Thurl Cledera
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thurlcledera.bsky.social
Thurl Cledera
@thurlcledera.bsky.social
🫀🫁 Cardiothoracic Imaging Fellow at SLMC GC 🇵🇭, Cardiovascular Imaging and AI Enthusiast, RadioGraphics SMDI, NASCI Trainee Committee
✅“Shunting via unroofing of the CS, anomalous or decompressing veins, or a combination of multiple anomalies may result in interatrial shunts with INTACT atrial septum”

Check out this interesting article below 👇🏻

pubs.rsna.org/doi/10.1148/...

#cvimaging #radres #radsky
Spectrum of Interatrial Shunts Presenting with an Intact Atrial Septum: Imaging Features at Echocardiography, CT, and MRI | Radiology: Cardiothoracic Imaging
Interatrial shunts across an intact atrial septum encompass a range of anomalies that have clinical and hemodynamic implications for management and outcomes if left untreated.
pubs.rsna.org
May 12, 2025 at 11:10 AM
Reposted by Thurl Cledera
Excited to be continuing to work with #RadioGraphics as a member of the SMDI committee!
#RadiologyUCLA
#RadRes
@teachplaygrub.bsky.social
December 6, 2024 at 7:45 PM
Non-Athersclerotic Vascular Disease by Drs Broncano, Ghoshhajra, @katehanneman.bsky.social , Robb

✅Remember diff patterns of involvement (TKA vs GCA)
✅Beading 📿 in FMD
✅Arch sidedness is determined by bronchus crossed
✅TAA in the young or unusual think of HTAD

#RSNA24 #cvrad #radsky #radiology
December 5, 2024 at 9:15 PM
Imaging Guidance in Structural 🫀 by Drs Atkins, Radike, and Rajiah

✅Wide aortic-mitral angle = ⬆️ risk of LVOTO in TMVR
✅⬇️ distance of RCA from TV annulus (❌ if <2 mm) = ⬆️ risk of compression in TTVR
✅ >/= 5 mm gap ➡️ relevant PDL for LAA closure

#RSNA24 #cvrad #radsky #radiology
December 5, 2024 at 6:11 PM
Amazing case of Proximal Interruption of the Pulmonary Artery from Dr Arzu Canan

✅Asymptomatic, incidentally detected
✅The affected lung may go on to develop a fibrosing ILD
✅ Consider chest CTA for PAs and cardiac CTA for PVs assesment

#RSNA24 #radsky #radiology
December 4, 2024 at 9:38 PM
Challenging Aorta by Dr Trabzonlu

✅ULP (communicates with blood pool) vs Intramural blood pool (doesnt communicate), former = ⬆️ adverse events
✅Periaortic stranding = first sign before mycotic aneurysm
✅Scrutinize plaque or thrombus for possible intimal sarcoma❗️

#RSNA24 #radsky #radiology
December 4, 2024 at 9:22 PM
Masterclass in 🚼Congenital Vascular Disease by Dr Prachi Agarwal

✅Utilize 3D models and don’t neglect the airways in complex CHD
✅Coronary artery supply follows ventricle in TGA
✅Accurate communication with clinicians and proper use of nomenclature is 🔑

#RSNA24 #cvrad #radsky #radiology
December 4, 2024 at 7:58 PM
Acute Thoracic Vascular 🚑 by Drs Remy-Jardin, Bhalla, and Cummings
✅ Arterial retraction is a clue for CTEPH
✅Be aware of LIT, PA hematoma and intussusception in type A AD
✅ Evaluate the myocardium and coronaries even on non-gated CTA with high-risk patients
#RSNA24 #radsky #radiology
December 4, 2024 at 4:30 PM
Happy that #RSNA24 organized an IRIYA alumni reception. Wonderful to catch up, reconnect with my cohort (2022), and learn about the many opportunities that came our way after participating ⭐️

