In this episode of 'Born Too Soon'—a series created by pediatric radiologist Dr. Bianca Guedes — she breaks down premature lung imaging. This episode covers respiratory distress syndrome (RDS), pneumothorax, pulmonary interstitial emphysema (PIE), bronchopulmonary dysplasia (BPD), and other essential pathologies. ⏱️ TIMESTAMPS: 00:00 - Intro 00:37 - Welcome 01:11 - Surfactant production and RDS pathophysiology 02:17 - Approach to CXR in a premature baby02:55 - Radiographic patterns in premature lung disease - granular, streaky, and coarse05:39 - Meconium aspiration syndrome06:20 - Complications of barotrauma - pneumothorax, PIE, pneumomediastinum07:24 - Tension pneumothorax recognition & mediastinal shift 08:50 - Approach to follow-up imaging and need for CT10:04 - Congenital pulmonary malformations11:33 - PDA imaging findings 12:14 - Core take-away points13:51 - The future of radiology17:15 - Closing remarks17:47 - Outro🎓 GUEST: Dr. Bianca Guedes Ribeiro is a Pediatric Radiologist at University Hospitals Cleveland Medical Center and Assistant Professor at Case Western Reserve University. She specializes in complex pediatric imaging and works with NICU pathologies on a daily basis.📚 KEY REFERENCES:G.A. Agrons, S.E. Courtney, J.T. Stocker, R.I. Markowitz. Lung Disease in Premature Neonates: Radiologic-Pathologic Correlation (RadioGraphics 2005)M.C. Liszewski, E.Y. Lee. Neonatal Lung Disorders: Pattern Recognition Approach to Diagnosis (AJR 2018)P. Daltro, B.L. Fricke, I. Kuroki, R. Domingues, L.F. Donnelly. CT of Congenital Lung Lesions in Pediatric Patients (AJR 2004)🎙️ ABOUT WINDOW & LEVEL: Your 15-20 minute radiology education. We break down complex imaging with clinical pearls, protocols, and interpretation tricks you can apply on your next shift.🌟 OUR TEAM: Host: Dr. Genia Grik Editing & Creative Dev: Dr. Viacheslav Lavshuk Communications & Promotion: Dr. Daria Zasorina Creative Dev: Dr. Batyrkhan Abdrakhimov, Dr. Vladimir Popov📱 CONNECT WITH US: Instagram: @windowandlevel X: /windowandlevel Facebook: /windowandlevel🔗 LISTEN ON PODCAST PLATFORMS: Spotify, Apple Podcasts💬 QUESTION FOR YOU: What radiology topic or imaging finding do you find most challenging? Drop a comment below—your question might become our next episode!🔔 Subscribe for new episodes!⚠️ DISCLAIMER: This podcast is for educational purposes only and does not constitute medical advice. Always consult with qualified healthcare professionals for patient care decisions. The views expressed are those of the hosts and guests and do not necessarily reflect the views of their affiliated institutions.#radiology #windowandlevel #radiologyresident #pediatrics #peds #prematurity #imaging #radiologyeducation #medicaleducation #radiologypodcast #medstudent #diagnosticradiology #radres #medicalimaging #NICUimaging #rds #pneumothorax

In this episode of 'Born Too Soon'—a series created by pediatric radiologist Dr. Bianca Guedes — she breaks down the imaging of premature babies. This episode covers brain complications, bowel pathology, and bone disease. Essential knowledge for the diagnostic call.

⏱️ TIMESTAMPS:

00:00 - Intro

00:10 - Welcome

00:44 - Meet Dr. Bianca Guedes

01:26 - Prematurity demographics

02:06 - Germinal matrix maturation

03:40 - Grading of the germinal matrix hemorrhage

05:11 - Ultrasound findings of the germinal matrix hemorrhage

06:20 - Periventricular leukomalacia versus physiologic "blush"

07:38 - Long-term neurodevelopmental disability predicted by early findings

09:17 - Necrotizing enterocolitis (NEC)

10:30 - Early findings and progression of NEC on radiography

14:00 - Ultrasound findings of NEC

17:30 - Metabolic bone disease of prematurity and rickets

19:18 - Pathophysiologic mechanisms of prematurity

21:03 - Outro

🎓 GUEST:

Dr. Bianca Guedes Ribeiro is a Pediatric Radiologist at University Hospitals Cleveland Medical Center and Assistant Professor at Case Western Reserve University. She specializes in complex pediatric imaging and works with NICU pathologies on a daily basis.

📚 KEY REFERENCES:

E.J. Richer, E.L. Riedesel, L.E. Linam. Review of Neonatal and Infant Cranial US (RadioGraphics 2021)

S.K. Gerrie, C.S. Frayn, O.M. Navarro. Differential Diagnosis of Echogenic Lesions at Neonatal Head US (RadioGraphics 2025)

E.J.I.Clemente et al. US for Evaluation of Acute Abdominal Conditions in Neonates (RadioGraphics 2023)

🎙️ ABOUT WINDOW & LEVEL:Your 15-20 minute radiology education. We break down complex imaging with clinical pearls, protocols, and interpretation tricks you can apply on your next shift.

🌟 OUR TEAM:Host: Dr. Genia GrikEditing & Creative Dev: Dr. Viacheslav LavshukCommunications & Promotion: Dr. Daria ZasorinaCreative Dev: Dr. Batyrkhan Abdrakhimov, Dr. Vladimir Popov

📱 CONNECT WITH US:

Instagram: @windowandlevel

X: /windowandlevel

Facebook: /windowandlevel

💬 QUESTION FOR YOU:What radiology topic or imaging finding do you find most challenging? Drop a comment below—your question might become our next episode!

🔔 Subscribe for new episodes every two weeks.

