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Need help reading spine imaging? I’ve got your back! It’s as easy as ABC! This post is about an easy mnemonic you can use on every single spine study you see to increase your speed & make sure you never miss a thing! Just remember ABCD: A = Alignment...

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Lea Alhilali, MD

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22,327 Aufrufe • vor 1 Jahr •via X (Twitter)

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IsbaeU: a lot of people have paid millions to get this bum bum that God gave you for free don’t you feel like a mumu getting married when you could be cashing out ? Toolz : you think it’s a better idea for me to be like posing on only fans? I know the woman in your family do but that’s not really for me there are lot of fantastic people that do well on only fans it’s not really for me I don’t know if your sister is your mom on only fans ? IsbaeU: I’ll pay 200k per day to watch Toolz: you do look like you pay for sex though IsbaeU: Before, I should steal it what’s there ? Toolz: No, you look like the kind of person that unless there’s money involved nobody would want to sleep with you IsbaeU: but there are people sleeping with people for free out there ? Toolz: I’m here to tell you that if you are a decent person, if you shower regularly, if you carry yourself well you could actually have physical relations with women that you don’t need to pay for IsbaeU: like I’ll just talk to them and they’ll do it Toolz: we’re going to work on your English, how you speak to people as well i csn see that you have issue with communicate IsbaeU : I can communicate well when I’m chatting I used chat GPT please if you want to help me help me Toolz : I feel that you should learn that when you’re talking to women it shouldn’t just be about how much for the night think should get deeper IsbaeU: she will bill me Toolz: you’re hosting a show you’re wearing hoodie, you look like what I don’t know with you bend down boutique Me: Toolz no let IsbaeU rest for this episode. 😂 She dragged him from his hoodie to his slides, and even his skin colour collected. This episode na premium cruise😭🤣

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LeBron James says Shai Gilgeous-Alexander’s efficiency is Jordan-esque: “Every time you look at the efficiency you look at the box scores and you see Shai 38 it’s like 13 for 17 from the floor you know the other night I think he had 40 something I think it was like 15 for 19. That’s one of my favorite things about players like you know I mean that’s because how I am like I love efficient players. Like you know can go out can do the things on the floor be efficient you know not taking too many bad shots, I mean if you get on a heater you want to take a heat check or two I get it. We all have our nights where we don’t shoot you know to our capabilities, I mean that just comes with the game. But yeah, I think that’s one of the things I love about Shai is just like for him to play on the perimeter as much as he does, playing at mid-range as much as he does and still be as super efficient as he is. It’s Jordan-esque.” (Via Mind the Game)

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Former Mongols Member Recounts the 60-Mile Chase That Ended in $14 Million Bail “I remember saying, ‘Is this one of those moments you’re going to look back on and say, I wish you would turn left?’ And I turned right. I followed them for 60 miles. As soon as they get on the interstate, they gun it. They’re going in and out of traffic. So I’m like, ‘F*ck, it’s on.’ Then they hit their lights and I go, ‘F*ck, these are cops.’ I look in my mirror and there’s like 30 cops around me, guns out.” “The ATF agent said, ‘You didn’t do anything wrong. We’re going to cut you loose.’ Next thing you know, I’m in the back of a cop car. They indicted me on conspiracy to commit kidnapping, attempted kidnapping, unlawful use of a weapon. There was like eight felonies. $14 million bail.” -Justin "Mooch" DeLoretto

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"don't get too hung up on whether those media outlets apologise or not. look at me still doing livestreams now and frequently interacting with you all. did their rumors have any real impact on me? since money is hard to earn, just let them make money in such a disgraceful way. I believe every industry has its own hierarchy of respect. good media will look down on bad media, just like good actors will look down on bad actors. you can't use your own perspective as the standard to judge others. everyone has different values and boundaries. some people’s bottom line can be that low, and they genuinely think it’s not a problem."
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"don't get too hung up on whether those media outlets apologise or not. look at me still doing livestreams now and frequently interacting with you all. did their rumors have any real impact on me? since money is hard to earn, just let them make money in such a disgraceful way. I believe every industry has its own hierarchy of respect. good media will look down on bad media, just like good actors will look down on bad actors. you can't use your own perspective as the standard to judge others. everyone has different values and boundaries. some people’s bottom line can be that low, and they genuinely think it’s not a problem."

