Editor's Pick: Ian's five favourite cases

Our urogenital editor, Dr Ian Bickle, outlines his five favorite cases from Radiopaedia.org and explains why they give him a buzz.

5. Pagetoid perfection

Case: Paget disease with blade of glass sign

This case from managing editor and Radiopaedia legend Dr Andrew Dixon is explosive. It is the complete case, illustrating an uncommon sign with four modalities and rounded off with annotated images for the user. Beautifully structured and accompanied by just the right amount of text, it’s a taste of educational fairy-dust.

4. Illustrating duplex dilatation

Case: The Weigert-Meyer rule (illustration)

Radiology is largely about images, both acquisition and interpretation, but some concepts really come to life with an illustration.  This case of a key concept in uroradiology is ignited with this awesome illustration of a duplex kidney by our Musculoskeletal section editor (and site illustrator) Dr Matt Skalski. This is one of many of his contributions, which can be viewed on his profile page.

3. A fist full of questions

Case: Rectal foreign body - the spleen tickler

Perhaps predictable, but it’s the thoughts this kind of image conjures up in one’s mind and sensorium, that just never leave you. Why? How? Where? Is life that bad... or good?
What did his face look like? What did the A&E doctor’s face look like? Oh, and when you are having a bad day yourself... it always helps to have a smile and a laugh.

2. Modern imaging at its best

Case: Ethmoidal aneurysmal bone secondary to an ossifying fibroma

Apologises for including one of my own cases. I use this as it represents what I love about radiology to a T. The detective side of the speciality, investigating the case with all the powers of a modern imaging department. The value of reviewing previous imaging (not done enough), the multi-disciplinary discussion (not done enough), admiring the expertise of clinical colleagues surgical skills (not done enough) and the cosmetic perfection in seeing the patient post surgically.  

1. Historical beauty

Case: Drooping lily sign of duplex collecting system

Everyone likes a classic (dare I say an Aunt Minnie!). Single images that signify a unifying diagnosis. A rare entity, but well described. Fluroscopy is often considered untrendy in contemporary radiology and being less than fashionable myself, I especially like this quirky case. This drooping lily image also has something artistic about it – proving a radiologist can be in touch with their other side.



Ian Bickle is our urogenital section editor and a consultant radiologist at RIPAS Hospital in the south east Asian Sultanate of Brunei.  He has a long-standing interest in medical education.


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Publication date: 21st Sep 2014 16:10 UTC

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