u

Lr
97E

DAMS DVT

G Y
O
RADIOLOG
DI O L
R A
 KNOW YOUR
TEACHER
KNOW YOUR
TEACHER
Dr Sumer Sethi, Author, Entrepreneur, Teacher, 3 Times TEDx Speaker

Y
Dr Sumer Sethi, Author, Entrepreneur, Teacher, 3 Times TEDx Speaker

O G
MBBS Graduate from Maulana

L
Azad Medical College

I O
MD Radiology from LHMC,
Delhi

D
MBBS Graduate from Maulana

A
Sr Consultant Radiologist with
Azad Medical College

R
20plus years ofExperience
MD Radiology from LHMC,
DelhiFounder DAMS
eMedicoz
Sr Consultant Radiologist with
20plus years of Experience
 I'M EXCITED TO BE YOUR TEACHER e M e d i c o z

TODAY IN DAMS DVT 2024

Dr S u m e r S e t h i

I’M EXCITED
I have TOeMedicoz
been teaching at DAMS BE YOUR
for 23 years. TEACHER

TODAY
connec ted IN
the entire India LIVEDAMS
on eMedicozDVT 2024
My most cherished memory from teaching at DAMS eMedicoz is Day we
app first time, was a dream come
true. This year it is going to be the largest LIVE medical classroom in the
country EVER.
• Dr Sumer Sethi
• I have been teaching at DAMS eMedicoz for 23 years.
• My most cherished memory from teaching at DAMS eMedicoz is – Day we
connected the entire India LIVE on eMedicoz app first time, was a dream come
true. This year it is going to be the largest LIVE medical classroom in the

RAO Y
country EVER.

G
I LOVE TEACHING BECAUSE...

O
DAMS

O L
eMedicoz

DI
I LOVE TEACHING BECAUSE…

A
Everytime go on the Stage to Teach, I change as a Person and when

R
comeback tired after the class, I feel most alive.

It makes me feel ALIVE

believe that as mentors we are the supporting actors in your life
and YOU are
Everytime I gothe
on HERO seeking
the Stage big impact
to Teach, I changeand
as awePerson
will doand
ourwhen
best I
comebackto take
tiredyou
aftertothe
theclass,
nextI LEVEL.
feel most alive.
 e M e d i c o z

Images in Radiology
Concepts
IN THIS DVT
WILL COVER -Pathological System
wise correlation
• Images in Radiology
All•Emergencies
Concepts
IN THIS DVT I Go for 100% Strike Rate
• Radio-Pathological System
WILL COVER
wise correlation
• All Emergencies

ht GY
Lets have a great •time
Go for 100% Strike Rate
learning DAMS
together with Dr Sumer Sethi

TEDO
L
APNA
AIMS
O
TIME Lets have a great time learning

I
AAYEGA ve
together with Dr Sumer Sethi

D
APUN
I N D I R A G A N D H I G O V E R N M E N T

A
M E D I C A L C O L L E G E

NAGPUR.

APR IL 2022

LAAYEGA siliconindia

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Dr J. A. Jayaial. N i n e B a j p a l , C E O N S E , D r A n a

D M A , D r J a y e s h L e l e . H e
Ns Di Ast Goyal, Hony Finance secreti
H E A LT H C A R E
ACADEMIC ENTREPREASUR
EXCELI ENCE AWARD.

IRIA
73 TELERAD PROVIDERS
 .
DAMS DVT
3

RADIOLO
Sur G Y
guuu

R A
 cx
Knowledge

G
Experience
Y
L O
DI O
R A
 G Y
L O
DI O
R A Acute
Inflammation
 Causes of the Image Pattern

Ring
1. NCC
Enhancing Lesion
2. Tuberculoma
3. Toxoplasmosis
4. Brain Abscess
Causes of the Image Pattern
Metastasis

1. NCC
2. Tuberculoma
3. Toxoplasmosis

4OLOO
4. Brain Abscess

Y
5 Metastasis

G
DAMS

L O
O
Ring Enhancing lesions are

DI Conglomerate

R A
Likely Cause-
Ring Enhancing lesions are
Tuberculomas

Conglomerate

Likely Cause-
Tuberculomas
hEo
CHO
RA A/P
Vo x e l L o c a t . r t r Lipid Peak
Ctr L08.8 P14.3

NAA
D I A 1 9.9 2 0.0
Likely Cause-
Tuberculoma

MRS Shows-
Lipid Peak
Vmyplatyutmh Likely Cause-

GY
Tuberculoma

Y
1.Basal Exudates

G
2.Endarteritis

O
(Infarcts)

O L 3. Hydrocephalus

I
1.Basal Exudates

D
2.Endarteritis

A
(Infarcts)

R
TB Meningitis
3. Hydrocephalus

CEMR
TB Meningitis
 1.Ear Discharge
2.Sinusitis
3.TOF
Patient with

1.Ear Discharge
2.Sinusitis
3.TOF

DAMS
OGY
Y
CECT shows- Brain

G
Abscess

L O
I O
CECT shows- Brain

D
Abscess

R A
 shows-
Hyperintense
Signal - Abscess is
bright on DWI
DWI shows-
Hyperintense
Signal – Abscess is
bright on DWI