The IRIYA world is also small as I work with some of them in NASCI and #RGTeam

#radiology #radsky
December 2, 2024 at 10:23 PM
ICYMI 🔑 in CAD #yescct session by Drs Vliegenthart, Ghoshhajra, Agarwal, and Schoepf
✅ Qualify CAC in plain chest CT
✅ Use multiple views, especially in LM dx
✅ CADRADs score does not replace the impression, give context
✅ FFR-CT is helpful and seeing ⬆️ use
#RSNA24 #radsky #radiology
December 2, 2024 at 4:58 PM
Practical takeaways in measuring the thoracic aorta from Dr Nick Burris
✅High quality imaging of the aorta is 🔑
✅Consistency in measurements (outer wall, inner etc)
✅Look out for the commissural🔺, absence = raphe in BAV
✅Talk to clinicians in difficult cases
#RSNA24 #radsky
December 2, 2024 at 2:57 PM
Takeaways from S5-CCH03 by Drs Andrea Oh, Rachel Putnam, David Lynch, Jonathan Chung
✅Fibrotic ILA and ILD are a spectrum
✅ILAs ⬆️ risk of death
✅Beware of 🚬 related ILD; diff SRIF from UIP
✅Look out for high risk populations, CT can be similar to ILA
#RSNA24 #chestrad
December 1, 2024 at 9:57 PM
Insightful session of mapping targets for 🫀ablation (S4-CCA05). Increasing use of multimodality imaging and developments in ablation, consider pre and post ablation #yescct #whycmr imaging
#RSNA24 #radsky
December 1, 2024 at 7:55 PM
Inline post processing requires no contouring 🤯 for stress #whycmr , promising improvements in protocols with the shortest lasting <14 mins, consider using regadonoson but take note of pros and cons of all stress agents from Dr Ming Yen-Ng
#RSNA24 #radsky
December 1, 2024 at 7:13 PM
First session in #RSNA24 🩻 the future of #whycmr is efficiency ⭐️ with the development of better software/AI and rapid CMR protocols with @chiarabd.bsky.social #radsky
December 1, 2024 at 7:12 PM
🚨 #radres and #radfellow wondering on how to make the most out of #RSNA2024 ? Then check out our editorial on how to optimize your experience 🔥 #radsky @rsnasky.bsky.social

pubs.rsna.org/doi/full/10....
Trainee Guide to Navigating the RSNA Annual Meeting | RadioGraphics
pubs.rsna.org
November 29, 2024 at 2:11 AM
Reposted by Thurl Cledera
Physicians placed greater “reliance without verification” in local explanations than global explanations regardless of AI advice correctness #radsky 🩻🤖
pubs.rsna.org/doi/full/10....
November 23, 2024 at 11:13 PM
Reposted by Thurl Cledera
#EHJCVI 🔎 Association between subclinical atherosclerosis burden and unrecognized #MI detected by #whyCMR in middle-aged low risk adults

🇪🇸 #PESA 🫀 Ischaemic scar 👉 ⬆️ SCORE2 ⬆️ CACS and peripheral subclinical atherosclerosis

Read more 👉 doi.org/10.1093/ehjc...

#CardioSky #MedSky
November 23, 2024 at 11:10 AM
Reposted by Thurl Cledera
#Tirzepatide Reduces LV Mass and Paracardiac Adipose Tissue in Obesity-Related Heart Failure: #SUMMIT CMR Substudy

#AHA24 #JACC #CardioSky #MedSky
@jaccjournals.bsky.social @accintouch.bsky.social @ahascience.bsky.social
www.jacc.org/doi/10.1016/...
November 18, 2024 at 7:55 PM
Reposted by Thurl Cledera
Providing radiologists with key details about the patient's symptoms can go a long way toward improving the quality of their work.
radiologybusiness.com/topics/medic...
Radiologists are more accurate, confident when they know the full story
Providing radiologists with key details about the patient's symptoms can go a long way toward improving the quality of their work.
radiologybusiness.com
November 19, 2024 at 3:33 AM
Reposted by Thurl Cledera
It's been less than a week but we are now up to 50 radiology and imaging folks in our starter pack.

I know there are many more, so keep hitting up the replies or slide into my DMs.

go.bsky.app/Gmkg4yX
November 17, 2024 at 4:45 AM