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Dr Vikas Shah @thexraydoctor.org · 05/10/2026

We are ready to start another edition of the Leicester post-mortem CT course this morning! Over 3 days, we will cover techniques, normal findings and a range of abnormalities, welcoming delegates from the UK and South Africa.

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Dr Vikas Shah @thexraydoctor.org · 13/07/2026

🤩 Look at all of these brand new lectures, ready for #Radiopaedia2026! We've also got anatomy reviews, workshops, panel discussions and rPosters. 📅 16–21 July 2026 🌍 Online and worldwide, with free access in 125 countries See you there! radiopaedia.org/courses/radi... @radiopaedia.org

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Dr Vikas Shah @thexraydoctor.org · 12/07/2026

4 DAYS TO GO! 🚨 As a #Radiopaedia2026 conference convenor, I’ve had the privilege of helping shape Radiopaedia 2026 with our brilliant speakers. We can’t wait to share it with you! 16–21 July | Online worldwide | Free in 125 countries radiopaedia.org/courses/radi...

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Dr Vikas Shah @thexraydoctor.org · 19/06/2026

Earlier this year at ECR, I spoke about MRI in acute abdominal pain during pregnancy, balancing diagnostic accuracy with fetal safety. Thanks to Healthcare in Europe for covering the session: healthcare-in-europe.com/en/news/imag...

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Dr Vikas Shah @thexraydoctor.org · 31/05/2026

Funny how the human eye reaches peak accuracy approximately 0.2 seconds after a report becomes uneditable.

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Dr Vikas Shah @thexraydoctor.org · 20/05/2026

A busy few days for the Leicester PMCT team - we've run courses for East Midlands specialty trainees, and our main radiologist course had delegates from all corners of the UK. The next radiologist course is 5-7 October 2026 [book via uhl-tr.pmradiologymailbox@nhs.net].

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Dr Vikas Shah @thexraydoctor.org · 12/05/2026

This week's @radiopaedia.org case read is one of mine; watch the video for a classic abdominal diagnosis! WATCH: bit.ly/4tmCPR3

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Dr Vikas Shah @thexraydoctor.org · 26/03/2026

Publication day! I contributed a small section to this Collins fun-filled fact book for 7+ kids. Great to see it out. collins.co.uk/products/978...

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Dr Vikas Shah @thexraydoctor.org · 20/03/2026

📚 This arrived today. Pleased to be asked to contribute to this Collins fact book for 7+ kids. Great to see my contribution in print. Small section, but very proud of it. collins.co.uk/products/978...

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Dr Vikas Shah @thexraydoctor.org · 16/03/2026

📢 @radiopaedia.org 2026 rPoster submissions are open. ⏳ You have 4 days left to submit your abstract. 🏅 Accepted rPosters are shown at certificate, DOI citation and the chance to win awards. Submit at radiopaedia.org/courses/rpos...

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Dr Vikas Shah @thexraydoctor.org · 15/03/2026

POV: the trauma team waiting for the radiologist’s hot report. Radiologist in the middle: “Just one more slice…” ☢️

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Dr Vikas Shah @thexraydoctor.org · 11/03/2026

🔊 Ultrasound through the adult skull? 🤯 A technology demonstration exploring transcranial ultrasound imaging. Interesting to see how ultrasound technology continues to evolve. What do you think about this concept? #Radiology #Ultrasound #Neuroimaging #MedTech

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Dr Vikas Shah @thexraydoctor.org · 07/03/2026

🔊 Robotic ultrasound demo at #ECR2026 This system scans a neck phantom with automated probe positioning and pressure control. Would you trust this to perform your ultrasound as a patient? Future of imaging… or not quite ready yet? #Radiology #Ultrasound #MedTech

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Dr Vikas Shah @thexraydoctor.org · 04/03/2026

Earlier today I delivered my lecture on MRI of acute abdominal pain in pregnancy at #ECR2026 in Vienna, covering the imaging challenges and how MRI helps achieve an early and accurate diagnosis to prevent adverse outcomes. I’m here for a couple more days, so please say hello if you see me!

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Dr Vikas Shah @thexraydoctor.org · 04/03/2026

We are about to kick off this session on emergency imaging in pregnancy at #ECR2026. Join us in room M1.

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Dr Vikas Shah @thexraydoctor.org · 03/03/2026

Athena and the owl at ECR 2026.

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Dr Vikas Shah @thexraydoctor.org · 03/03/2026

You know me too well Alan! I’ve only ever seen this once. This was an appendix in a similar hernia, on a CT colon study. Not sure if it makes the appendix more susceptible to becoming inflamed.

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Dr Vikas Shah @thexraydoctor.org · 27/02/2026

I'm at #ECR2026 next week. If you're around, please do say hello, and come along to my talk on Wednesday 4th March on MR imaging of acute abdominal pain in pregnancy (or watch at home if you are attending virtually). See you there!

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Dr Vikas Shah @thexraydoctor.org · 16/02/2026

The Midlands National Radiology Conference was a fantastic event. Huge credit to Abigail Easterbrook and the Leics Rad Soc for organising. Great to speak alongside RCR President Stephen Harden and AI expert Indrajeet Das. Inspiring to see such enthusiasm for radiology from medical students.