jov

45,952 Aufrufe • vor 1 Jahr

Met with surgeon and got full report. Been dealing with this for about 4 months and seems to be getting worse. Been doing some physical therapy for about 2 weeks. Traction, Cupping, Deep tissue massages, Red light. not working. Really don't see any other option besides surgery. This type of pain ages you quick. Been here before with my lower back (L4/L5). Everything that was tried was just a delay to the inevitable. Surgery. @DrC_IET17 mentioned he could help and to not get the surgery. Not big on DM's so figured would make this convo public. Maybe we all can learn something new. Here is the report: EXAM: MR CERVICAL SPINE WITHOUT CONTRAST CLINICAL INDICATION: Radiculopathy, cervical region. TECHNIQUE: MRI of the cervical spine was performed without intravenous gadolinium. FINDINGS: Bones: Normal vertebral body heights. Straightening of the normal lordosis. Grade 1 retrolisthesis of C5 on C6. Marrow signal is within normal limits. Discs: Multilevel disk desiccation from C2-C3 through C5-C6. Spinal Cord: Normal cord signal. Visualized posterior fossa is unremarkable. There appears to be continuous ossification of the posterior longitudinal ligament from C4-C5 through C5-C6. C2-C3: No disc bulge or herniation. No central or foraminal stenosis. C3-C4: Slight disk osteophyte complex. Facet and uncovertebral joint hypertrophy. Mild indentation of the thecal sac with mild bilateral foraminal narrowing C4-C5: Ossification of the posterior longitudinal ligament along with a right lateral recess disk osteophyte complex and facet and uncovertebral joint hypertrophy. Mild central stenosis with minimal right ventral cord indentation. Moderate right, mild left foraminal narrowing. C5-C6: Ossification of the posterior longitudinal ligament along with a disk osteophyte complex and facet and uncovertebral joint hypertrophy.. Moderate central stenosis with slight ventral cord indentation. Moderate bilateral foraminal narrowing. C6-C7: No disc bulge or herniation. No central or foraminal stenosis. C7-T1: No disc bulge or herniation. No central or foraminal stenosis. Other: No other significant findings. IMPRESSION: On sagittal images, there appears to be flowing ossification of the posterior longitudinal ligament. There are additional spondylotic changes at multiple levels. Most pronounced, there is moderate central stenosis at C5-C6 with moderate bilateral foraminal narrowing. At C4-C5, there is a right lateral recess disk osteophyte complex contributing to severe right lateral recess foraminal narrowing CT can be contributory in confirming ossification the posterior longitudinal ligament.
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Met with surgeon and got full report. Been dealing with this for about 4 months and seems to be getting worse. Been doing some physical therapy for about 2 weeks. Traction, Cupping, Deep tissue massages, Red light. not working. Really don't see any other option besides surgery. This type of pain ages you quick. Been here before with my lower back (L4/L5). Everything that was tried was just a delay to the inevitable. Surgery. @DrC_IET17 mentioned he could help and to not get the surgery. Not big on DM's so figured would make this convo public. Maybe we all can learn something new. Here is the report: EXAM: MR CERVICAL SPINE WITHOUT CONTRAST CLINICAL INDICATION: Radiculopathy, cervical region. TECHNIQUE: MRI of the cervical spine was performed without intravenous gadolinium. FINDINGS: Bones: Normal vertebral body heights. Straightening of the normal lordosis. Grade 1 retrolisthesis of C5 on C6. Marrow signal is within normal limits. Discs: Multilevel disk desiccation from C2-C3 through C5-C6. Spinal Cord: Normal cord signal. Visualized posterior fossa is unremarkable. There appears to be continuous ossification of the posterior longitudinal ligament from C4-C5 through C5-C6. C2-C3: No disc bulge or herniation. No central or foraminal stenosis. C3-C4: Slight disk osteophyte complex. Facet and uncovertebral joint hypertrophy. Mild indentation of the thecal sac with mild bilateral foraminal narrowing C4-C5: Ossification of the posterior longitudinal ligament along with a right lateral recess disk osteophyte complex and facet and uncovertebral joint hypertrophy. Mild central stenosis with minimal right ventral cord indentation. Moderate right, mild left foraminal narrowing. C5-C6: Ossification of the posterior longitudinal ligament along with a disk osteophyte complex and facet and uncovertebral joint hypertrophy.. Moderate central stenosis with slight ventral cord indentation. Moderate bilateral foraminal narrowing. C6-C7: No disc bulge or herniation. No central or foraminal stenosis. C7-T1: No disc bulge or herniation. No central or foraminal stenosis. Other: No other significant findings. IMPRESSION: On sagittal images, there appears to be flowing ossification of the posterior longitudinal ligament. There are additional spondylotic changes at multiple levels. Most pronounced, there is moderate central stenosis at C5-C6 with moderate bilateral foraminal narrowing. At C4-C5, there is a right lateral recess disk osteophyte complex contributing to severe right lateral recess foraminal narrowing CT can be contributory in confirming ossification the posterior longitudinal ligament.

