Dr.Ayad

Radiologist

#Radiology

[Dr.Ayad @NY3080]

@hemo_shk Perinephric urinoma (perirenal urinoma) is a collection of leaked urine around the kidney due to urinary tract injury, obstruction, or trauma. CT shows a fluid collection with contrast extravasation on delayed images, confirming urine leakage.

[Dr.Ayad @NY3080]

@hemo_shk Impressive result! 👏 Is this achieved with a Q-switched laser or a Pico laser, and was this truly after a single treatment session?

[Dr.Ayad @NY3080]

@hemo_shk Visually, a metallic handpiece guides a red targeting laser across a slightly raised, hyperkeratotic, and textured skin abnormality located within the umbilical fold, while leaving a distinctive grid pattern of micro-ablative spots on the adjacent skin.

[Dr.Ayad @NY3080]

@hemo_shk The video shows a fractional CO_ laser treatment being applied directly inside and around the umbilicus (belly button).

[Dr.Ayad @NY3080]

@hemo_shk Just aspirate as much fluid as you can with a needle and syringe, from multiple sites if necessary, but do not unroof the blister. Dress daily with dry gauze and splint for comfort. Let it dry out. Observe daily. Unroof and debride only if it gets infected.

[Dr.Ayad @NY3080]

@hemo_shk Urticaria (Hives)

[Dr.Ayad @NY3080]

@hemo_shk AV Fistula

[Dr.Ayad @NY3080]

@hemo_shk Giant Cell Tumor of the Tendon Sheath (GCTTS) is a benign, slow-growing soft tissue tumor arising from the tendon sheath, most commonly in the fingers. It typically presents as a firm, painless, localized mass.

[Dr.Ayad @NY3080]

@hemo_shk Interesting procedure 🤔

[Dr.Ayad @NY3080]

@hemo_shk Takotsubo Cardiomyopathy

[Dr.Ayad @NY3080]

@hemo_shk Rhinophyma

[Dr.Ayad @NY3080]

@hemo_shk Juvenile Dermatomyositis (JDM) is a rare autoimmune inflammatory myopathy of childhood causing progressive symmetric proximal muscle weakness and characteristic skin findings, including a heliotrope rash and Gottron papules. Early immunosuppressive therapy improves outcomes.

[Dr.Ayad @NY3080]

@hemo_shk This finger turns pale, then becomes bright red after warm water. Why? 🖐️

The pale color results from digital arterial vasospasm, while warming restores blood flow, causing reactive hyperemia. A classic presentation of Raynaud’s phenomenon. 🩺

[Dr.Ayad @NY3080]

@hemo_shk These “rice-grain” calcifications represent calcified larvae of Taenia solium, creating a classic imaging pattern of widespread muscular cysticercosis.

[Dr.Ayad @NY3080]

@hemo_shk One of the most unusual imaging findings you may ever see…

A patient with countless tiny calcifications scattered throughout the muscles.

Diagnosis : Disseminated cysticercosis

[Dr.Ayad @NY3080]

@hemo_shk Obstructive hydtocephalus due to aguduct stenosis and And absent CSP

[Dr.Ayad @NY3080]

@hemo_shk Large Axillary Lipoma

A large axillary lipoma is a benign tumor of mature fat cells that presents as a slow-growing, soft, mobile, painless mass in the axilla. MRI is recommended for large or deep lesions to exclude liposarcoma. Complete surgical excision is curative.

[Dr.Ayad @NY3080]

@hemo_shk Complete surgical excision is curative.

[Dr.Ayad @NY3080]

@hemo_shk Scalp Dermoid Cyst

A scalp dermoid cyst is a benign congenital lesion caused by ectodermal tissue trapped during embryonic development. It presents as a slow-growing, painless scalp mass. CT or MRI is indicated if intracranial extension is suspected.

[Dr.Ayad @NY3080]

@hemo_shk Treatment is mainly symptomatic with topical corticosteroids, antiseptic mouthwashes, and analgesics. Persistent, large, or recurrent ulcers warrant evaluation for an underlying systemic condition.

[Dr.Ayad @NY3080]

@hemo_shk The exact cause is unknown, but triggers include stress, minor trauma, nutritional deficiencies (iron, folate, vitamin B12), and systemic diseases. Most ulcers heal spontaneously within 7–14 days.