Dr. Nikhil R M DNB, EDiR, DICR

Hi, I’m Dr. Nikhil R M, a radiologist sharing insights on MRI, CT, & Neuroimaging (with a love for pediatric cases!). Let’s connect to discuss radiology, healthcare, or new ideas. Use #Alrad or tag me! DMs open—happy to chat!

This is the role - and the road - of 21st-century fetal imaging. It’s not about doing things differently, it’s about seeing them differently.

🧵**#SpinTweetorialWednesday** 🎯 Infantile Neuroaxonal Dystrophy (INAD) An ultra-rare, rapidly progressive neurodegenerative disorder of infancy—often missed, always relentless. Here’s what every neurologist, geneticist, and radiologist needs to recognize early.

From the January-March 2025 Issue of #Neurographics: Case Report: Spinal Epidural Angiolipoma ow.ly/Zc3T50VO3Lp

🧠 This week’s SPIN-POV: Multifocal lesions in the cerebrum, cerebellum, brainstem, and deep gray nuclei can be the initial presenting feature of Hemophagocytic Lymphohistiocytosis. Don’t miss it, as early testing, systemic therapy, and HSCT can improve outcomes.

SPIN Tweetorial Wednesday: Tay–Sachs Disease on MRI Tay–Sachs disease is a lysosomal storage disorder under the GM2 gangliosidosis umbrella. Today, we’re decoding its characteristic MRI fingerprints. Let’s SPIN! 🧵👇

30 year old woman with HIV with right leg weakness and speech difficulty. Diagnosis?

H3 G34-mutant diffuse hemispheric gliomas are rare, aggressive primary brain tumors predominantly affecting young patients. This study investigated the prognostic value of anatomic staging in this molecularly distinct tumor type: hubs.la/Q03xp5Dr0 #NeuroTwitter #NeuroX

🚀 Launching Wilhelm, a free and open source 🩻 medical imaging reporting AI assistant 💡 You shouldn't have to pay for medical transcription AI in 2025. Wilhelm is the first step towards a future where medical transcription AI is available free and open source for every doctor…

A very nice pictorial diagram depicting the understanding pathophysiology of Metachromatic Leukodystrophy.

"Sodium MRI in Pediatric Brain Tumors" doi.org/10.3174/ajnr.A… @draash @The_ASPNR #OpenAccess

🧠 Area Postrema Syndrome (APS) A 44F with 1 month of intractable nausea, vomiting, and hiccups. No neuro deficits. Routine labs, EGD, & abdominal imaging are normal. AQP4 antibody is positive. Where’s the lesion on MRI? What’s your diagnosis? What’s your treatment? A.…

Innovative way to think on Facial Nerve like this..!

आषाढैकादश्याः पावनदिने श्रीविठ्ठलः सर्वान् एकत्वं, भक्तिं च करुणां च ददातु। भेददृष्टिर्नश्यतु, प्रेमैव विजयते। जय श्रीपांडुरंगः। जय हरि विठ्ठलः। @narendramodi @AmitShah @Dev_Fadnavis @mieknathshinde @RajThackeray @uddhavthackeray @AUThackeray 🇮🇳 needs prosperity, Behave maturely

A patient in her mid-60s presented with subacute progressive neuropsychiatric deterioration including confusion and impaired executive function. The findings on this brain MRI were the same over several months of hospital visits. What is your favored diagnosis?

We know CLIPPERS, what about SLIPPERS!🥿🥿 Supratentorial Lymphocytic Inflammation with Parenchymal Perivascular Enhancement Responsive to Steroids - A differential for Anti-GFAP onlinelibrary.wiley.com/doi/10.1002/an…

Learn from the experts! 3D MR neurography and zero echo time MRI for peripheral nerve and bone​ evaluation. @HSpecialSurgery bit.ly/45Lfali

Teaching NeuroImage: Cortical DWI Hyperintensity, Cerebellar Atrophy, and Presentation With Prolonged Postictal Hemiparesis Suggest CACNA1A-Related Disorder hubs.la/Q03vN5vX0

Teaching NeuroImage: Clinicoradiologic Clues in Aceruloplasminemia hubs.la/Q03v4FYk0

Announcing Wilhelm, a completely free and open source medical imaging reporting AI agent ⚡ Lightning fast Dictate few lines ➡️ Automatically selects your correct report template ➡️ final complete formatted report in 1 second. 📖 Choose from a huge selection of in-built report…