We obsess over cancer screening, LDL, Zone 2 training — all for a few percentage points of risk reduction.
Meanwhile, 1,77,177 Indians died on the roads in 2024. A night highway trip is 5,000x more dangerous than a flight.
New piece 👇
atmasvasth.com/roadaccidents04
Case of the Day - 193 - Not Every Lung Infarct is Thromboembolic
74-years old man presented with abdominal pain and he was diagnosed with adenocarcinoma pancreas with liver metastases from a CT guided liver lesion biopsy after a PET/CT.
Full Video
youtu.be/DdQi_f3DVF8
Case of the Day - 192 - Consolidation, Nodules, Ground Glass, Bubble Lucencies
77-years old 2-weeks history of breathlessness showed bilateral disease on the CT scans
Consolidation
Ground glass
Cavitated and non-cavitated nodules
Bubble lucencies
Full Video
youtu.be/BMK8vhRizLs
An FDG Angiogram in GCA
71-years old with fever had a PET/CT, which shows diffuse uptake of FDG in all the major arteries. The focused images of the head and neck showed uptake in the temporal arteries.
youtube.com/post/UgkxfJF...
Case 60: The Pitfalls of Rib Uptake on PSMA PET
63-years old with Ca prostate had uptake on PSMA in the left 3rd rib anteriorly and right 6th rib posteriorly. The CT does not show any lesion there (Fig. 1).
The post discusses this false positive pitfall
www.bstneoplasms.com/p/case60
Lecture: 2025 Updates on ILD Classification.
A lecture I gave last week for the ICRI Chest series.
youtu.be/guVSRvIVY-k
#ctchest #ctchestreview #ILD #ILDguidelines
Is Fasting an Efficient Way to Control Food Intake in an Environment of Abundance?
Calorie control is important in an era of abundance.
Is fasting or dietary restriction efficient?
Or are GLP-1 agonists better?
Audio and Text
www.atmasvasth.com/fasting04/
Case of the Day - 191 - Effortless Segmentation - The AI We Want
41-years old treated for sigmoid colon carcinoma came for a PET/CT.
The video describes the use of the Totalsegmentator plugin in Osirix MD
This is the kind of AI we want.
Full Video
youtu.be/gSXr5N1OQ6w
Case 242: Dot-Like Myocardial Septal Enhancement
30-years old had clinical evidence of ischemia and angiography showed a specific anomaly. He was sent for a stress cardiac MRI
Findings
Linear and dot-like signal and enhancement in septum on 4C
Video
www.mricardiac.com/case242/
Wet-Bulb Stupidity and Why Running Zones Matter
Run smart within the constraints of the weather you are in.
Audio and Text
www.atmasvasth.com/temperature05
RA, RA-ILD, AEF, CPFE - So Many Acronyms in One Patient
64-years old with rheumatoid arthritis on treatment had dyspnea. He was a 15-pack years smoker who had stopped 10 years ago.
The CT shows so many findings as listed in the title.
www.ctchestreview.com/post04/
Case 175 - Transsacral Approach for an S1 Lesion Biopsy
43-years old treated buccal ca with a new S1 osteolytic lesion on PET.
The patient was referred for a CT guided biopsy of the sacral lesion.
The post shows how the biopsy was done
www.ctbiopsy.com/case175/
The "E" Sign of a Bipartite Medial Cuneiform
39-years old with chronic foot pain.
The patient came for a CT.
The 3DCT shows the "E" sign created by this configuration.
youtube.com/post/UgkxyEG...
Case of the Day 189 - Idiopathic Pleuroparenchymal Fibroelastosis (iPPFE) - Volumes, Flat Chest and Meandering Trachea
37-years old with gradually progressive dyspnea.
Full Video
youtu.be/E-Y2MLaTvS4
Case of the Day - 188 - A Bird's Nest on an Atoll
70-years old immunocompetent patient with fever.
CT scan showed an unusual lesion in the right upper lobe with a reversed halo (atoll) sign and a unique bird's nest appearance.