COLOGYY
DAMS

G O
O L
DI
R A
T2WI CEMR Spine MRI
T2WI Sagittal
Diagnosis- Multiple Sclerosis

Dissemination in _ Space and Time___________________

Name the Sign
Diagnosis- Multiple Sclerosis
Dawson's Fingers

Name the Sign

L0GY
Dawson’s Fingers

Right Left
DA M S

O G
L
Diagnosis

O
Optic Neuritis

DI
A
IOC CEMR
Diagnosis

R
Optic Neuritis

IOC CEMR
Fluid and
pus filled
air space
contains bactena
and blood cells

DIOLO
G Y
L O
DI O
R Air Opacity shows bronchogram Radiological Sign-

R A Opacity shows Radiological Sign-

Final Diagnosis- Consolidation
Air bronchogram

Final Diagnosis- Consolidation

 G Y
L O
DI O
R A
 0
DIOLOG
G Y
R Pattern Reticular L
O
D I O
A
Causes- Interstitial

RPattern Reticular

Causes- Interstitial
 CORADS
Normal , Non 1
infectious
Ab n or malit ie s
Infection but 2

not covid
CORADS
Ty p i c a l C OV I D
Normal
PCR + , Non 1
infectious
Abnormalities
Infection but 2

OGY
not covid
Typical COVID
PCR +

CORADS

G Y
O
Nor mal , Non 1

L
infectious

O
Abnormalities

I
Infection but 2

D
not covid
CORADS 5

A
Typical COVID
Normal , Non 1
PCR + 6

R
infectious
Abnormalities
Infection but 2
not covid
Typical COVID 5
PCR + 6
Basal
Round Shape
Usual Findings
Crazy Paving
Atypical Findings
Multifocal
Reverse GGO, Peripheral
Halo
Basal
Spider web
Round Shape
GGO + Consolidation
Crazy Paving
Reverse Halo
Spider web
GGO + Consolidation

Y
Usual Findings Atypical Findings

G
Multifocal GGO, Peripheral Central & Apical Distribution

O
Basal

O
Round Shape
Usual Findings
L
Lymphadenopathy
Atypical Findings
I
Crazy Paving Cavitation

D
Multifocal GGO, Peripheral Central
Tree & Apical Distribution
in bud

A
Reverse Halo
Basal

R
Spider web Nodular Pattern, Mass
Round Shape Lymphadenopathy
GGO + Consolidation Pleural Thickening
Crazy Paving Cavitation
Calcification
Reverse Halo Tree in bud
Spider web Nodular Pattern, Mass
GGO + Consolidation Pleural Thickening
 Final
Diagnosis
Lung
Abscess
Final
Diagnosis
Lung
Abscess

G Y
O
Pancreatic

L
body

DI O Pancreatic
tail

R A
 4OC
Y
R G
Diagnosis Acute Pancreatitis

IOC CECT

L O 35

O
To be done after 72 Hours

DI
Diagnosis Acute Pancreatitis
Main Reason Severity

R A
IOC CECT
To be done after 72 Hours

Main Reason Severity

 Less than 4 Acute
Fluid Collection Peripancreatic
weeks Interstitial Necrotizing
Pancreatitis
Collection Pancreatitis
More than 4 Pseudocyst
Less than 4 Acute
Weeks
weeks Peripancreatic
Collection
More than 4 Pseudocyst
Weeks
Fluid Collection Interstitial Necrotizing

Y
Pancreatitis Pancreatitis

O G
L
Less than 4 Acute Acute Necrotic
Fluid Collection Interstitial Necrotizing

O
weeks Peripancreatic Collection

I
Pancreatitis Pancreatitis

D
Collection

A
More than44
Less than Pseudocyst
Acute Walled off
Acute Necrotic

R
Weeks
weeks Peripancreatic Necrosis
Collection
Collection
More than 4 Pseudocyst Walled off
Weeks Necrosis
 Final
Diagnosis
Liver
Abscess
Final
Diagnosis
Liver
Abscess

1OL0g
G Y
O
DAMS

O L
DI
R A
Underlying
RadiologicalCause-
Sign onAcute
CECT Pyelonephritis
Striated
Nephrogram

Underlying Cause- Acute Pyelonephritis

Diagnosis Crohns Disease

20
DAMS
Ag g Tm : 1 5 3 2 5

Y
M .U F Radiological Sign Comb
Phase
Sign

O
Important

G
Points Disease
Diagnosis Crohns

O L
1. Any Part ofSign
Radiological theComb
Bowel

I
2. Skip
Sign

D
3. String Sign of Kantor
4. Mesenteric

A
Important Points
Involvement

R
5. Fistula
1. Any PartInof
ano
the Bowel
6. Skip
2. Earliest- Apthoid
Ulceration
3. String Sign of Kantor
4. Mesenteric
Involvement
5. Fistula In ano
6. Earliest- Apthoid
Diagnosis Acute Cholecystitis

G Y
L O
IOC USG

O
Non visualization of GB on HIDA Scan

DI
Diagnosis Acute Cholecystitis
Gall stone on USG appears as

A
Echogenic with Acoustic Shadowing_

R
IOC USG
Non visualization of GB on HIDA Scan
1OC for Urinary Stone- NCCT
Gall stone on USG appears as
IOC for Salivary Gland Stone-NCCT
_____Echogenic with Acoustic Shadowing________________
IOC for CBD stone-MRCP
IOC for Bladder Stone-USG
 R

