The Research Presentation, My Thesis in 3 Minutes, and the Clinical Trials in Radiology sessions consist solely of your submissions, which contributes greatly to making the ECR a hub of the newest scientific research in radiology.

Test your Knowledge

ECR 2020 will see the return of the popular session for general radiologists and residents at the end of their training looking for a simple update on subjects outside of their usual field.

The Case-Based Diagnosis Training session will offer an interactive way to test your knowledge in a range of subspecialty areas.

If you have any questions, please contact cbdt@myESR.org.

Air in the wrong place

While large amounts of fatty tissue or air pose serious obstacles for ultrasound, they are both our friends, when it comes to delineating anatomy and pathology in CT and even more so in x-rays. Air within hollow organs has a specific appearance, which we intuitively use as a roadmap navigating through unknown territory of soft tissue. On top of that, air or gas can tell us a lot about the patient, when we are prepared to read it correctly. Air will mark the passway of interventions like arthroscopy and cystoscopy, but also leave its traces after ERCP, sphincterotomy or choledochoduodenostomy.

Aerophagia after laryngectomy, excessive usage of chewing gum or carbonated drinks and anxiety can considerably increase gastrointestinal gas contents and location. An aerated Eustachian tube could speak for lack of brown fat in anorexia nervosa. Intramural air collection can alert us to ischemia or infection and extramural gas bubbles are signs of serious complications, which are easier to see on upright films or decubitus position with horizontal beam.

Air in the mediastinum and chest cavity draw our attention to perforation of trachea or lung. Asymmetric lung volume on expiration warns us of the possibility of non-radioopaque foreign bodies, particularly in infants. Tiny curvilinear amounts of gas in joints are normal, but bubbly musculoskeletal accumulations are hallmarks of gangrenous infections. The head and neck region is blessed with multiple air spaces and the only thing we have to do in reporting trauma cases is to track that little air bubble in the wrong space to depict minute fissures. And then there are of course areas, where you never ever want to come across air like the cranial vault, spinal canal, blood vessels and heart.

Are you now tuned to look for air in the wrong place and tempted to send us your best cases, so we can focus on them in the interlude presentation of our case based diagnosis session? Submit your cases using the template below to cbdt@myesr.org by January 15, 2020 at the latest.

Come and join us and maybe you will win the award for your excellent work-up. Before and afterwards you can try to solve clinical cases from ten different fields in radiology, where specialists then help to highlight typical characteristics and differential diagnostic entities.

Submission Template