Shadesofmylife

Today's interesting pt: Patient presented with abdominal swelling and hematuria,  USG showed a mass lesion in left iliac fossa and lumbar region, with left sided HUN CT Urography shows,  An irregular heterogenous enhancing mass with epicentre in rectovesical pouch region/ presacral region with infiltration of left VUJ , with upstream left HUN.  No calcifications within.  Prostate appears separate from the lesion.  Multiple pleural enhancing nodules with thickening and effusion noted in right hemithorax - metastatic lesions. No mediastinal/ retroperitoneal/ pelvic lymphadenopathy. No focal lesion in liver/ adrenal/ bones.  No obvious bowel origin, focal infiltration of sigmoid colon noted.  Arterial supply from IMA.  Closely abutting lower lumbar and upper sacral vertebrae. Distal ureteric infiltration and right pleural deposits.  Left CIA and EIA encasement by the lesion.  Inferiorly infiltrating bladder along distal ureter/ UVjunction....

I am an aspiring human,  - Budding radiodiagnostician by profession - one who screens all the xray, ct, mri and usg scans, sees through what is happening with any patient's body and gives clues to the clinician as to what might be ailing a patient, so that the patient gets optimum care at the earliest. It is an intriguing field with vast amount of learning on a daily basis, something I am grateful about. My time is mostly spent on a desk in front of the computer learning to decipher the images, which sometimes feels tedious given the amount of time we invest - which is approx  12 hrs a day. I would want to be a very rational, clinical adept, skilled radiologist at some point in life.  - My social skills are zero, thanks to years spent on academics. I want to connect with people on a personal level though - learning in progress.  - I want to be a traveller. When I am not slogging with work, I am dreaming about travelling. I have travelled a little, but i have heard so...