunt - Congrats to @hopeforfuture3 with 11/26 points.

1. C - per the article regarding Acute Mesenteric Ischemia- "The imaging findings are similar to  and indistinguishable from acute superior mesenteric arterial thrombosis" that throws out option D. "Typically, patients over 60 (female predominant) with postprandial pain" - that rules out B and rules in C. Notice -  B has preprandial pain

2. D - per the above article - "The severity of the injury depends on the extent of reduction of blood flow, number of vessels involved, the duration of the ischemia, and the development of collateral circulation".

3. A - per the above article - "Emboli...often enlarge the SMA...the diameter of the SMA is often larger than that of the SMV...relationship  is reversed in normal healthy individuals"

4. C. - at multiple points in the above article - it is listed as a finding associated with irreversible ischemia.

5. B - per the Multidetector CT of Surgically Proven Blunt Bowel and Mesenteric Injury - Shearing forces are most pronounced at locations where the bowel is fixed, including the Ligament of Treitz, the ileocecal valve, and sigmoid colon. This rules in option B but excludes A, C and D.

6. C. - Granted this is tricky - but A is out as you could have pneumoperitoneum from penetrating injury in addition to blunt and many other options as described in the article; B is retroperitoneal; D is extraperitoneal and unless air was present in the bladder at the time of injury shouldn't have air to track to the peritoneum - intraperitoneal rupture in the setting of a Foley in bladder is associated with pneumoperitoneum as per article; Therefore C is left over as mentioned in the article as an acceptable answer.

7. D. - fluid should be simple to be possibly normal. It is only normal in 3% of normal males. Morrison's pouch is between the liver and kidney - it is a place to look for abnormal fluid in setting of trauma or other etiologies.

8. C - per the article - "When diffuse small bowel wall thickening of more than 10 mm is seen, it should be considered a sign of shock bowel"

9. D. Per Emergent and Nonemergent Nonbowel Torsion article - "Although ovarian torsion occurs in women of all ages, it most commonly affects the reproductive age group". I realize, there is a discussion of torsion of the normal ovary is more common prior to puberty - but abnormal ovaries torse more commonly than normal ovaries etc.

10. C. per the article, ovaries are usually greater than 4 cm, string of pearls increases specificity, endometriosis decreases the likelihood of torsion. "Pregnancy, particularly in the 1st trimester, is a risk factor for ovarian torsion."

11. A - Per the article - It is associated with elderly women with kyphoscoliosis and cystic artery calcification. No mention of obesity or fertility. Porcelain gallbladder and gallstones are not mentioned as associated per the article.

12. A - long ureteral length is associated with torsion as are the other listed items.

Bonus - D. Mad World by Tears for Fears

September EVMS Journal Competition Articles

Thoracic Imaging - It"s September and time for the 3rd set of articles! This month, we will focus on some basics.

Current Therapeutic and Monitoring Devices in the Chest

AJR - Chest Radiography in the ICU part 1; Airway, Enteric, Pleural Tubes

AJR - Chest Radiography in the ICU Part 2; Cardiovascular Lines and other Devices

Pulmonary TB - Role of the Radiologist

August EVMS (not official) Journal Club Quiz!

Welcome to the 2nd EVMS (not official) quiz. Remember if you are an EVMS resident to email your answers to the quiz master. Non residents can DM your answers to @robsradiology on Twitter.

1. Most correct statement regarding Acute Mesenteric Ischemia

A. The mortality rate on average is 23.2%
B. Typical patient is male aged 72 and complains of preprandial pain
C. Typical patient is female over 60 with postprandial pain
D. Chronic mesenteric ischemia and mesenteric arterial thrombosis are easily distinguished from each other

2. Severity of injury in acute mesenteric ischemia  depends on

A. Extent of reduction in blood flow
B. Number of vessels involved
C. Duration of ischemia and development of collaterals
D. All of the above.

3. Filling defect in the SMA with mild enlargement, this is most consistent with

A. Mesenteric arterial embolism
B. Mesenteric arterial thrombosis
C. Mesenteric Venous Thrombosis
D. Nonocclusive Mesenteric Ischemia (NOMI)

4. Paper thin wall

A. Associated with excellent outcomes.
B. Specific finding for NOMI
C. A finding associated with irreversible ischemia
D. All of the above.

5. Shearing injuries are:

A. Commonly found in ascending colon, mid jejunum, and 3rd portion of the duodenum injuries
B. Commonly found at places such as injury at the ileocecal valve
C. Both of the above
D. None of the above.

6. Pneumoperitoneum

A. Always associated with blunt bowel injury
B. Most commonly seen in the setting of 2nd portion duodenal perforation.
C. Can be seen in the setting of chest tube placement.
D. Can be seen in the setting of extraperitoneal Bladder rupture

7. Free fluid

A. Can be a normal finding in 5% of men.
B. The fluid when normal is found in Morrison's pouch
C. Even hyperattenuating free fluid should be considered physiologic in premenopausal woman
D. Free intraperitoneal fluid is the most sensitive sign of bowel injury, especially when hyperattenuating fluid is present.