G Y
O
21

abboIO L
AD
R
 Earliest Xray Finding- Periarticular Osteoporosis

Sequence- Periarticular osteoporosis >Erosions > Loss of

Diagnosis Rheumatoid Arthritis
Joint Space > Dislocations > Deformity

Earliest Xray Finding- Periarticular Osteoporosis

Spine Involvement C1/C2
Sequence— Periarticular osteoporosis >Erosions > Loss of
Joint Space > Dislocations > Deformity

Y
Spine Involvement C1/C2
DAMS

O G
O L
DI
R A
 Diagnosis
Radiological Sign
JRA
Epiphyseal
Enlargement

Radiological Sign
Epiphyseal
Enlargement

Xray shows

G Y
O
1. Non Uniform Loss of

L
Joint Space
2.Osteophytes

I O
3. Subchondral Sclerosis,

D
Xray shows
loose Body
1. Non Uniform Loss of

A
Joint Space

R
2.Osteophytes
3. Subchondral
Diagnosis- Sclerosis,
Osteoarthritis
loose Body

Diagnosis- Osteoarthritis
 Debris
Dislocation
D for
Disorganization
Distension
Density
Debris
Dislocation
Charcot
Disorganization
Arthropathy

Charcot
Arthropathy

DA M S
R

G Y
L O
DI O
R A
 Subchondral Cortex on the iliac
side of SI Joint

Earliest
IOC- MRIXray Feature- Blurring of the

____Subchondral
Named Signs- Cortex on the iliac
side of SISpine
Bamboo Joint____________
Dagger Sign
IOC- MRI
Shiny Corner Sign

Named Signs—
Bamboo Spine
Dagger Sign

Y
Shiny Corner Sign

R O G
O L
DI
R A
 2. Martel Sign
3. Punched out erosions at 1 st MTP
Named Signs

1. Rat Bite Erosions

Diagnosis Gout
2. Martel Sign
3. Punched out erosions at 1st MTP
New Investigation- Dual Energy CT

Diagnosis Gout

New Investigation- Dual Energy CT

G Y
L O
D
MRI shows

I O Marrow Edema

A
MRI Sequence STIR

R
1OC for Acute Osteomyelitis MRI

Can show marrow edema within 24 Hours

MRI shows __________Marrow Edema_________

MRI Sequence STIR

IOC for Acute Osteomyelitis MRI

 2AL

HAi
Convert your anger into your power

Chronic Inflammatory

Y
Process

OG
L
Chronic Inflammatory

I O
Process

AD
R
 Best Investigation
IOC for the condition
EUS
MRCP with Secretin

Best Investigation
Sausage shaped Pancreas
Autoimmune
EUS Pancreatitis

Sausage shaped Pancreas

Y
Autoimmune Pancreatitis

G
MRCP with

L O
_Secretin_

DI O MRCP with
Shows

A
_Secretin______
Chain of Lakes

R
_
appearance
Shows
Chain of Lakes
appearance
 Incomplete Folds Haustra
Barium Enema

Radiation
IncompleteExposure
Folds Haustra
Maximum amongst all
Barium Procedures

Radiation Exposure
Maximum amongst all

Y
Barium Procedures

G
Ahaustral Fibrosed Colon
DAMS

L O
Diagnosis-

O
Lead Pipe Colon, Ulcerative

I
Colitis

D
Ahaustral
Starts Fibrosed Colon
at Rectum_

A
Diagnosis–
Mucosal

R
Lead Pipe Colon, Ulcerative
Pseudopolyposis
Colitis
Contigous

Starts atFinding-
Earliest Rectum_________
Mucosal
Granularity
Mucosal
Pseudopolyposis
Contigous
 Findings- Putty, Cement Kidney
IOC
IOC for Renal Scarring - CT Urography
Tc DMSA Scan Bladder- Thimble
1OC for VUR- Ureter- Beaded, Saw Tooth Ureter
MCU
Findings- Putty, Cement Kidney
IOC

Y
IOC for Renal Scarring – CT Urography
Tc DMSA Scan Bladder- Thimble

G
IOC for VUR- Basal, Subpleural
DAMS Ureter- Beaded, Saw Tooth Ureter

O
MCU

L
Honey Combing _

DI O Traction
Basal, Subpleural
Bronchiectasis

A
___Honey Combing_________

R
Final Diagnosis
UIP
__Traction____________
Prognosis
Bronchiectasis
Poor
Final Diagnosis
UIP
 3. Bunch of Grapes

Diagnosis
Bronchiectasis
Radiological Signs
1.Tram Track
Associations
2.Signet Ring
3. Bunch of Grapes
Pancreatic Insu fficiency -
Diagnosis
Cystic Fibrosis
Bronchiectasis

Situs Inversus, Infertility &

Associations
Sinusitis
Kartagener Syndrome –
Pancreatic Insufficiency
Cystic Fibrosis