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Dr Vikas Shah @thexraydoctor.org · 13/02/2026

I'm speaking about post-mortem CT at the Midlands National Radiology Conference this weekend. Other talk topics include AI and IR, and there is a set of workshops all afternoon. Places till available, via linktr.ee/leicesterrad...

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Dr Vikas Shah @thexraydoctor.org · 04/02/2026

Check out these slides from a standout @radiopaedia.org 2025 rPoster. Alvin Logronio maps the ureter with a brilliant interactive design. Submit an rPoster for Radiopaedia 2026 by 22 March. Accepted posters receive a DOI and a chance to win awards. radiopaedia.org/courses/rposter

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Dr Vikas Shah @thexraydoctor.org · 14/01/2026

Medical student interested in radiology? The Midlands National Radiology Conference is a great place to start. Talks from the RCR President, AI and IR sessions, workshops, and student competitions. I’ll be speaking on post-mortem CT. 🎟️ linktr.ee/leicesterradiologysociety

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Dr Vikas Shah @thexraydoctor.org · 26/12/2025

🔍 Autoimmune pancreatitis mimicking malignancy 🧲 Diffusely enlarged smooth pancreas with biliary dilatation, no PD dilatation. Mesenteric & pelvic soft tissue masses. ☢️ FDG uptake in pancreas, nodes & soft tissue. Whipple histology confirmed IgG4-related AIP 📚 radiopaedia.org/cases/199309

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Dr Vikas Shah @thexraydoctor.org · 25/12/2025

🎄 Festive imaging requests at Christmas. 🚀 Brussels sprouts contain raffinose. Colonic bacteria ferment it -> gas + smell. So an abdo x-ray/CT after sprouts may look extra gassy. 🩻 Like radiology, disliked early on, great when done right. ✨ Merry Christmas!

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Dr Vikas Shah @thexraydoctor.org · 21/12/2025

13-year-old me at the @rigb.org Christmas Lectures. Those early experiences helped spark a lifelong love of science. Grateful for institutions that inspire curiosity, opportunity, and future scientists.

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Dr Vikas Shah @thexraydoctor.org · 20/12/2025

🚀 Multimodality imaging of mature cystic ovarian teratoma (dermoid) 🔊 US: mixed echo mass w/ layering hyperechoic content ☢️ CT: mixed density with fat, complex fluid, central rounded focus 🧲 MRI: fat & fluid layering with interface nodule (Poke ball) 📚 radiopaedia.org/cases/171196

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Dr Vikas Shah @thexraydoctor.org · 19/12/2025

🩻 3D CT showing an inferior vena cava filter. ⚙️ Infrarenal IVC device to prevent pulmonary embolism from lower limb DVT when anticoagulation is not possible. 📐 Residual calcium flecks remain, but major vessels, kidneys, liver and heart are seen.

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Dr Vikas Shah @thexraydoctor.org · 18/12/2025

🚀 Gallbladder volvulus 🔑 CT: distended thick-walled GB, poor enhancement, horizontal lie, medially pointing fundus, beak at neck, twisted vessels 🔪 Surgery: torted cystic duct/artery → cholecystectomy 📚 View on @radiopaedia.org : radiopaedia.org/cases/183929

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Dr Vikas Shah @thexraydoctor.org · 17/12/2025

☢️ FDG PET-CT: abnormal tracer activity of aorta & subclavian arteries > indicates arterial wall inflammation 🧬 CT: low density smooth circumferential aortic wall thickening 📚 Non-infectious aortitis has many causes, including giant cell arteritis, Takayasu arteritis and rheumatologic diseases

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Dr Vikas Shah @thexraydoctor.org · 15/12/2025

🚀 Multimodality imaging of MEN 1 1️⃣ Pancreatic NET (gastrinoma) → Zollinger Ellison, DJ perforation 2️⃣ Parathyroid adenoma → ↑ calcium, renal stones 3️⃣ Pituitary adenoma → ↑ prolactin 🔥 Exam tip: autosomal dominant 📚 radiopaedia.org/cases/206567

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Dr Vikas Shah @thexraydoctor.org · 14/12/2025

🚀 Gossypiboma: retained surgical swab. Low-density mass w/ curvilinear strands and spongiform gas 📍 Exam tip: abscesses show non-dependent air or air-fluid levels, not diffuse bubbles 🔥 Reporting tip: main mimic is haemostatic material. Check the op note 📚 radiopaedia.org/cases/100302

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Dr Vikas Shah @thexraydoctor.org · 11/12/2025

🚀 Perforated small-bowel diverticulitis: prior barium extensive diverticulosis; new CT shows gas, fluid & fat stranding in the mesentery 📍 Exam tip: false diverticula don’t contain all bowel layers 🔥 Reporting tip: mesenteric-focused inflammation → run the small bowel radiopaedia.org/cases/206579

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Dr Vikas Shah @thexraydoctor.org · 10/12/2025

🚀 Meckel diverticulitis 🔑 Blind-ending tubular structure arising from the mid small bowel 📍 Remnant of omphalomesenteric duct 2️⃣ Rule of 2s useful to learn facts 🔥 Inflammation: fat stranding +/- fluid & gas in small bowel mesentery, wall thickening Scroll: radiopaedia.org/cases/206545

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Dr Vikas Shah @thexraydoctor.org · 07/12/2025

Radiology has changed. I’m just here trying not to get buried.

