Dear friends, welcome to Caceres’ Corner. The objective of this post is to remember basic principles of chest imaging, with the emphasis on conventional radiography. Interpreting a chest radiograph is becoming a lost art and I would like to slow this tendency by reviewing the current approach to chest x-ray.
Nowadays, the initial question when facing a chest radiograph should be: “is there any abnormality present? And, if so, should we do any additional examination?” (CT in the great majority of cases).
With this approach in mind, let’s start with a sample case: 62 year old male with liver cirrhosis and upper gastrointestinal bleeding. No other symptoms. History of pulmonary tuberculosis 20 years ago.
ECR 2011 delegates flock into the Austria Center Vienna
Vienna has long been a popular tourist destination, as any visitor in search of last minute accommodation will bitterly tell you.
But holidays are not the only reason to come and relish the remnants of the Habsburgs’ golden age, and a trained eye will often be able to spot many visitors carrying congress bags instead of back packs.
For the past 12 years, in the beginning of March, these bags have invariably displayed the logo of our own European Congress of Radiology (ECR), but many other professions, medical or otherwise, also choose to meet in Vienna. So many, in fact, that the city has recently topped a chart of the most popular congress destinations in the world… for the sixth time in a row!
This time we didn’t have to travel very far for another episode of our congress coverage, just a couple of stops on the underground and we found ourselves once more at the Austria Center Vienna (ACV), every ESR employee’s second home. But this time there was a difference, 35 degrees outside and the danger of getting sunburn while walking from the underground station to the ACV. So, this is clearly not a story about the ECR, which always takes place in rather more temperate March (and also will take place in March 2012). No, this time nearly the whole ESR staff came to the Austria Center to participate in and help to set up a unique event that has never happened before and will never take place in this form again; the world congress of ultrasound (WFUMB) in conjunction with the EUROSON (congress of the EFSUMB) and the ‘Dreiländertreffen’ (three-country meeting) of Austria, Germany and Switzerland’s ultrasound societies (ÖGUM, DEGUM, SGUM), all held together on 26–29 August, 2011.
One of the big advantages of having our main congress in March is that the ACV is much more comfortable in the cooler times of the year because for some reason it’s easier to heat the building up than to cool it down. On the second day of the congress a big thunderstorm hit Vienna which, besides a lot of rain, brought a welcome drop in temperature. But enough about the weather, after all, our participants came for the congress and its scientific highlights.
The print edition of the ECR 2012 Preliminary Programme
It’s probably more than clear that we’re big fans of the internet at the ESR office. We’ve embraced speedy online publication for our congress and journals, we’ve turned our hand to the snappy world of social media (including, obviously, our recent launch into the blogosphere), and we’ve created a whole catalogue of online tools for learning, booking and planning in the last few years. But as much as we love exploring and testing these new possibilities, doing the traditional things still gives us just as much satisfaction. That’s why, despite our own efforts to cut down on print production, we couldn’t resist printing a few hundred ECR preliminary programmes to share with you, which we’re delighted to be giving away and delivering free on a first-come-first-served basis.
Greece. For some people it’s the perfect destination for their vacation. For some archaeologists it is the perfect place to dig. And for us it was the perfect destination for the Annual Scientific Meeting of the European Society of Musculoskeletal Radiology. Us – that’s Manuela, David, Wolfgang and myself, Maja. The European Society of Musculoskeletal Radiology held its 2011 congress from June 9–11, 2011 in Hersonissos, Crete. It was the first time an ESSR Scientific Meeting has been organised by us – a premiere and therefore quite a big challenge for Manuela and Wolfgang, the main organisers of the event. David and I accompanied them as their personal congress gophers, moral support and Red Bull suppliers.
From the first moment we arrived at the airport in Heraklion we were welcomed by the amazing Greek hospitality, impressively represented by our troubleshooter, Michalis Vlatakis from Summerland Travel, our cooperating travel agent in Crete: a loud “Yassas” (Hello), welcome presents for all, flowers for the ladies and a calming “Nooo problem, this will be the best congress Crete has ever seen” by Michalis. Ευχαριστώ! (Efharisto means “thank you” in Greek)
Besides hosting the annual ECR in March, the ESR office makes an effort to be present at most of the larger radiology meetings around the globe, whether it’s just around the corner in Hamburg/Germany at the German Radiology Congress or much further away at the Chinese Radiology Congress in Zhengzhou/China. In order to give you an insight into our activities around the world, we hereby present ‘ESR Abroad’. In this first instalment we give you a run-down of our recent visit to the Iranian Congress of Radiology in Teheran/Iran, the annual meeting of the Iranian Society of Radiology (ISR), who participated in the ESR meets programme at ECR 2011.
Before you go to Iran you need to apply for a visa, which can be done either at the local Iranian embassy or directly at the airport in Teheran, but to avoid any difficulties it makes a lot of sense to get a visa before you get on your plane to Iran. We were in the lucky position that two business visa reference numbers were applied for us by the Iranian Society of Radiology so we had no problems applying for visas and entering the country.
Prof. Maximilian Reiser meets young radiologists in the Rising Stars Lounge at ECR 2011
‘Invest in the Youth’ (IITY) is a name that speaks for itself. Not only does it describe the programme’s own purpose extremely clearly, but it also serves as an excellent reminder to all the ESR’s officers, committees, and members of one of the main objectives of the ESR: inspiring and supporting future generations of radiologists.
The programme has given thousands of students and residents the chance to experience Europe’s foremost radiological congress for free, and this year a record number of places will be available thanks to the personal commitment of our ‘ECR VIPs’. Dignitaries, speakers, moderators, awardees and other invited guests attending ECR 2012 have generously donated their own reimbursement payments to the IITY budget, in an extremely encouraging show of support for the ESR’s rising stars.
If you’ve visited the ESR website in the last couple of months you may well have been greeted by a short but graceful animation of floating flowers and fruit, accompanied by the sounds of birdsong and a glimpse of lilting accordian music. This little clip has been put together as a ‘teaser movie’ for ECR 2012, and the more observant among you may even have noticed the visual connection with the ECR 2012 poster, which uses Giuseppe Arcimboldo’s painting Spring (a figure composed entirely of seasonal vegetation) placed back-to-back with a ‘radiographic’ mirror image. This teaser movie takes individual elements of the original painting to make an airy collage that hints at the poster and hopefully conjures up a slightly more conventional springtime atmosphere than Arcimboldo’s nonetheless fascinating creation!
Wondering who is really behind the ESR? In actual fact, it’s our members; radiologists who have proven their ability and passion for the specialty and who want to help us move forward. Each year the ESR is placed in the responsible hands of a different group of these highly dedicated and extremely experienced European radiologists.
To give you a better idea of who these people currently are and exactly what they do, we interviewed both the ESR President, Prof. András Palkó, and ECR 2012 Congress President, Prof. Lorenzo Bonomo, and we also created profiles for a selection of key characters from the ESR Executive Council. Find out more via the links below…