Bhavin Jankharia

Case 77 - Cartilage Everywhere 22-year-old with swelling around the proximal wrist/distal forearm. Discussion and diagnosis bstneoplasms.com/p/case77

HRCT in Connective Tissue Disease ILDs This is a lecture I gave in Srinagar in Aug 2025, where I covered HRCT in CTD ILDs. There are two parts 1. Patterns in CTDs UIP, variant UIP, NSIP, BIP, LIP, PPFE, RP-ILD, etc 2. Lung involvement patterns in individual CTDs RA, SSc, IIMs, SLE, Sjogren's, MCTD ctchestreview.com/lecture18

Lecture - Basic Approach to ILDs 5 Cases 1. Is there ILD 2. If so, is it fibrotic or non-fibrotic 3. Subclassify a. If fibrotic, UIP or non-UIP b. If non-fibrotic - try and figure out the pattern 4. What is the etiology? ctchestreview.com/lecture17

Case of the Day - 236 - It Can be a Slow Burn or a Raging Wildfire Two patients First - 57-year-old now presented with multiple areas of progressive consolidation since 2019 with low-grade uptake on a recent PET Second - 64-year-old presented with rapidly progressive opacities over 40 days with high grade uptake on PET Both biopsied and showed the same overall diagnosis. youtu.be/WImMl_JcU7c

Case of the day - 235 - From NSIP OP to Variant UIP - A 15 Year RA-ILD Journey 65-year-old patient with rheumatoid arthritis (RA) and RA-ILD presented in 2011 with a mixed non-specific interstitial pneumonia (NSIP) / organizing pneumonia (OP) pattern, which over the years has turned into a variant usual interstitial pneumonia (UIP) pattern, with exuberant honeycombing. The video charts this journey through 10 scans from 2011 to 2016, over 15 years. youtu.be/kJGcQcJXgnI

ILD Patterns - The UIP Pattern It is characterized by reticular opacities, subpleural basal predominance and traction bronchiectasis with or without honeycombing. Primary UIP implies IPF, while secondary UIP implies other etiologies The video describes the UIP pattern, the various signs and their differentials, based on the new guidelines published in Aug 2025. ctchestreview.com/ild01

Managing the Problem of Cognitive Overload As we grow older, managing cognitive overload is a major issue. On the one hand, we are bombarded by messages, calls, requests, which our minds can handle only so many of before they go on the fritz. There are some things we can do to manage all these sensory inputs. On the other hand, is the issue of how to reduce the impact of this cognitive overload, when it does occur despite all our best efforts to reduce all the inputs that can overload our brains. I have some coping mechanisms, but I don't think they are adequate and I wonder if others have better ones. Full piece (text, audio, video): atmasvasth.com/cognition10/

Lecture - Imaging the Genetic Blueprint - CMR Phenotypes of Inherited Heart Disease This was my talk at IACI last Saturday. I covered 3 buckets. 1. Known genetic conditions that affect the heart - imaging the heart to quantify and type the abnormality 2. Known genetic risk with equivocal or normal echo - to see whether the heart is normal or not on CMR 3. Signs that point towards a genetic cardiomyopathy in a patient with dilated cardiomyopathy that would initiate genetic testing a. Hypertrabeculation b. Ring-like enhancement c. Biventricular involvement d. Inferolateral scar and the concept of a shrinking "idiopathic" cause of dilated cardiomyopathies.. Case, Video mricardiac.com/case266/

Case of the Day - 234 - Reversible Periosteophyte Friction Fibrosis 64-year-old man with 3-level periosteophyte friction fibrosis on a recent scan, which had regressed compared to 2024, which in turn was new compared to 2019. The video goes through the case and then the existing, extremely sparse literature on this subject and tries to answer these questions 1. Why does periosteophyte friction fibrosis occur? 2. Can it reverse? youtu.be/i1PdlIrsEhE

Case of the Day - 233 - Rapidly Growing Mediastinal Mass 22-year-old with a prevascular space mediastinal mass extending into the visceral space and markedly increasing in size over 9 days with pleural and pericardial involvement Thoughts? 1. Lymphoma 2. Germ cell tumor I biopsied it and we got a diagnosis, a specific histology, which apparently should have been the first diagnosis in my head...but I wasn't aware of this till I read it up. youtu.be/OHOFEkzepZ4

Enjoying Being a Senior Citizen in India 15 points - self explanatory. Full piece (text, audio, video): atmasvasth.com/seniorcitizen…