RE: @grok weekly limits
Less than 1h of combined usage, with a single @imagine use (a site icon/game icon)
I'd upgrade to the superheavy if you guys promised to not rugpull that too but right now it's clear you guys want to quietly push regular users out..
Devs do something pls.. @elonmusk@nikitabier@SpaceXAI@X
This is getting ridiculous.
2 questions, 1 image prompt, 1 simple build prompt
At this rate the models will become credit only..
They're gonna rugpull us watch..
@grok not cool brah
Thanks to @grok I have been able to complete a game that was beyond my programming skill when I started it
It's now a full dungeon crawler RPG, with complex mechanics, 5 classes, 100's of items, skill and level system, procedural generation past the game's end to keep it going etc..
It's crazy how good grok build is. Right now he's helping add more graphics so it's ready to be brought on chain, stay tuned..
If you want to try it: https://t.co/pFVZMXRVCQ
Sin una explicación clara ni motivo aparente, nuestra cuenta de Instagram de La Nueva Enciclopedia, con casi 90 mil seguidores, ha sido suspendida.
El pasado 1 de junio, en lo que parece ser un ataque coordinado de denuncias, Instagram desactivó nuestra cuenta por presunto “discurso de odio”.
Presentamos una apelación, pero fue rechazada sin que se nos indicara con precisión qué contenido habría infringido las normas de la plataforma.
Por supuesto, esto no nos detendrá, sino que seguiremos creando más y mejor contenido para ustedes.
Los invitamos a seguir acompañándonos en nuestra nueva cuenta de Instagram:
https://t.co/3nvg8l2TeT
TUCKER: “How much does it matter what Americans think?”
HUCKABEE: “It matters every bit.”
TUCKER: “80% oppose war with Iran.”
HUCKABEE: “We don’t live in a world where polls dictate policy.”
TUCKER: “Oh, I thought you said it matters what Americans think.”
Case Answer 🫁
The key to this case is pattern recognition.
👉 The HRCT shows a single-row, paraseptal emphysema–like appearance along the pleural surfaces and interlobar fissures.
In the pediatric age group, this corresponds to what is described in the literature as subpleural lung cysts (SLCs).
Important distinction:
This is not immediate subpleural sparing
Rather, it is true subpleural involvement with cystic lucencies aligned along pleura and fissures
How does this guide the differential?
Once correctly recognized as SLCs:
🔹 The differential narrows toward:
Developmental / alveolar growth abnormalities
🔹 A key alternative consideration:
Ventilation-related interstitial emphysema
Typically occurs in patients with a history of mechanical ventilation
Often shows air dissecting along bronchovascular bundles in addition to peripheral cysts
📌 In this case:
The pattern is confined to subpleural regions and fissures
There is no peribronchovascular air dissection, making ventilator-induced interstitial emphysema less likely
What this pattern is NOT:
Recognizing SLCs helps avoid misclassification as:
Pulmonary Langerhans cell histiocytosis
Lymphangioleiomyomatosis
Lymphoid Interstitial Pneumonia
These entities show different cyst morphology, distribution, and clinical context, and are not appropriate fits in this pediatric scenario.
Clinical correlation
This imaging pattern is well recognized in children with Down syndrome, likely reflecting abnormal alveolar development. It may also be associated with congenital heart disease (e.g., endocardial cushion defects), supporting a developmental origin.
Similar-appearing peripheral lucencies can occasionally be encountered in prematurity/bronchopulmonary dysplasia, but the clinical context and overall imaging pattern differ.
Final diagnosis:
👉 Subpleural lung cysts in a child with Down syndrome (trisomy 21)
Take-home message 💡
Correctly identifying the paraseptal emphysema–like pattern as SLCs is the pivot point:
It shifts the interpretation away from diffuse cystic lung diseases
And directs attention toward developmental lung abnormalities in pediatric patients
A subtle but powerful example of how distribution + morphology = diagnosis.
#HRCT #ChestRadiology #PediatricRadiology #DownSyndrome #RadiologyTeaching