Happy National Tech Week


Happy National Technologist Week!!! Thank you to the over 600+ Radiology Techs that we work with daily and to the 1000s across the county as you are the foundation / back bone of all Radiology practices! Celebrate National Radiologic Technology Week, November 4-10, 2018 Each November radiologic technologists take a week to celebrate National Radiologic Technology Week (NRTC), to commemorate the discovery of the x-ray along with recognizing the dedicated professionals that are practicing in the radiologic sciences. Radiologists work behind the scenes to provide…

Continue reading »

Premier Radiology along with Onecall for Travelers Ins. presents a webinar on MRI imaging.

Premier Radiology along with Onecall for Travelers Ins. presents a webinar on MRI imaging. Physics – how does an MRI work? Are there current limitations? What does the future hold? Can the patient experience be improved for the best possible study quality? The MRI machine has come a long way since its inception and will continue to evolve as technology evolves. The size of the equipment to the sound can make an MRI machine can seem intimidating at first. There are a lot of working…

Continue reading »

Bridging the gap – How entrepreneurs and radiologists can work together to create a successful organization


With advances in radiology technology occurring at a lightning pace, there is a continuing need to deliver top-notch value and service and meet current demands. Everyone wants to be cool and have the coolest new product or start the best new business. Few today have what it takes to accomplish this on their own. It can be a lonely, confusing arena to enter. If we want to change the system, we must be open to new ideas and be the change. We need to step…

Continue reading »

Time is up…Silica standards obligations begin on June 23, 2018


There are about 676,000 workplaces that are being affected by the recent final OSHA silica standard to reduce lung cancer, chronic obstructive pulmonary disease, silicosis, and kidney disease that are among the 2.3 million workers that have been exposed to respirable crystalline silica.   This new rule comprises two standards, one for Construction and one for General Industry and Maritime. It lowers permissible exposure limits (PELs), mandates control measures, worker training, and includes a written control plan. With this new rule, employers must provide medical…

Continue reading »

Slipped Capital Femoral Epiphysis (SCFE)

SCFE: Slipped Capital Femoral Epiphysis SCFE, also pronounced as “skiffy”, is known as atraumatic fracture of the hypertrophic zone of the physeal plate of the femoral capital epiphysis. Typically, SCFE displays itself in only one hip while the other is normal. It if more than twice as common in males than females at a ratio of 2.5:1. In males, SCFE is mostly expressed between the ages 10-16 and 12-14 in females. A common patient with SCFE is overweight and it is more common for black patients…

Continue reading »

Your practice may be in violation of New York law


Many national teleradiology companies are LLCs or corporations with non-medical ownership. The providers they serve are in violation of this New York State law. Under New York State law, professional services can only be offered within a professional service corporation (“PC”) or a professional limited liability company (“PLLC”).  Simply put, a teleradiology company offering radiology reads in the state of New York must be a PC or PLLC owned by licensed radiologists.  We at Premier partner with a professional service corp, Flex Radiology PC, that…

Continue reading »

Bipartite Patella X-Ray

  Bipartite Patella X-Ray Unfused accessory ossification center Superolateral Aspect of Patella 2% of the population. Bilateral = 43% Men more than Women Usually incidental finding Usually asymptomatic 2% of patients experience symptoms (anterior knee pain) Less commonly there can be Tripartite or Multipartite Fracture versus Bipartite Patella Superior lateral location = more likely Bipartite Patella Osseous remodeling at Ossicles Interface = more likely Bipartite Patella Prior Xrays of the Knee will Extremely Helpful Clinical History such as Mechanism of Injury and/or Location of Site…

Continue reading »

Perilunate Dislocation Xray

Perilunate Dislocations are devastating closed wrist injuries, non-uncommonly missed on initial imaging. Below are some of the characteristics of this condition and how they’re spotted in readings. Perilunate Dislocation Xray Potentially devastating closed wrist injuries Non-uncommonly missed on initial imaging. Dislocation of carpus relative to lunate Lunate remains in normal alignment with the distal radius NOT to be confused with LUNATE Dislocation = lunate is dislocated volarly and thereofore abnormal radiolunate articulation. Carpal dislocations –  less than 10% of all wrist injuries. Perilunate dislocation- Young…

Continue reading »


Spondylolisthesis is a spinal disorder affecting roughly 3-7% of the general population. Below are some clinical evaluation of the disorder as well as what to look for in the demonstrated X-ray. Spondylolysis SPONDYLOLYSIS = Defect in pars interarticularis portion of lamina. Etiology: Repeated Microtrauma Heredity component (hypoplastic pars) Clinical: May be asymptomatic May present with low back pain 3-7% of general population (all ages) Athletes -Increased to 23-62% Males 2-4 more than Females 95% at L5 level Bilateral pars defects can lead to spondylolisthesis XRAY…

Continue reading »

Cervical Rib

Cervical Rib An interesting and significant case we’ve come across is Cervical Rib. Cervical Rib is more often than not, an asymptomatic abnormality affecting .5% of the population. It is more common in females, and arises from the seventh cervical vertebrae. These X-rays represent 3 different cases of Cervical Ribs (AKA, Supernumerary Rib or Accessory Rib). Always remember to mention the presence of Cervical Ribs if present on cervical spine x-rays and if visualized on chest x-rays. Cervical rib is the most important anatomic rib…

Continue reading »