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[0:00] Dr. Lindsey Negrete introduces the episode and medical student Andrew Nguyen

[1:00] “What advice would you give for someone going through their intern year before starting their radiology residency? Is there anything that you would change about this year to either stay involved with radiology or prepare for it?”

1. Dr. Jen Padwal (Stanford R2) response
2. Dr. Claire Meriwether (UCSD R1) response
3. Dr. Eric Keller (Stanford R3) response
4. Dr. William Hong (Stanford Body MRI Fellow) response
5. Dr. Rob Becker (Stanford Body Imaging Fellow) response
6. Dr. Lindsey Negrete (Stanford Body attending) response

[6:30] “What has been the biggest surprise for you about starting radiology residency? Is there anything you wish you could tell yourself before starting R1 year?”

1. Jen’s response
2. Claire’s response
3. Eric’s response
4. William’s response
5. Rob’s response
6. Lindsey’s response

THANK YOU! For questions, comments, concerns….letsreadout@gmail.com

Full episode comprehensive transcript here. 

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[0:00] Dr. Lindsey Negrete introduces the episode and medical student Andrew Nguyen.

[1:30] “What should residents know before starting their radiology residency?

1. Dr. Lindsey Negrete (Stanford) response
2. Dr. Chris Beaulieu (Stanford) response
3. Dr. Marc Willis (Stanford) response
4. Dr. Preethi Raghu (UCSF) response
5. Dr. Luyao Shen (Stanford) response
6. Dr. Dolores Pretorius (UCSD) response

[13:00] “What differentiates between a good resident and a great resident?”

1. Dr. Beaulieu response
2. Dr. Willis response
3. Dr. Raghu response
4. Dr. Shen response
5. Dr. Pretorius response
6. Dr. Negrete response

[0:00] Dr. Lindsey Negrete introduces the episode and Dr. Chris Beaulieu.

[1:30] Transitioning from fellowship to new attending – the first few months.

[7:00] Tips for asking others for help.

[9:30] Recommending studies for your imaging findings.

[12:00] Tips and tricks for new attendings reading out.

[15:00] What about the trainee that disagrees with you?

[16:45] What about the trainee that is struggling?

[17:45] Giving feedback to trainees.

[21:00] Tackling the alphabet soup of societies and meetings.

[23:30] Let’s talk promotions.

[28:30] Top advice to summarize.

[30:45] Short and long term goals as a junior attendings.

Lindsey Negrete: introduces the episode

Emad Chishti: vesicourachal diverticulum with urachal adenocarcinoma. The urachus is the fetal derivative of the allantois, which is a channel between the embryonic bladder and umbilicus. Usually, it involutes before birth and forms the median umbilical ligament, but when it doesn't close off properly, a blind pouch-like structure remains connected to the bladder forming a diverticulum.

 62-year-old male with a history of kidney stones presented with right flank, suprapubic, and inguinal pain of a few weeks duration

Aman Khurana: CT/US/MR demonstrating a bladder diverticulum within the anterosuperior part of the bladder dome with a soft tissue density protruding from the diverticulum into the bladder cavity. Patient underwent a resection of the bladder mass with pathology consistent with invasive, moderately differentiated mucinous adenocarcinoma with signet ring cell features consistent with urachal carcinoma. Repeat MR with persistent contrast enhancement with concern for residual tumor. Patient underwent second surgery again confirming mucinous adenocarcinoma.

Emad Chishti: question about peripheral calcification helping with the diagnosis?

 Aman Khurana: mucinous loves to calcify, calcifications can be punctate, stippled, curvilinear

Emad Chishti: other than a diverticulum, are there any other congenital abnormalities associated with urachus?

Aman Khurana: four types of congenital urachal abnormalities: patent urachus, urachal sinus, urachal cyst, vesicourachal diverticulum

Emad Chishti: multiple-choice question, On histology, the cells lining urachal neoplasms would most likely best resemble which of the following? Answer: intestinal epithelium, the majority of urachal neoplasms are adenocarcinomas

Aman Khurana: on MRI, these tumors do look mildly T2-hyperintense because of the mucin producing cells

Lindsey Negrete: pattern of growth for urachal carcinoma versus vesical tumor. Differential diagnosis. Call for companion cases. Calling all mentor/mentee pairs to submit cases together! It’s really fun!

Advice for transitioning to fellowship?

1. William Hong (Body fellow) response
2. Komal Chughtai (Body fellow) response
3. Aman Khurana (Body attending) response
4. Luyao Shen (Body attending) response
5. Lindsey Negrete (Body attending) response

Case submission guidelines