Vincent Kennedy

420,211 Aufrufe • vor 3 Jahren

Is cranial nerve anatomy making you nervous??!! High resolution SSFP imaging can visualize cranial nerves, typically for pts w/microvascular compression But knowing their anatomy & location can help you on any imaging—bc if you know where they are, you know if they may be involved Here’s what you can see on MRI: Olfactory: along anterior cranial fossa above the cribriform plate Optic: from globe, posteriorly through the orbit until intracranially optic nerves join to form chiasm Oculomotor: from between the cerebral peduncles to cavernous sinus Trochlear: From back of the midbrain at the aqueduct to cavernous sinus Trigeminal: From pons at the middle cerebellar peduncles into meckels cave Abducens: From undersurface of inferior pons anteriorly to dorello canal along clivus 7th/8th complex: From undersurface of inferior pons laterally to the IAC Glossopharyngeal & vagus: from medulla where it looks like a clover to the jugular foramen Hypoglossal: from medulla where it looks round like the spinal cord to the Hypoglossal foramen Hopefully all this info of cranial nerves didn’t get on your last nerve!!
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Is cranial nerve anatomy making you nervous??!! High resolution SSFP imaging can visualize cranial nerves, typically for pts w/microvascular compression But knowing their anatomy & location can help you on any imaging—bc if you know where they are, you know if they may be involved Here’s what you can see on MRI: Olfactory: along anterior cranial fossa above the cribriform plate Optic: from globe, posteriorly through the orbit until intracranially optic nerves join to form chiasm Oculomotor: from between the cerebral peduncles to cavernous sinus Trochlear: From back of the midbrain at the aqueduct to cavernous sinus Trigeminal: From pons at the middle cerebellar peduncles into meckels cave Abducens: From undersurface of inferior pons anteriorly to dorello canal along clivus 7th/8th complex: From undersurface of inferior pons laterally to the IAC Glossopharyngeal & vagus: from medulla where it looks like a clover to the jugular foramen Hypoglossal: from medulla where it looks round like the spinal cord to the Hypoglossal foramen Hopefully all this info of cranial nerves didn’t get on your last nerve!!

Lea Alhilali, MD

40,088 Aufrufe • vor 1 Jahr

Did Lily think life is all about look? “NO! it’s like the least fun part of life! the way you look is the least important part of yourself, the inside of you is the most important. The society have made it so important when it’s never been all that. People can be so much more than their looks, people ARE so much more than their looks… However it’s cute to have like playing with makeup, style, that’s just for your self gratification, it’s not for other people, but sure getting compliments on the way look is always a good time, but at the end of the day, those are for yourself, don’t ever do that for anyone else, it’s never gonna end well, tho in this world is pretty much impossible especially with my job, but we have to try.”
2:33

Did Lily think life is all about look? “NO! it’s like the least fun part of life! the way you look is the least important part of yourself, the inside of you is the most important. The society have made it so important when it’s never been all that. People can be so much more than their looks, people ARE so much more than their looks… However it’s cute to have like playing with makeup, style, that’s just for your self gratification, it’s not for other people, but sure getting compliments on the way look is always a good time, but at the end of the day, those are for yourself, don’t ever do that for anyone else, it’s never gonna end well, tho in this world is pretty much impossible especially with my job, but we have to try.”