Full Video
youtu.be/9zPn6xZDkdg
Lecture - CT Chest Indications for Physicians
A lecture I took last Sunday
Topics covered
1. Diffuse lung diseases
2. Focal lung lesions
3. Pulmonary vascular lesions
3. Mediastinal lesions
4. Pleural lesions
5. What scan to do when
6. Something new
YouTube Video
youtu.be/bt6h2cYH59A
Post 02 - Progressive Pulmonary Fibrosis (PPF) and Biologic Behavior
This patient however has scans from 2016 spanning 10 years showing progression (PPF). The post shows 8 of these scans together to understand the biologic behavior of this disease over 10 years.
Post
www.ctchestreview.com/post02/
Heat: The Invisible Barrier to Long-Term Health and Longevity
Heatwaves increase the risk of death, cardiovascular and otherwise with an exponential increase above a level specific for the region concerned. Compound heat is the worst.
Audio and Text
www.atmasvasth.com/temperature04
Case of the Day - 187 - Stone in the Bronchus
71-years old man with fever.
CT shows miliary nodules likely due to miliary tuberculosis.
It also shows a calcified subcarinal node extending into the intermediate bronchus.
Full Video
youtu.be/S3pAjID5PaE
Case 174: Left Upper Lobe Consolidation - The "Parallel-to-Vessel" Approach to Avoid Hemorrhage
59-years old with fever and non-resolving consolidation in the left upper lobe of the lung
The video below describes the case
Video
www.ctbiopsy.com/case174/
Case of the Day - 186 - Spina Ventosa is Not Only Dactylitis...Any Bone Can be Involved
11-years old with fever and swelling of the sternum and neck nodes.
Full Video
youtu.be/8WvlHu2wKZU
CT Biopsy Live - 5 Cases from Feb 2026 - 19th March, 2026 - 7 PM
Discussed on the Osirix viewer - no Powerpoint
Zoom Webinar
Webinar ID: 822 9652 6670
Passcode: REFTHURS
us02web.zoom.us/j/8229652667...
Pills vs. Sneakers: Why No Multivitamin Supplements Can Do What Movement Does
"True health comes from your kitchen and your sneakers, not a plastic bottle."
Audio and Text
www.atmasvasth.com/supplements02/
Case of the Day - 184 - Signs of Dural Ossification in OPLL
70-years old with neck pain.
MRI shows continuous type of ossification of posterior longitudinal ligament (OPLL).
The video describes the case and the signs of dural ossification (DO),
Full Video
youtu.be/ZdSsH1opQwo
Five Cases from February 2026
12th MarchREFTHURSday - 7 PM
The cases will be discussed using Osirix with no Powerpoint for 10-12 minutes / case from the description to the differentials and to the final diagnosis in an interactive manner.
Zoom Webinar
Webinar ID: 822 9652 6670
Passcode: REFTHURS
Counting Down to 90 - Week 1507 - Conformism, Eating Less, The Pitt, Young Sherlock
Audio and Text
www.bhavinj.com/1507/
#bhavinj #countingdownto90 #weddings #thepitt #youngsherlock
The Futility of Most MRI Scans of the Shoulder and Knee in Those over 55
Most MRI scans in those over 55 years of age in the shoulder and knee show standard findings that make no difference to management or eventual outcome...so what is their utility?
Audio and Text
www.atmasvasth.com/mri01/
Case of the Day - 183 - A Milwaukee Shoulder in Mumbai
66-years old man with gradually progressive pain, without fever in the right shoulder.
MRI shows a destructive arthropathy, as does a CT scan. Neuroarthropathy was ruled out with an MRI cervical spine.
Full Video
youtu.be/_4Nbt8Geqns
Chaplo and Dodhdayo...The Pitfalls of Over-Testing for Alzheimer's
What happens when you do a blood test for a disease that does not really have a specific treatment and the blood test does not give a clear-cut answer.
Audio and Text
www.atmasvasth.com/cognition08/
Case of the Day - 182 - The DCRV Enigma
51-years old with giddiness every morning on waking up.
Echo showed RV changes.
Cardiac MRI shows marked RV hypertrophy, the cause of which is abnormal musculature in the subpulmonic region
Full Video
youtu.be/USY8zEDhWoI