DIOLOS Y
Situs Inversus, Infertility &

G
Sinusitis
Kartagener Syndrome

L O
1. Basal GGO

I O
2. Subpleural

D
Sparing

R A
1. Basal GGO

Final
2. Diagnosis-
Subpleural
NSIP
Sparing
__________________

Final Diagnosis-
 Pakistan's Waqar Younis had broken
Sachin Tendulkar's nose

G Y
L O
Solid versusD I O
A Cystic Thin walled

R Non-enhancing
Fluid Appearance on
USG/CT/MRI
 Most Common
Diagnosis-
Location
Arachnoid Cyst
Middle Cranial
Fossa
Most Common
Location
Isodense to CSF
Middle Cranial
Fossa

Y
Isodense to CSF

G
DAMS

L O
p r - 1 9 8 5 . F. 2 6 Y H - S P.
or-2011
0 4 9.7 7

O
12

I
3 1 9.3

AD
R Y 110
AS 101
1.0
TOO
 2. Cart Wheel

Named Signs
3. .Crumpled
Membrar
1. Hydatid Sand
4. Serpent
2. Cart Wheel

3. __Crumpled
5. On CXR- Water Lily
Membrane______________
4. Serpent

Y
5. On CXR- Water Lily
DAMS

O G
O L
DI
R A
.93kHz

4cn
.0 s p
 Vesicular Stage

Degenerating Stages
Viable Stage-
-Colloidal
Vesicular Stage
-Granular
Degenerating Stages
Dead Stage- Nodular
-Colloidal
Calcified
-Granular

DAMS
CalcifiedLOL
Dead Stage- Nodular Renal Cyst
Bosniak

G Y
O
C o ro n e l
Classification

L
P: 20.1

O
Bosniak l Bosniak II Bosniak IIF

I
D F O V 1 8 ,0
S TO Renal Cyst

D
Bosniak

A
Classification

R
Bosniak III Bosniak IV

CUH VUH

74
 ADPCKD

Y
sADIOLO
IOC-
CECT

Screening of Family Members-

G
IOC-

D
USG
CECT

R
MRA
USG
A
Screening
Screening of
of Brain
Family Members-

Screening of Brain
 OGY.Y Dermoid

G
DAMS

O
77

O L
I
Dermoid

AD
R
 plus 1ooth

Dermoid Cyst
Named Signs
Fat plus Tooth
1. Rokitansky Protuberans
2. Dot Dash sign
3. Sack of
Named marbles sign
Signs

1. Rokitansky Protuberans
2. Dot Dash sign
DAMS
3. Sack of marbles sign

Ri DIOLO G Y

R A
 Bright on
Diagnosis
Diffusion Weighted MRI
Epidermoid cyst
Most common location
CP angle
Bright on ____
Diffusion Weighted____ MRI

Most common location

CP angle
DAMS Immature Skeleton

Y
Location

G
PAYIOLO
Metaphysis

Central
Immature Skeleton
Non Expansile
Location

D
Metaphysis
N amed Sign-
Fallen Leaf Sign

A
Central
Trap Door Sign

R
Non Expansile
Diagnosis-
Simple/ Unicameral Bone Cyst
Named Sign-
Fallen Leaf Sign
Trap Door Sign

Diagnosis-
Simple/ Unicameral Bone Cyst
 M e t a p hys i s

S u b - P hys e a l
Immature Skeleton
Expansile
Location-
Metaphysis

DSub-Physeal________
i a g n o s i s -A B C

Expansile

Diagnosis- ABC

G Y
Mature Skeleton

O
Location- Epiphysis

L
Sub-Articular

I O
Eccentric
Mature Skeleton

AD
Expansile
Location- Epiphysis

R
Named Sign- Soap bubble
Sub-Articular_________

Eccentric
D i a g n o s i s - G CT

Expansile

Named Sign- Soap bubble

 Mural
Nodule

Cerebellar Cystic Lesion

Diagnosis
with
Haemangioblastoma

Association
_Mural
VHL
Nodule______________

ENT Tumour Associated

Diagnosis
Haemangioblastoma
Endolymphatic Sac Tumour

Association
VHL

Y
Central Stellate Calcification ENT Tumour Associated
Diagnosis
Endolymphatic Sac Tumour

G
Diagnosis MCN

O
Serous Cystadenoma

O L
I
Central Stellate Calcification Diagnosis

D
Diagnosis MCN
Serous Cystadenoma

R A
 Nothing can stop you
If you Truly Believe CAA
USP

G Y
L O
DI O
R A
Neoplasm
D
 89

Y
CEMR is IOC for Brain Tumour

G
DAMS
Extra Axial Tumours

O
89

O L
I
CEMR is IOC for Brain Tumour

D
Extra Axial Tumours

R A
Diagnosis- Meningioma
D i a g n o s i s - Ve s t i b u l a r
Schwanomma
Diagnosis-Pituitary
Macroadenoma
S i g n D u r a l Ta i l Sign Ice Cream Cone
NF2, Prior Radiation NF2
Sign Fig of 8
VSME--
Dr Sumer Sethi Dr Sumer Sethi

Connect The Dots

NF2
Dr Sumer Sethi Dr Sumer Sethi

Y
Crosses the
Midline

G
Connect2.The Dots
Heterogenously

O
NF2
Enhancing

O L
1. Crosses the

I
Diagnosis
Midline
Glioblastoma

D
2. Heterogenously

A
Enhancing

R
Prognosis-
Diagnosis
Poor
Glioblastoma
Named Sign
Butterfly
Prognosis-
Poor
 Diagnosis
Medulloblastoma
Location
Posterior fossa
CSF Drop
Midline, Vermis
Metastasis