nmixx pics

47,650 Aufrufe • vor 3 Monaten

Have some mild cognitive impairment trying to remember dementia patterns on imaging? Is looking at dementia PET scans one of your PET peeves? Have short-term memory loss when you read about dementia imaging? Here's a way to remember dementia patterns so you will never forget! Major dementia imaging patterns: Alzheimer's disease (AD) · AD has a Nike swoosh pattern-with decreased metabolism in parietal & temporal regions · Remember when you see the Nike swoosh patter, just call it! Dementia w/Lewy Bodies (DLB) · Temporoparietal hypometabolism like AD but also involves occipital cortex, specific for DLB. · DLB also extends farther to the ant. temporal cortex. · Remember, regions of hypometabolism look more like an L. And Lewy starts w/an L Frontotemporal Dementia (FTD) · Frontal & temporal hypometabolism as expected, but extends along the anterior cingulate gyrus · Anterior cingulate involvement makes the hypometabolism looks like a lowercase letter f-and frontotemporal starts with f Posterior cortical atrophy · Can be from AD or DLB & has hypometabolism in the occipital & post. temporal lobe, sparing the anterior temporal lobe · Sparing the anterior temporal lobe makes the involvement look like a C instead of an L like DLB. · So remember pCa Vascular dementia · Vascular dementia has a variable distribution, depending on the regions infarcted (V is both for Vascular & Variable) · Wedged shaped regions of hypometabolism corresponding to cortical infarcts-looks like an inverted V This list isn't all inclusive & there can be variations or even mixed dementias But hopefully this gives you a starting point you won't soon forget!
0:23

Have some mild cognitive impairment trying to remember dementia patterns on imaging? Is looking at dementia PET scans one of your PET peeves? Have short-term memory loss when you read about dementia imaging? Here's a way to remember dementia patterns so you will never forget! Major dementia imaging patterns: Alzheimer's disease (AD) · AD has a Nike swoosh pattern-with decreased metabolism in parietal & temporal regions · Remember when you see the Nike swoosh patter, just call it! Dementia w/Lewy Bodies (DLB) · Temporoparietal hypometabolism like AD but also involves occipital cortex, specific for DLB. · DLB also extends farther to the ant. temporal cortex. · Remember, regions of hypometabolism look more like an L. And Lewy starts w/an L Frontotemporal Dementia (FTD) · Frontal & temporal hypometabolism as expected, but extends along the anterior cingulate gyrus · Anterior cingulate involvement makes the hypometabolism looks like a lowercase letter f-and frontotemporal starts with f Posterior cortical atrophy · Can be from AD or DLB & has hypometabolism in the occipital & post. temporal lobe, sparing the anterior temporal lobe · Sparing the anterior temporal lobe makes the involvement look like a C instead of an L like DLB. · So remember pCa Vascular dementia · Vascular dementia has a variable distribution, depending on the regions infarcted (V is both for Vascular & Variable) · Wedged shaped regions of hypometabolism corresponding to cortical infarcts-looks like an inverted V This list isn't all inclusive & there can be variations or even mixed dementias But hopefully this gives you a starting point you won't soon forget!

Lea Alhilali, MD

19,394 Aufrufe • vor 1 Jahr

jihoon knowing all the tiny details that women go through when preparing ourselves in going to concerts 🥹 he even knows that we get frustrated bc we dont look as perfect inside the venue compared to when we leave our houses and assured us that the thought of wanting to look pretty for him in itself already makes us beautiful 😭 HOW CAN U NOT LOVE THIS PERSON 🐶 i know that when it rains, your curled hair falls out and everything. i know that your makeup gets messed up and all that. i take all of that into consideration when i look at you, so please don’t worry about it too much. i just don’t pay that much attention to things like that, so don’t worry about it 🐶 isn’t it actually better that i know these things? if i didn’t know, you might think i would find it strange. but i know all of that. i know i know. so don’t worry about things like that 🐶 people with curly hair straighten their hair before coming, but then suddenly it starts getting curly again because of the humidity, and the volume in their hair completely dies down 🐶 i also know that you can leave home thinking “this is the prettiest i habe looked” and then when you arrive at the venue, you look so different from how you did at home, and then it can make you upset because the singer you like is going to see you like this. i know that. 🐶 no my hair gets flat too, and my makeup gets messed up too. when it rains and it gets humid, im like that too so what. ah you don’t have to be embarrassed. you don’t have to be embarrassed because i wont pay attention to it. you don’t have to be embarrassed. 🐶 just come comfortably, and dress up however you want. just think “i’m the prettiest today”, “i’m the coolest”. dress up looking your best and come. come and have fun. 🐶 isn’t everyone like that? when people are in front of someone they like, they want to look good right? they want to show their best selves. 🐶 but whenever it’s an important day, you get sick, or a pimple suddenly comes up on your face. and on days that aren’t important, your skin looks amazing, or you somehow keep losing weight. that’s just how life is for people. it’s not just me. you all probably experience that too. 🐶 because you want to meet us so badly, and because all your attention is focused on us, you might come with a pimple on your face. things might not go the way you want them to. i know all that. i’m a person just like you. i know what it’s like when something happens on an important day. just think of it as me not seeing those things. so come comfortably. 🐶 yeah i know you want to look pretty. and because i know how much you want to look pretty, you look pretty to me. that feeling itself is beautiful, you know? i’m grateful. it feels like you’re being considerate of me. 🐶 when you go to meet someone, getting dressed up instead of just going out carelessly is a consideration for the person you’re meeting. of course it’s also for yourself. of course you can’t help but look pretty. 🐶 whether your makeup gets messed up, your hair curls back up, or whatever happens, its the actions themselves, each and every one of them, are all good you guys. 💬 why are you making us so emotional? 🐶 i’m not saying it because i’m trying to make you emotional. it is genuinely how i feel. i’m not saying this because i thought, “i have to make them emotional.” it’s true. i really think this way. 🐶 TREASURE MAKERs, you’re all pretty. really.. you’re all pretty. i genuinely think that way.
6:44

