Dr Vikas Shah
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thexraydoctor.org
Dr Vikas Shah
@thexraydoctor.org
650 followers 100 following 180 posts
☢️ abdominal, emergency & post-mortem radiologist; managing editor of Radiopaedia ⚽️ sports, 💻 tech and 🗺️ travel #RadSky #MedSky
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⏰ Quiz time!

🩻 What kind of study is this? Which complication has occurred, and why?

#radiology
I’m teaching on Monday 3 Nov about MRI for pelvic organ prolapse and ano/recto-vaginal fistulas.

Sign up at www.infomedltd.co.uk/gynaecology-...
📍 Ankylosing spondylitis with fracture.

🩻 X-rays show dagger spine, squared vertebral bodies, bamboo spine, and fused SI joints.

🗡️ Broken dagger on AP marks an L3 chalkstick fracture, confirmed on lateral and CT — a classic brittle spine injury.
⏰ Sunday quiz time!
🩻 AP and lateral lumbar spine xrays
1️⃣ What is the underlying diagnosis?
2️⃣ Which complication has occurred?

#radiology #MSKrad
Achalasia on a barium swallow: very dilated oesophagus (UK spelling as I practice in the UK!), barium mixing with food residue giving a bubbly appearance, smooth narrowing to a very tight lumen at the distal oesophagus, known as the 'bird beak' sign, with little barium passing into the stomach.
📘 Sneak peek at FRCRverse, a new series edited by my colleague Siddharth Thaker (pictured) and Harun Gupta (Leeds). A clear, concise and beautifully structured guide for radiology trainees prepping for FRCR 2A/2B and daily practice. Huge effort by Harun and Sid 👏

📎 Pre-order at bit.ly/FRCRverse
Reposted by Dr Vikas Shah
🎯 History: Abdominal pain.

🎯 CT: Bilateral rectus sheath haematomas with increased muscle density. No definite bleeding point (no arterial phase). No intra-abdominal extension.

🎯 Usually unilateral, most often spontaneous in patients on anticoagulation.

👤 Ian Bickle, radiopaedia.org/cases/206404
📌 Acute appendicitis on CT:
🟣 Gas + calcium appendicoliths in appendix
🟢 Caecal pole = key landmark
🔴 Dilated, thick-walled, fluid-filled appendix
🟠 Surrounding fat stranding = inflammation
❗️Look for perforation signs: abscess or free gas

#Radiology #RadSky
✨🪔 Wishing everyone a Diwali glowing with warmth, laughter, and togetherness ✨🪔
👀 Someone forgot to take their glasses out of their shirt pocket…

Here are my top captions:
🤓 “That’s a spectac-ular artefact”
😎 “Eye see the problem”

How would you caption this chest xray?
Radiology meets rap - check out this video created by Paymon Zomorodian from RadBytes, with captions added by me. This rap is now well and truly stuck in my head.

And when Paymon asked the community for suggestions for a name for this new rap group, someone suggested 2PACs. Genius!
Walked the Singapore Grand Prix circuit back in July – took us 90 minutes to complete one lap. George Russell does it in 90 seconds! 🏎️🇸🇬

#Formula1 #Singapore
🎧 🎙️ Listen to me and Emmeline Lee discussing the imaging of ovarian torsion in Episode 68 of the @radiopaedia.org Reading Room podcast. Lots of serious radiology chat as well as a few nerdy jokes.

🎧 radiopaedia.org/podcast
Reposted by Dr Vikas Shah
👨‍🚀🚀 It’s day 5 of Radiopaedia 2025! A day packed with important clinical-adjacent insights.

Last chance register at radiopaedia.org/courses/radi...
Reposted by Dr Vikas Shah
🪐🚀Join us for day 3 - all about the abdomen and pelvis.

radiopaedia.org/courses/radi...
Reposted by Dr Vikas Shah
Reposted by Dr Vikas Shah
👩‍🚀🚀 Day 2 of Radiopaedia 2025 is in full swing! Lectures, panel discussions, and cases where you can scroll alongside the speaker!

Sign up at radiopaedia.org/courses/radi...
Who needs Coldplay when you’ve got Radiopaedia 2025 to hug? 🤗

radiopaedia.org/courses/radi...
Reposted by Dr Vikas Shah
🚀 5 days until #Radiopaedia2025! Check out this abdomen case from speaker Ed Godfrey.

25 yo with epigastric pain → CT day 1 acute pancreatitis; CT day 9 shows necrosis and splenic vein thrombosis.

Case: radiopaedia.org/cases/206201

Register: radiopaedia.org/courses/radi...
Suiting up for Radiopaedia 2025 🚀
Abdominal imaging workshop ✅
Panel discussion host ✅

Launching July 21 — register here: radiopaedia.org/courses/radi...
🎁💜 Buy one, gift one.

It's the perfect way to power up your own CPD, and support your trainees' learning.

👉🏼 radiopaedia.org/courses/all-...
🎁 It’s Pay It Forward Week! Buy a Radiopaedia All-Access Pass and gift a 12-month concession pass FREE to a trainee or non-doctor.

💜 Already have a pass? Buy a 12-month extension and still gift one!

👉 radiopaedia.org/courses/all-...