⚠️ DISCLAIMER:This podcast is for educational purposes only and does not constitute medical advice. Always consult with qualified healthcare professionals for patient care decisions. The views expressed are those of the hosts and guests and do not necessarily reflect the views of their affiliated institutions.

#radiology #windowandlevel #radiologyresident #pediatrics #peds #prematurity #imaging #radiologyeducation #medicaleducation #radiologypodcast #medstudent #radiologypearls #diagnosticradiology #radiologytraining #medicalimaging

Arteriovenous fistulas are the gold standard for hemodialysis access, but it is quite common for them to develop problems. When they do, radiology catches it first. In episode two of Window & Level, we dive into the fistulogram workup — from maturation to maintenance.

⏱️ TIMESTAMPS:

00:00 Welcome

00:45 Introduction

01:44 Understanding Fistula Creation and Types

04:10 Evaluating Fistula Maturity

05:12 Failure of Maturation

06:41 Interventions for Non-Mature Fistulas

07:28 Fistula Maintenance and Reasons of Malfunction

08:30 Physical Exam Insights for Fistulograms

10:10 Preparing for a Fistulogram

12:25 Stenting and Its Implications

14:27 Unique Fistulogram Case and Pitfalls of Imaging Diagnosis

17:19 Fistulogram is a Great Procedure for IR Training

19:08 Advice for Aspiring Radiologists

GUEST: Dr. Patrick Litam, an interventional radiologist trained at Cleveland Clinic. With passion for resident education he brings expertise on AV fistula physiology, common failure patterns, and why fistulograms are one of the best procedures for IR trainees to master.

📚 KEY REFERENCES: A. Sailer et al. Imaging of Arteriovenous Fistulas: Maturation, Maintenance, and Declotting. (RadioGraphics 2025) Article and presentation.

🎙️ ABOUT WINDOW & LEVEL:

Your 20-minute radiology education. We break down complex imaging with clinical pearls, protocols, and interpretation tricks you can apply on your next shift.

🌟 OUR TEAM:

Host: Dr. Genia Grik

Editing & Creative Dev: Dr. Viacheslav Lavshuk

Communications & Promotion: Dr. Daria Zasorina

Creative Dev: Dr. Batyrkhan Abdrakhimov

📱 CONNECT WITH US:

Instagram: @windowandlevel

X: /windowandlevel

Facebook: /windowandlevel

💬 QUESTION FOR YOU: What is your most and least favourite IR procedure?

🔔 Subscribe for new episodes every two weeks.

⚠️ DISCLAIMER: This podcast is for educational purposes only and does not constitute medical advice. Always consult with qualified healthcare professionals for patient care decisions. The views expressed are those of the hosts and guests and do not necessarily reflect the views of their affiliated institutions.

#radiology #InterventionalRadiology #procedures #FistuloGram #AVF #RadiologyResident #RadiologyEducation #MedicalEducation #RadiologyPodcast #MedStudent #imaging #RadRes #interventions #DiagnosticRadiology #RadiologyTraining #MedicalImaging #ClinicalPearls

Spontaneous intracranial hypotension (SIH) is surprisingly common but easily missed on overnight call. In this pilot episode of Window & Level, we walk through the complete imaging workup—from recognizing brain MRI findings to identifying CSF leak types and understanding management strategies. Perfect for radiology residents preparing for call.

🎓 GUEST:

Dr. Michael Noeske, a PGY-5 radiology resident and aspiring neuroradiologist from Commerce, Michigan. Starting his neuroradiology fellowship at Corewell Health William Beaumont University Hospital in 2026, he brings expertise in intracranial hypotension.

📚 KEY REFERENCES:

- P. G. Kranz et al. Consensus Guidelines on Diagnostic Brain and Spine Imaging of Spontaneous Intracranial Hypotension (AJNR 2025)

- M. D. Mamlouk, P.Y. Shen, P. Jun ,and M.F. Sedrak. Spontaneous Spinal CSF Leaks Stratified by Age, Body Mass Index, and Spinal Level (AJNR 2022)

Just yesterday the latest AJNR issue featured a case series of multiple synchronous CSF fistulas:

- A. A. Madhavan et al. Multiple Synchronous CSF-Venous Fistulas in Spontaneous Intracranial Hypotension: A Multi-Institutional Case Series (AJNR 2026)

🎙️ ABOUT WINDOW & LEVEL:

Your 15-20 minute radiology education. We break down complex imaging with clinical pearls, protocols, and interpretation tricks you can apply on your next shift.

🌟 OUR TEAM:

Host: Dr. Genia Grik

Editing & Creative Dev: Dr. Viacheslav Lavshuk

Communications & Promotion: Dr. Daria Zasorina

Creative Dev: Dr. Batyrkhan Abdrakhimov

📱 CONNECT WITH US:

Instagram: @windowandlevel

X: /windowandlevel

Facebook: /windowandlevel

🔗 WATCH ON YOUTUBE: https://youtu.be/68GuyYBgT6M

💬 QUESTION FOR YOU:

What radiology topic or imaging finding do you find most challenging? Drop a comment below—your question might become our next episode!🔔 Subscribe for new episodes every two weeks.

⚠️ DISCLAIMER:

This podcast is for educational purposes only and does not constitute medical advice. Always consult with qualified healthcare professionals for patient care decisions. The views expressed are those of the hosts and guests and do not necessarily reflect the views of their affiliated institutions.

#radiology #radiologyresident #neuroradiology #spontaneousintracranialHypotension #SIH #brainMRI #CSFleak #radiologyeducation #medicaleducation #radiologypodcast #medstudent #radiologypearls #MRIfindings #radiologycall #diagnosticradiology #radiologytraining #medicalimaging #radiologyfellowship