8. A 2 cm long segment of bowel wall thickening are found in the jejunum

A. 90% specificity and 55-75% sensitivity for acute bowel injury
B. Finding associated with need for revascularization
C. Likely related to shock bowel.
D. In association with hyperattenuation on noncontrasted images, this is a good sign for reperfusion

9. Ovarian Torsion would more likely be diagnosed in a:

A. 15 yo Male
B. 73 yo female radiologist
C. 3 yo girl
D. 25 yo female astrophysicist

10. Which statement is true regarding ovarian torsion

A. The ovary is often small especially less than 3 cm
B.  Endometriosis increases the likelihood of ovarian torsion
C.  1st trimester pregnancy is a risk factor for ovarian torsion
D.  String of Pearls sign increases the sensitivity of ultrasound

11. In regards to gallbladder torsion, which statement is true

A. Ectopic location of the GB with anterior and inferior displacement can be seen
B. Majority of the patients are larger BMI, forty, and fertile
C. Cholelithiasis is strongly associated with this disease
D. Porcelain gallbladder is commonly seen

12. Which statement is false regarding renal transplant torsion

A. Short renal transplant ureteral length increases the risk of torsion
B.  Lack of postoperative adhesions because of steroid therapy increases the risk of torsion
C. Ascites increases the risk for torsion
D. Doppler finding includes increased peak systolic velocities or reversal of diastolic flow


Bonus
"The dreams in which I'm dying are the best I've ever had"

A. Let it be - The Beatles
B. Ana Ng - They Might be Giants
C. Please, Please, Please, Let Me Get What I Want - The Smiths
D. Mad World - Tears for Fears

The ANSWERS! for July Quiz

Thank you very much for participating. If you played, you are a winner in my book. Congratulations to Dr. Andrews for the top score and Drs Dey, Aggarwal and Bonney for a tie at 2nd place! There will be multiple more chances to take away the lead in the coming months. Below are the answers with some explanation.

1. D. Per the article on uncommon manifestations of intervertebral disc pathologic conditions -  "Massive lumbar herniations have been defined by some authors as lumbar disk herniations occupying greater than 50% of the spinal canal at axial imaging... the findings in the literature suggest that size alone is not a rational surgical indication, particularly if the symptoms are limited to sciatica or are improving... massive disk herniations have been shown to decrease in size to a greater degree than smaller herniations" 

2. B. Per the above article - "A discal cyst, also referred to as a disk cyst, is a rare condition defined as the communication of an intraspinal extradural cyst with an intervertebral disk"

3. C. Per the above article - These giant thoracic disk herniations are often densely calcified (∼95%) and tend to erode the dura...For symptomatic thoracic disk herniations, women in the 3rd to 5th decades are most often affected...Two-thirds of symptomatic thoracic disk herniations that require surgery are located between T8 and T11

4. D. Per the above article - These giant thoracic disk herniations are often densely calcified (∼95%) and tend to erode the dura...Formation of an intradural disk herniation requires a perforation of the anulus, the posterior longitudinal ligament, and the dura...A calcified disk remnant or osteophytic spur can cause a dural defect, the resultant CSF leak, and the clinical manifestations of CSF hypotension

5. B. Per the article Imaging Characteristics of Bone Graft Materials - Osteoinduction is the process through which pluripotential mesenchymal cells are recruited from the surrounding tissue and differentiate into osteoblasts. 

6. C. Per the above article - Allografts (cadaveric bone transplants) are popular substitutes for autografts but provide mainly an osteoconductive matrix that lacks osteoinductive properties

7. A. Per the above article - In the immediate postoperative period, allo-grafts have signal hypointensity on both T1- and T2-weighted MR images. 

8. A. Per the above article - Graft combinations are often used to obtain both osteoconductive and osteoinductive properties. Allografts may be mixed with autologous platelet-rich plasma, a concentration of human platelets in a small volume of plasma, which encourages osteoinduction by supplying fundamental growth proteins that are secreted by the platelets and that initiate wound healing.

9. A. Per the article - Acute Shoulder Trauma: What the Surgeon Wants to Know - All fractures not meeting the numeric criteria for displacement or angulation are classified as one-part fractures, regardless of the actual number of fracture fragments or the degree of comminution. 

10. D. Per the above article - the risk increases further when the spur of bone derived from the medial metaphyseal cortex that remains attached to the anatomic head (the medial metaphyseal segment) is shorter than 8 mm or displaced more than 2 mm, implying that the medial periosteum is disrupted. The combination of anatomic neck fracture with a short and displaced medial metaphyseal segment yields a positive predictive value of 97% for ischemia

11. C. Per the above article - concomitant rotator cuff tears are more common in elderly individuals... Although rotator cuff tear is less common in young patients...

12. C.  Per the above article - Type VI fractures are often not reconstructible and are treated nonsurgically to preserve the remaining soft-tissue supports.

