Daniel Souza
@danatsouza
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Fellowship Program Director, Abdominal Imaging and Intervention, Brigham and Women's Hospital, Mass General Brigham @BrighamRad @RadRes @BrighamRadEdu #MedEd
Boston, MA
Joined July 2010
Great job! Contrast-enhanced US performed to assess for intralesional arterial phase hyperenhancement and washout... diagnosis?
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Great job! Coffee bean sign in sigmoid volvulus! What are the other signs associated with this condition? Anyone? Anyone?
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I wish I had a KUB but scout will do! 44-year-old female patient presenting with decreased bowel movements and abdominal distention... what is the name of this sign? GIFs only please! @BrighamRad @FOAMrad @SAR_RFS @futureradres @ARRS_Radiology @Abdominal_Rad @CBRadiologia
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60-year-old male patient with history of cirrhosis undergoes HCC screening with non contrast MRI (patient refuses IV gadolinium due to hives)... Diagnosis? Next step? @BrighamRad @FOAMrad @SAR_RFS @futureradres @ARRS_Radiology @Abdominal_Rad @CBRadiologia #MedEd
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Thanks everyone... I feel better now... In my humble opinion, this case had lymphoma written all over the upper abdomen! I went further and suggested high-grade diffuse large B-cell lymphoma as the most likely diagnosis! However, biopsy showed metastatic melanoma! (and I lost a
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All right, all right... Where is the spleen? This patient is status post splenectomy for trauma. MRI performed 5 years later confirming benign vs indolent etiology... this is... Mesenteric SPLENOSIS! @BrighamRad @FOAMrad @SAR_RFS @futureradres @ARRS_Radiology @Abdominal_Rad
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Full disclosure: I lost the bet and did not get this one right... 🤨 can you? 59-year-old male patient with remote history of melanoma... diagnosis?
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Amazing job! Retroperitoneal paraganglioma! Arises from sympathetic paraganglia, along organ of Zuckerkandl near the aortic bifurcation... 50-60% hyperfunctioning, 40% associated with germline mutations (e.g. SDHB), solid hypervascular mass, intense arterial enhancement, often
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57-year-old female patient presenting with soft tissue mass in the mesentery... If an image is worth a thousand words... you don't need the history on this one! Diagnosis? Next step? @BrighamRad @FOAMrad @SAR_RFS @futureradres @ARRS_Radiology @Abdominal_Rad @CBRadiologia
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@RSNA @Abdominal_Rad @ABR_Radiology @SAR_RFS @ARRS_Radiology @BrighamRad And the majority gets it right! 😉
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What is this procedure called? @RSNA @Abdominal_Rad @ABR_Radiology @SAR_RFS @ARRS_Radiology @BrighamRad
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Very cool animation of a common but hopefully less common procedure done in the US… what is it?
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Great job! It is often described as one of the cystic neoplasms of the pancreas because cystic changes and intralesional hemorrhage are so common… prognosis far better than PDAC!
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