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Dr Vikas Shah @thexraydoctor.org · 06/12/2025

CT scout image shows a distended & gas-filled loop of bowel occupying left mid-abdomen, with a central crease (coffee bean sign), with a normally positioned caecal pole. Yes, that is a key in a pocket. Sigmoid volvulus, coronal image shows whirling pattern of the vessels near the point of twisting.

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Dr Vikas Shah @thexraydoctor.org · 05/12/2025

🤔 What is the key 🔑 finding on this scout image of a CT abdomen and pelvis? What do you think the CT images will show? Put your answer in the comments!

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Dr Vikas Shah @thexraydoctor.org · 04/12/2025

Coronal CT displayed in bone window: Paget disease with coarse trabecular thickening of left ilium and femur, and decreased angle between femoral neck and shaft, also known as coxa vara. This is called the Shepherd crook deformity as it resembles the stick carried by shepherds...sort of.

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Dr Vikas Shah @thexraydoctor.org · 30/11/2025

Liver haemangiomas (or strictly speaking 'venous malformations') show "centripetal peripheral nodular discontinuous enhancement" on MRI with gadolinium - this means they fill in from outside to inside, and tend to retain contrast on delayed images.

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Dr Vikas Shah @thexraydoctor.org · 29/11/2025

"Rorschach" radiology. When an image makes you think of something completely unrelated. This abdominal xray shows small bowel obstruction with Gastrografin, but my brain keeps turning those coiled loops into a cinnamon swirl.

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Dr Vikas Shah @thexraydoctor.org · 26/11/2025

🧩 CT colonogram with oral contrast in the colon. The bright tubular structure inside the inguinal hernia is the appendix, filled with contrast. An Amyand hernia. A finding that feels a little like spotting something from the Upside Down. #radiology #FOAMed #strangerthings

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Dr Vikas Shah @thexraydoctor.org · 24/11/2025

At work, I introduced DWI & volume body MRI, cine enterography, MRI proctography, oral contrast for GI leaks, & iodinated contrast for CT colonography - all now routine. Fused T2/DWI in rectal MRI never took off. With TNT and the need to detect a complete response, time for a come back?

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Dr Vikas Shah @thexraydoctor.org · 23/11/2025

My answer each time: "even better news: it's twins" (clip of UK MP Emily Thornbury on a news show]

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Dr Vikas Shah @thexraydoctor.org · 22/11/2025

✅ MEDULLARY NEPHROCALCINOSIS DUE TO TYPE 1 RENAL TUBULAR ACIDOSIS 🖼️ AXR: bilateral kidney-contour calcification 🌀 US: hyperechoic medullary foci with shadowing and no hydronephrosis. 🧊 CT/3D/cinematic rendering: dense medullary calcification. #radiology #FOAMed

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Dr Vikas Shah @thexraydoctor.org · 21/11/2025

⏰ Quiz time! 🩻 What is the main abnormality, and what are the causes? #radiology #FOAMed

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Dr Vikas Shah @thexraydoctor.org · 20/11/2025

The start of this week was spent in Hull, speaking to radiology consultants and residents about post-mortem CT. No conferences for a little while now. Time to focus on building the exciting things lined up for 2026.

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Dr Vikas Shah @thexraydoctor.org · 17/11/2025

Here’s the answer 👇 Hyperinflated lungs with flat diaphragms suggest emphysema.Triangular opacity over the cardiac shadow plus increased left upper zone lucency gives the sail sign of left lower lobe collapse with left upper lobe hyperexpansion. #radiology #FOAMed

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Dr Vikas Shah @thexraydoctor.org · 16/11/2025

🤔 What can you see on this chest X-ray? Reply with your thoughts. #radiology #FOAMed

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Dr Vikas Shah @thexraydoctor.org · 15/11/2025

What lividity/hypostasis looks like on PMCT and how it helps work out the position someone died in. #radiology #FOAMed

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Dr Vikas Shah @thexraydoctor.org · 14/11/2025

Epiploic appendagitis in two locations. Torsion and infarction of epiploic fat tags, mimicking diverticulitis but with near-normal blood tests. CT shows ovoid fat focus, enhancing rim, central dot and fat stranding. Usually settles with conservative management. #radiology #FOAMed

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Dr Vikas Shah @thexraydoctor.org · 12/11/2025

Post-mortem CT can help distinguish between types of haemopericardium; one of the many ways imaging provides answers after death. I’ll be speaking at BSER next week about the technique, normal appearances, and imaging findings in natural disease. #radiology #postmortemCT #forensicimaging #BSER2025

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