Diagnosis
Zuckerguss
Medulloblastoma
Age

LO GY
CSF Drop
Paediatric
Metastasis

Zuckerguss

Dr Sumer seth Age –

Paediatric

L O
93
Dr Sumer Sethi

I O
Dr Sufer Sethi

D
Connect the Dots

A
Tuberous Sclerosis

R
Dr Sumer Sethi

Dr Sumer Sethi
Connect the Dots
Tuberous Sclerosis
Dr Sumer Sethi
 NapoleaN
PORT WINE
Dr Sumer Sethi DA L S

Dr Sumer Sethi No.4

Connect the dots-

Sturge Weber

Y
Connect the dots-

G
DAMS
Sturge Weber_________

L O
Dr Sumer Sethi
Sumer Setr

DI O
A
Dr Sumer Sethi

Dr Sumer Sethi Dr Sumer Sethi

Connect the Dots

R
1.Optic Glioma

NF1
2. Tibial
Pseudoarthrosis
3. Sphenoidal
Dr Sumer Sethi

Dysplasia
C o n n ec t t h e D o t s
1.Optic Glioma
2 . T i b i al
R

NCCT of an infant shows

T1 WI MRI- Hyperintense
Retinoblastoma
T2WI Hypointense
IOC
MRI Diagnosis- Melanoma

G Y
NCCT of an infant shows Diagnosis
HCC
T1 WI MRI- Hyperintense
Retinoblastoma

O
T2WI Hypointense
IOC

L
IOC
MRI Diagnosis- Melanoma
Triple Phase CT

I O
Hepatic Ar terial Phase
Diagnosis

D
hon-enhanced arterial Enhancement
HCC
Por tal Venous Phase

A
Wash
IOC out

R
Equilibrium
Triple PhasePhase-
CT
Capsule
Hepatic Arterial Phase
Enhancement
Screening Investigation
Portal Venous Phase
U S G
Wash out
portal venous equilibrium Equilibrium Phase-
Capsule
 Y
R G
DAMS

O
99

O L
DI
R A
 Diagnosis Ewings Sarcoma
Sign Onion Peel
Radiosensitive

D i a g n o s i s O s t e o s a rc o m a
Signs Sunray , Codman Triangle
Radioresistant

DAMS Diagnosis Osteosarcoma

G Y
O
Signs Sunray , Codman Triangle Pelvic Flat Bone
Radioresistant

L
10
1

O
Extending Beyond

I
Bone

D
Pelvic Flat Bone

A
Popcorn Appearance

R
Extending Beyond
Bone
Diagnosis
Chondroblastoma

Popcorn Appearance

Diagnosis
 Diagnosis- Enchondroma
Sumer Seth

Dr Sumer Sethi

Dr Sumer Sethi

Diagnosis-
Exostosis
Osteochondroma

Diagnosis-

G Y
Appearance

O
Exostosis
Osteochondroma
Canon Ball

O L
I
Cause

D
Metastases
Appearance

A
Canon Ball

R
IOC
Cause
CECT
Metastases

IOC
 Osteoblastic-
S u p e rs can

Colorectal Metastasis
All slides are showing
Random Nodules
Both sides
Osteoblastic-
Superscan
Grey white Matter
Indicating- Junction
Colorectal Metastasis
HAll
a eslides
m a to gare
eno us
showing DA M S

1OOGY
Metastases
Random Nodules
Both sides

Grey white Matter

Indicating– Junction
Haematogenous
Metastases

O L
DI
R A It is never too late
 86 / 44
Emergency

112

22

37.7
37.9

ARDS-Diffuse opacification

G Y
LVF_-Batwing Appearance

O
Air bronchogram

L
40604
R T S s O i n E

O
VNs

I
Dr Sumer Sethi
Dr Sumer Sethi
ARDS-Diffuse opacification ____LVF__-Batwing Appearance

D
Air bronchogram

R A
Dr Sumer Sethi
Dr Sumer Sethi
 Sign

Named sign
Final Diagnosis
Visceral Pleural Line
Pneumothorax
Sign

Final Diagnosis
Pneumothorax

G Y
Named sign

O
Deep Sulcus

L
Sign

DI O Named sign

A
Deep Sulcus
Significance

R
Sign
Pneumothorax

Significance
Pneumothorax
 Positive
FAST
Positive

Sternum

G Y
O
Subcostal view

L
Effusion

I O
Probe is First
at Subxiphoid

D
Effusion RV
area in FAST
RA

A
LV

R
LA
Probe is First
at Subxiphoid
Pe r i c a rd i a l area in FAST
effusion

Thoracic wall
 Va s '
Sign L38
Signs
Sea Shore m m1 Barcode
IEx
2 Stratosphere
3.8
Significance 99 3.8
Normal Significance Pneumothorax

M MODE USG

aLOg Y
eFAST 6 3

DA M S

G
Diagnosis
M MODE USG

O
Pulmonary Embolism 63
eFAST

L
IOC

O
CTPA

DI
Screening
Diagnosis Investigation
D Dimer
Pulmonary Embolism

R A
CXR
IOC - usually normal
CTPA
Named Signs
1. Westermark
Screening Investigation
2. Hampton Hump
D Dimer
3. Pallas Sign
CXR – usually normal