jihoon knowing all the tiny details that women go through when preparing ourselves in going to concerts 🥹 he even knows that we get frustrated bc we dont look as perfect inside the venue compared to when we leave our houses and assured us that the thought of wanting to look pretty for him in itself already makes us beautiful 😭 HOW CAN U NOT LOVE THIS PERSON 🐶 i know that when it rains, your curled hair falls out and everything. i know that your makeup gets messed up and all that. i take all of that into consideration when i look at you, so please don’t worry about it too much. i just don’t pay that much attention to things like that, so don’t worry about it 🐶 isn’t it actually better that i know these things? if i didn’t know, you might think i would find it strange. but i know all of that. i know i know. so don’t worry about things like that 🐶 people with curly hair straighten their hair before coming, but then suddenly it starts getting curly again because of the humidity, and the volume in their hair completely dies down 🐶 i also know that you can leave home thinking “this is the prettiest i habe looked” and then when you arrive at the venue, you look so different from how you did at home, and then it can make you upset because the singer you like is going to see you like this. i know that. 🐶 no my hair gets flat too, and my makeup gets messed up too. when it rains and it gets humid, im like that too so what. ah you don’t have to be embarrassed. you don’t have to be embarrassed because i wont pay attention to it. you don’t have to be embarrassed. 🐶 just come comfortably, and dress up however you want. just think “i’m the prettiest today”, “i’m the coolest”. dress up looking your best and come. come and have fun. 🐶 isn’t everyone like that? when people are in front of someone they like, they want to look good right? they want to show their best selves. 🐶 but whenever it’s an important day, you get sick, or a pimple suddenly comes up on your face. and on days that aren’t important, your skin looks amazing, or you somehow keep losing weight. that’s just how life is for people. it’s not just me. you all probably experience that too. 🐶 because you want to meet us so badly, and because all your attention is focused on us, you might come with a pimple on your face. things might not go the way you want them to. i know all that. i’m a person just like you. i know what it’s like when something happens on an important day. just think of it as me not seeing those things. so come comfortably. 🐶 yeah i know you want to look pretty. and because i know how much you want to look pretty, you look pretty to me. that feeling itself is beautiful, you know? i’m grateful. it feels like you’re being considerate of me. 🐶 when you go to meet someone, getting dressed up instead of just going out carelessly is a consideration for the person you’re meeting. of course it’s also for yourself. of course you can’t help but look pretty. 🐶 whether your makeup gets messed up, your hair curls back up, or whatever happens, its the actions themselves, each and every one of them, are all good you guys. 💬 why are you making us so emotional? 🐶 i’m not saying it because i’m trying to make you emotional. it is genuinely how i feel. i’m not saying this because i thought, “i have to make them emotional.” it’s true. i really think this way. 🐶 TREASURE MAKERs, you’re all pretty. really.. you’re all pretty. i genuinely think that way.

shan

232,774 Aufrufe • vor 1 Monat