Let's Read Out!

About to match into radiology? This episode is for you. Matching medical student/producer Andrew Nguyen asks questions to a fantastic panel. Advice for intern year and early residency. 

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[0:00] Dr. Lindsey Negrete introduces the episode and medical student Andrew Nguyen

[1:00] “What advice would you give for someone going through their intern year before starting their radiology residency? Is there anything that you would change about this year to either stay involved with radiology or prepare for it?”

1. Dr. Jen Padwal (Stanford R2) response

[6:30] “What has been the biggest surprise for you about starting radiology residency? Is there anything you wish you could tell yourself before starting R1 year?”

1. Jen’s response

THANK YOU! For questions, comments, concerns…[email protected]

Full episode comprehensive transcript here. 

Case of the Week now has post show quizzes. LRO medical student producer Andrew Nguyen explains what they're all about. 

Find post show quizzes here

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Transition from intern year to rads residency can be tough! Let's Read Out med student producer, Andrew Nguyen, gets great advice from Dr. Chris Beaulieu, Dr. Marc Willis, Dr. Preethi Raghu, Dr. Lu Shen, and Dr. Dolores Pretorius as his match day rapidly approaches. Full transcript here. Abbreviated below:

[0:00] Dr. Lindsey Negrete introduces the episode and medical student Andrew Nguyen.

[1:30] “What should residents know before starting their radiology residency?

1. Dr. Lindsey Negrete (Stanford) response

[13:00] “What differentiates between a good resident and a great resident?”

1. Dr. Beaulieu response

The transition from being a trainee to being a new attending can be challenging and overwhelming. Dr. Chris Beaulieu shares his sage wisdom for how to ease into the first few months. We chat about readouts, radiological societies, feedback and more. Full transcript here. Abbreviated version below. 

[0:00] Dr. Lindsey Negrete introduces the episode and Dr. Chris Beaulieu.

[1:30] Transitioning from fellowship to new attending – the first few months.

[7:00] Tips for asking others for help.

[9:30] Recommending studies for your imaging findings.

[12:00] Tips and tricks for new attendings reading out.

[15:00] What about the trainee that disagrees with you?

[16:45] What about the trainee that is struggling?

[17:45] Giving feedback to trainees.

[21:00] Tackling the alphabet soup of societies and meetings.

[23:30] Let’s talk promotions.

[28:30] Top advice to summarize.

[30:45] Short and long term goals as a junior attendings.

All star mentor/mentee pair from the University of Kentucky, Dr. Aman Khurana and medical student Emad Chishti join me. They demystify congenital urachal anomalies with a fabulous case explaining calcs, mucin and more. Case Images here. Full transcript here. Abbreviated transcript below....

Lindsey Negrete: introduces the episode

Emad Chishti: vesicourachal diverticulum with urachal adenocarcinoma. The urachus is the fetal derivative of the allantois, which is a channel between the embryonic bladder and umbilicus. Usually, it involutes before birth and forms the median umbilical ligament, but when it doesn't close off properly, a blind pouch-like structure remains connected to the bladder forming a diverticulum.

 62-year-old male with a history of kidney stones presented with right flank, suprapubic, and inguinal pain of a few weeks duration

Aman Khurana: CT/US/MR demonstrating a bladder diverticulum within the anterosuperior part of the bladder dome with a soft tissue density protruding from the diverticulum into the bladder cavity. Patient underwent a resection of the bladder mass with pathology consistent with invasive, moderately differentiated mucinous adenocarcinoma with signet ring cell features consistent with urachal carcinoma. Repeat MR with persistent contrast enhancement with concern for residual tumor. Patient underwent second surgery again confirming mucinous adenocarcinoma.

Emad Chishti: question about peripheral calcification helping with the diagnosis?

 Aman Khurana: mucinous loves to calcify, calcifications can be punctate, stippled, curvilinear

Emad Chishti: other than a diverticulum, are there any other congenital abnormalities associated with urachus?

Aman Khurana: four types of congenital urachal abnormalities: patent urachus, urachal sinus, urachal cyst, vesicourachal diverticulum

Emad Chishti: multiple-choice question, On histology, the cells lining urachal neoplasms would most likely best resemble which of the following? Answer: intestinal epithelium, the majority of urachal neoplasms are adenocarcinomas

Aman Khurana: on MRI, these tumors do look mildly T2-hyperintense because of the mucin producing cells

Lindsey Negrete: pattern of growth for urachal carcinoma versus vesical tumor. Differential diagnosis. Call for companion cases. Calling all mentor/mentee pairs to submit cases together! It’s really fun!

A quick chat! All star body imagers give advice about making the transition from residency to body fellowship. Full transcript here 

Advice for transitioning to fellowship?

1. William Hong (Body fellow) response

My friends and colleagues join me as we discuss speed, accuracy, zoom read outs, and complex inpatient body cases. A fantastic panel including: Dr. Jen Padwal, Dr. William Hong, Dr. Komal Chughtai, Dr. Aman Khurana, and Dr. Lu Shen! Full transcript here.

Rising physician Andrew Nguyen submits a case of GVHD. Let's talk about the hepatobiliary imaging findings, protocoling, and those "exploding crypts" on histology! Images found here 

Dr. Helen Xu and Dr. Luyao Shen kick off our new case of the week segment. Corresponding Case images can be found here

New Segment Alert! We'd love to feature you on our podcast. Submit a case to be considered on our show. Details for submission can be found at www.letsreadout.com including the submission site and powerpoint template. 

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