Named Signs
 S t a n fo rd A

F Management
Diagnosis
Urgent Surgical
Aortic Dissection
O -
Signs of False Lumen
TypeCobweb Sign
Stanford
2. A
Non enhancing
3. Larger size
F Management
Urgent Surgical
Association-Marfans

SignsCTA
IOC of False Lumen
1. CobwebPatient
If Unstable Sign
ital
2. Non enhancing
BedSideTEE
3. Larger size

Association- Marfans

Y
IOC CTA

G
If Unstable Patient
Case of Motor Vehicle
DAMS BedSideTEE

O
Accident

L
Insertion of

O
Ligamentum

I
Arteriosum

D
Case of Motor Vehicle
Accident

A
Insertion of

R
CT Angiography
Ligamentum
IOC
Arteriosum

CT Angiography 11

IOC
 namea Sign
Contrast Blush

Named Sign
Significance
Active
Contrast Blush
Extravasation

Significance
Active
1OC for renal Trauma-CECT
Extravasation

Y
If unstable Single Shot IVP

O G
L
IOC for renal Trauma-CECT

O
If unstable Single Shot IVP

* D
I
R A Dr Sumer Sethi

Vascular Pedicle Injury

 Dr Sumer Sethi

Intraperitoneal

Dr Sumer Sethi Dr Sumer Sethi

Extraperitoneal

Dr Sumer Sethi
Bladder Trauma IOC-CT Cystogram

Y
Extraperitoneal

G
DAMS Shape
Biconvex

O
Bladder Trauma IOC-CT Cystogram

L
Limited by-

O
Sutures

I
Shape

D
Rupture
Biconvexof

A
Middle Meningeal Artery

R
Limited by—
Anatomical Landmarks
Sutures
Foramen spinosum, Pterion
Rupture of
Lucid Interval
Middle Meningeal Artery

Diagnosis
Anatomical Landmarks
EDH, Extradural/
Foramen Epidural
spinosum, Pterion
 Named Sign
Significance
Swirl Sign
Active Bleeding

Significance
Active Bleeding

G Y
10
DAMS Shape

O
Concavoconvex

L
Limited by-

O
Dural Folds

DI
Shape of
Rupture
Concavoconvex

A
Bridging Veins

R
Limited
Seen in by–
Dural
1. Old Folds
2. Alcoholics
Rupture
3. ofBaby
Shaken
Bridging Veins
Diagnosis
Seen in haematoma SDH
Subdural
1. Old
2. Alcoholics
 _Chronic_
SDH

_Chronic_______
SDH

LOGY
DAMS

G Y
Sudden Severe Headache

O
Neck Rigidity

L
NCCT IOC

DI O Sudden Severe Headache

Diagnosis-SAH

A
Neck Rigidity

R
NCCT IOC
Cause of spontaneous
Ruptured Berry Aneurysm
Diagnosis-SAH
IOC CTA

Cause of spontaneous __
 Mechanism Shearing Injury

CT- M ay b e n o r m a l

IComatose
O C - M R I Patient after high speed Motor
vehicle accident
Useful sequences-
SWI
Mechanism Shearing Injury
DT I
CT- May be normal

MC
IOC-site
MRI
1. Grey White Junc tion
Useful
2. sequences-
Corpus callosum
3.
SWIMidbrain
DTI

MC site

Y
1. Grey White Junction
2. Corpus callosum

G
3. Midbrain

L O
DI O
R A
RT ICA POST
 CTA

CTA

RT ICA POST

DSA MRA

G Y
Cause
Hypertension

O
DSA MRA

L
Most common Site
Putamen

DI O H YPERDENSE
Cause
Hypertension

R A
Other sites
Most common Site
Putamen
1.Basal ganglia
2. thalamus
HYPERDENSE
3. Pons
4. Cerebellum
Other sites

1.Basal ganglia
 AVM
Lobar Hematoma
Adult OLD
Cerebral
Child – Amyloid Angiopathy
AVM
Role of SWI
Adult OLD
Cerebral Amyloid Angiopathy

Role of SWI
Named Sign

G
Hyperdense
Y
O
MCA

-
O L Named Sign

I
Hyperdense

D
Significance

A
MCA

R
Earliest CT sign
of Hyperacute
infarction
Significance
Earliest CT sign
of Hyperacute
 Brain Infarct is Earliest Seen on
DWI
Investigation Edema
_Cytotoxic_
DW MRI
3-30 min
_minutes of onset
Brain Infarct is Earliest Seen on
DWI
ADC Apparent Diffusion
__Cytotoxic______ Edema
Coefficient Image
Infarct is Dark
3-30 min
____minutes of onset

ADC Apparent Diffusion

DWI ADC Coefficient Image

Y
Infarct is Dark

O G
O L
DI
R A
a b
 Hemorrhage or
Large Infarct?
NCCT
No

Accessible Proximal
Occlusion & MRI Eligible?

DWI vol < 70 ml

& IAT Eligible?
Yes

A Therapy

MGH Acute Stroke Imaging Algorithm

G Y
Hemorrhage or
NCCT

L O
O
L a rg e I n fa rc t ?

