Experts suggest new follow-up imaging protocols for vaccine-related lymphadenopathy

Don't delay mammograms after COVID vaccine. Women do not need to delay their mammogram appointment after COVID-19 vaccination. An example of COVID vaccine caused axillary adenopathy. The woman has a family history of breast cancer, but this lesion, seen on breast ultrasound, tested negative in an RSNA study. Women should not wait to get a mammograms after COVID vaccines.

A 46-year-old patient with a strong family history of breast cancer had a screening ultrasound prior to COVID-19 vaccination demonstrating a morphologically normal left axillary lymph node. (B) 25 days following the second dose of the COVID-19 vaccination, the patient presented with a palpable lump in the left axilla and ultrasound demonstrated enlarged lymph nodes with cortex measuring up to 6 mm in thickness (arrow). (C) A follow-up ultrasound 21 weeks following demonstrated stable axillary lymphadenopathy. (D) An ultrasound-guided core biopsy was then recommended and pathology demonstrated lymphoid cells negative for carcinoma. Image courtesy of RSNA

New research shows that persistent lymph node swelling observed on imaging can persist beyond 12 weeks post-vaccination for up to 50% of women.

VIDEO: The importance of the Physician Practice Information Survey and its impact on radiology reimbursements

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Linda Wilgus, CPA, CMPE, executive director and chief financial officer of Northwest Radiology Network and a past president of the Radiology Business Management Association (RBMA), explains the importance of the Physician Practice Information Survey CMS in calculating radiology reimbursements.

Radiologists in Ukraine helping the war effort as Russia continues to attack

Radiology imaging of two wounded civilians with bullet and shrapnel embedded in tissue. Left is a digital X-ray of a patient with shrapnel in the chest and a bullet in the leg who was brought to the National Children's Specialized Hospital in Kyiv. Right, a 3D CT scan reconstruction of a bullet in the chest of a 40-year-old father who as attempting to evaculate his wife and child from the Russian advance near Kyiv when the Russians opened fire on him. Image from the Ukraine Heart Institute in Kyiv.
Radiology imaging of two wounded civilians with bullet and shrapnel embedded in tissue. Left is a digital X-ray of a patient with shrapnel in the chest and a bullet in the leg who was brought to the National Children's Specialized Hospital in Kyiv. Right, a 3D CT scan reconstruction of a bullet in the chest of a 40-year-old father who as attempting to evaculate his wife and child from the Russian advance near Kyiv when the Russians opened fire on him. Image from the Ukraine Heart Institute in Kyiv.

Many radiologists stepped up to do their part for the war effort by staying at their hospital posts and helping the wounded as they started coming in.