Bonus: C. This is tricky - but the key is "according to no one but the test giver". D is automatically out as it is not about NYC at all. A and B are commonly found in many people's lists of best songs about NY - google and see. But I can't find C on any of these lists including wikipedia's rather exhaustive list of songs about NY. Balloon man makes references to 6th Ave, Bryant Park, jumping of the Empire State etc. I tried to help by putting a rick roll in the New York New York link.

EVMS Journal Contest Quiz July 2018

Inaugural Quiz - If you are an EVMS radiology resident - email me your answers. If you are not and want to play to be the best nonresident - DM me at twitter @robsradiology

1. At the L4-L5 level, there is a disc herniation which involves greater than 50% of the canal on axial imaging...

a. OMG... - Call the Neurosurgeon stat and tell him/her to get the scalpel ready
b. Get the priest on the line, this is horrible
c. Whatever, surgery tomorrow, next week, whenever - it is ok so long it is eventually cut out
d. calm down padawan, it is okay, the vast majority will shrink on their own

2. If I say "there is an intraspinal extradural cyst which communicates with an intervertebral disc, I am describing a...

a. Synovial cyst
b. Discal cyst
c. Paraovarian cyst
d. Epidermoid cyst

3. Symptomatic Thoracic Disc

a. Commonly found in 65 yo men
b. Most commonly seen at T2-T3 or T3-T4
c. Giant disc herniations are commonly calcified
d. Cord infarcts are common.

4. Which of these may have a dural tear:

a. Intradural disc herniation
b. Giant calcified thoracic disc
c. Disc osseous spicule
d. All of the above

5.  Process through which pluripotential mesenchymal cells are recruited from surrounding tissue and differentiate into ostoblasts

a. Osteoconduction
b. Osteoinduction
c. Osteogenesis
d. Osteosynthesis

6. Which of these is false regarding allografts

a. Balance of osteolysis and osteogenesis must be present for adequate graft incorporation
b. Can be an in vivo antibiotic delivery system
c. It has osteoinductive properties
d. Can be used for onlay graft

7. MRI obtained immediately after allograft placement is low on T1 and T2

a. Don't worry, this is a normal initial finding
b. Call the orthopedic surgeon and inform him/her that the graft will fail
c. Call the orthopedic surgeon and recommend follow up in 3 weeks
d. Tell the orthopedic surgeon that there is osteomyelitis

8. The surgeon combined the allograft with autologous platelet-rich plasma

a. This helps provide osteoconductive and osteoinductive properties
b. This provides antibiotic properties
c. This provides essential oils to the site
d. This helps provide congruity to the joint

9. There is a comminuted fracture of all four parts of the proximal humerus without displacement or angulation. How would you classify this by Neer classification:

a. 1-part
b. 2-part
c. 4-part
d. None of the above, this is actually a Wade Wilson fracture

10. This has a 97% positive predictive value for humeral head ischemia

a. Lesser tuberosity fracture with 3 cm of separation.
b. Greater tuberosity fracture with 47 degrees of angulation
c. Articular split fracture
d. Anatomical neck fracture with shorter than 8 mm medial metaphyseal segment or displacement by more than 2 mm of the attached medial metaphyseal segment

11. Anterior shoulder dislocation with torn rotator cuff is more typically seen in

a. 29 yo waitress with a single dislocation
b. 19 yo football player
c. Retired shipbuilder who fell down stairs and dislocated
d. 10 yo boy with a single dislocation.

12. Patient has a type VI glenoid fracture

a. Reverse total shoulder arthroplasty is the best option
b. Glenoid hemiarthroplasty is the best option
c. Not treated in order to preserve soft tissue supports
d. Allograft with autologous platelet rich plasma is frequently used for reconstruction.

Bonus:
Which is the best song about New York according to no one but the test giver

A. New York New York - Frank Sinatra Could it be this one?
B. Walk on the Wild Side - Lou Reed Hmmm....maybe?
C. Balloon Man - Robyn Hitchcock and the Egyptians Is it this one?
D. London Calling - The Clash Maybe it's this one

August EVMS (not official) Journal Contest Articles

Man, it is August already. We survived the sweat house of July. The second years survived their first solo call (woo!). Now on to the halcyon days of August. Don't forget to do the quiz for July. Below are the articles for August. Much like my dad bod - we are going to focus on body issues this month. So read, learn, and enjoy and prep for the forthcoming test!

Radiographics - Acute Mesenteric Ischemia

Radiographics - CT of surgically proven Blunt Bowel and Mesenteric Injury

Radiographics - Emergent and Nonemergent Nonbowel Torsion

EVMS July 2018 Articles of the Month!

The inaugural EVMS (but not official EVMS) monthly radiology journal club! Each month, we will have 3 new articles discussing something ABR related. Hope to issue 1st Sunday of each month with questions on the following month. The 1st 3 correct responses will earn points toward the EVMS Journal Club Winner! Articles will be up July, August, September, October, November, February, March, April, and May

The articles for July:

Uncommon Manifestations of Intervertebral Disk Pathologic Conditions

Acute Shoulder Trauma: What the Surgeon Wants to Know

RSNA Education Exhibits Imaging Characteristics of Bone Graft Materials