I
No

D
Accessible Proximal
CTA

A
Occlusion & MRI Eligible?

R
DWI vol < 70 ml
& IAT Eligible?

Ye s

IA Therapy
 Hemorrhage or
Large Infarct?
NCCT
No

Accessible Proximal
Occlusion & MRI Eligible? CTA CT perfusion?

DWI vol < 70 ml

& IAT Eligible?
DWI
Yes

IA Therapy

MGH Acute Stroke Imaging Algorithm

G Y
NCCT

L O
Hemorrhage or
Large Infarct?

I O
No

D
Accessible Proximal
CTA perfusion?

A
Occlusion & MRI Eligible?

R DWI MR perfusion?
DWI vol < 70 ml
& IAT Eligible?

Yes

IA Therapy
 G Y
L O
DI O
R A
MCA -Stem Occlusion
 N C CT
Delta Sign

If CECT then-
Hypercoagulable State
Empty Delta Sign
NCCT
Delta Sign
IOC
MRV
If CECT then-
Empty Delta Sign

IOC

Y
MRV

MRV
O G
O L
DI MRV

R A
 If Patient cannot Stand
LEFT LATERAL DECUBITUS
Best Xray for the Condition
CXR ERECT

Named Signs
If Patient cannot Stand
1. Rigler
LEFT LATERAL DECUBITUS
2. Football
3. Cupola Sign
4. Tell Tale Triangle Sign
Named Signs
5. Falciform Ligament sign
6. Inverted V sign

VOLOGY
1. Rigler
2. Football
3. Cupola Sign
4. Tell Tale Triangle Sign
5. Falciform Ligament sign

O
DAMS 6. Inverted V sign

L
Diagnosis

O
Pneumoperitoneum

DI
R A
Diagnosis
Pneumoperitoneum
 Number of Physiological Airfluid
levels
3
BestXray
Abdomen Supine
IOC
CECT
Number of Physiological Airfluid
levels
CT
3 criteria
3cm Small Bowel
6cm
IOC Large Bowel

.0C
Diagnosis 9cm
CECTCaecum
SBO
CT criteria

Y
3cm Small Bowel
6cm Large
FEO C8OBowel

G
Coffee Bean
Diagnosis
Ahaustral S CO2
9cm Caecum DAM S

O
SBO
Sigmoid Volvulus

O L
I
Coffee Bean

D
Dr S umer Sethi

Ahaustral

A
Sigmoid Volvulus

R Dr Sumer Sethi

FRECT

Rigler Triad-Gall Stone lleus

 Dr Sumer Sethi

Dr Sumer Sethi

Dr Sumer Sethi

Dr Sumer Sethi
Vesical Calculus
Dr Sumer Sethi
R
Gall Stones
Stones
Vesical Calculus
Staghorn Calculus

Y
Gall Stones
Stones

R
Staghorn Calculus

O G
L
Pediatric
D IO
Imaging
R A The Fundamentals
 Dr Sumer Sethi
Dr Sumer Sethi
Dr Sumer Sethi

Dr Sumer Sethi Dr Sumer Sethi

Oesophagus Dr Sumer Sethi

Coin
Magnets

GY
Dr Sumer Sethi

Button Battery
Oesophagus
Coin Dr Sumer Sethi Magnets

Y
.Diaphyseal Fractures

G
Different Stages of Healing DAMS

O
Button
Osteogenesis Imper fec ta Battery

O L
I
___Diaphyseal_____ Fractures

D
Sumer Sethi
Different Stages of Healing
Dr Sumer Sethi
Osteogenesis Imperfecta

R A Dr Sumer Sethi
Dr Sumer Sethi

_Metaphyseal Corner Fracture

Seen in Battered Baby.
 In Second Decade-
Syringomyelia

Small posterior fossa

Tonsillar

In Herniation
Second Decade— Dr Sumer Sethi

Syringomyelia

<
Chiari 1
Malformation
Tonsillar
Herniation Dr Sumer Sethi

____Chiari 1_____

Y
Malformation
Chiari Type 2

G
DAMS

L O
I O
__Chiari____Type 2

AD
Dr Sumer Sethi
-Dr Sumer Sethi

R
Dr Sumer Sethi

Dr Sumer Sethi
Banana Cerebellum Association
Lemon Skull
S p i n a B i f iDr
d a Sumer Sethi
Midline

Peritoneal Sac

Confuser
Umbilical Cord Inserted
at Apex
OMPHALOCELE GASTROSCHISIS
Associated Chromosomal
Midline
abnormalities

Peritoneal Sac

Umbilical Cord Inserted

at Apex
Gastroschisis
Associated Chromosomal
abnormalities

OMPHALOCELE GASTROSCHISIS

G Y
Omphalocele DAMS

L O
Midline Right Paramedian

O
Peritoneal Sac

I
No Peritoneal Sac

Confuser
D
Umbilical Cord Inserted Bowel Complications
a t A p ex Bowel Atresia
OMPHALOCELE GASTROSCHISIS

A
Associated Chromosomal
Midline Right Paramedian

R
abnormalities

Peritoneal Sac No Peritoneal Sac

Umbilical Cord Inserted Bowel Complications

at Apex Bowel Atresia
Associated Chromosomal
Gastroschisis
abnormalities
VDiagnosis
ermian agenesis/hypogenesis
4th venWalker
Dandy tricle cystic dilatation,
Malformation
Enlarged Posterior Fossa

Diagnosis
Dandy Walker
Malformation
Dr Sumer

Sumer Sethi
Dr Sumer Sethi
Sign

G Y DA M S

O
Molar Tooth Sign

O L
DI
Dr Sumer Sethi
Dr Sumer Sethi Diagnosis
Sign

A
Jouberts syndrome
Molar Tooth Sign

R Dr Sumer Sethi Diagnosis

Jouberts syndrome
Dr Sumer Sethi DAMS

Cyanotic Heart Disease oligemia

Tetralogy of fallot

Dr Sumer Sethi

Dr Sumer Sethi
oligemia
Ebstein's

AOGY
Dr Sumer Sethi

Y
Ebstein’s
TAPVC Uncorrected TGA

G
DAMS

L O
O
Dr Sumer Sethi

I
TAPVC Uncorrected TGA

AD
R
Dr Sumer Sethi

Dr Sumer Sethi

Plethora +Cyanosis

Dr Sumer Sethi
 Dr Sumer Sethi

Dr Sumer Sethi

Horse Shoe Kidney Retroperitoneal Fibrosis

Dr Sumer Sethi

Horse Shoe Kidney Ureterocele

Y
DAMS
Retroperitoneal Fibrosis

O G
L
Ureterocele

DI O
A
Dr Sumer Sethi Dr Sumer Sethi

R
10 MIN

Retrocaval
Dr Sumer SethiUreter Dr Sumer Sethi
 TB HIV
Double Trouble

G Y
HIV Patient
DA M S

L O
Dr Sumer Sethi

Dr Sumer Sethi

O
Dr Sumer Sethi

I
PMLE
HIV Patient

AD Dr Sumer Sethi

R
Dr Sumer Sethi
Dr Sumer Sethi
FLAIR
CEMR

Diagnosis -
PMLE
D i a g n o s i s - R i n g L e s i o n E c c e n t r i c Ta r g e t
Toxo p l a s m o s i s
FLAIR CEMR
 Dr Sumer Sethi

HIV +

Dr Sumer Sethi

Dr Sumer Sethi

Diagnosis-

Diagnosis- Pneumocystis Jiroveci

Cryptococcal Meningitis

Dr Sumer Sethi

Y
L
G
Diagnosis- DA M S
Diagnosis- Pneumocystis Jiroveci

O
Dr Sumer Sethi
Cryptococcal Meningitis

L
Findings-

O
Cavitation

I
Sumer Sethi

D
Dr Sumer Sethi

A
Findings-

R
Cavitation
Dr Sumer Sethi

Findings -
Rim Enhancing
Matted Lymphnodes
 Dr Sumer Sethi

Miliary TB Appearance- Tree In Bud

Endobronchial Spread
Dr Sumer Sethi
Dr Sumer Sethi Sumer Sethi

Miliary TB

LOGT
Dr Sumer Sethi Dr Sumer Sethi

Y
Disease Sarcoidosis

G
DA M S
Signs

O
Panda, lambda on Ga 67

O L
Dr Sumer Sethi

I
Disease Sarcoidosis

D
Signs

A
Panda, lambda on Ga 67

R
Dr Sumer Sethi
 Dr Sumer Sethi

IOC is CT enterography

Dr Sumer Sethi

Dr Sumer Sethi

EIEAE

Dr Sumer Sethi
Bowel TB

:15 44
:52 29

G Y DAMS

O
Bowel TB

L
mm
mm
Dr Sumer Sethi

DI O
A
Dr Sumer Sethi

_sag_PRE_FS_FIl]
S S E N Z A

R
Diagnosis- Potts Spine Psoas Abscess
 Dr Sumer Sethi
Dr Sumer Sethi

Golf club
Putty Kidney
Dr Sumer Sethi HSG beaded Tobacco Pouch

Dr Sumer Sethi
Dr Sumer Sethi

Dr Sumer Sethi

DIOLOGY G Y
DA M S

L O
DI O
R A Egg Shell Calcification
Cause-Silicosis
 Sign Monod Sign
Cause Aspergilloma

Sign Monod Sign

Cause Aspergilloma

G Y
O
DAMS

DADIOLOGY
O L
DI
MISCELLANEOUS

R A
 Score used TIRADS

1. Composition
2. Echogenicity
Investigation USG Thyroid
3. Echogenic Foci
4. Shape
Score used TIRADS
5. Margins
1. Composition
2. Echogenicity
3. Echogenic Foci
4. Shape
5. Margins

"eOLOGY
G Y
Hyperthyroid Patient DA M S

L O
DI O Hyperthyroid Patient

A
. Normal Graves
Thyroiditis

R
Toxic MNG Toxic
GravesAdenoma Thyroiditis
CT PET PET CT

Y
RADIO G
DAMS

O
CT PET PET CT

L M1

R A
1 74
 Let your Passion Speak
Let your Energy Introduce you to the world

1OLO Y
Let your Passion Speak

G
DAMS
Let your Energy Introduce you to the world

L O IS

RATHE NOT
D
LMT
I O
IN THE

A
SKY. THE LIMIT

R IS IN THE MIND.
- U n k n ow n

176
 TiME
AYSVA
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