Is it a cyst or a solid lesion? Mislabeling Bartholin gland nodular hyperplasia can lead to prolonged symptoms and repeated drainage attempts. r3journal.org/doi/10.2214/...

Wandering splenules are rare, but they can easily masquerade as a pelvic neoplasm. Proper recognition can spare patients from unnecessary workups and complications. r3journal.org/doi/10.2214/...

Melorheostosis is a rare benign sclerosing bone dysplasia classically characterized by flowing cortical hyperostosis, likened to melting wax dripping down a candle. But what happens when it involves the pelvis and surrounding soft tissues? r3journal.org/doi/10.2214/...

A tiny fracture fragment or an unexpected finding on a radiograph reminds us that the first clue may be small but its consequence is massive. The new issue of R3 explores why the smallest details often change the entire clinical picture. r3journal.org/doi/10.2214/...

We are looking for an Cardiothoracic Imaging Section Editor to start in January. If you have expertise in cardiothoracic imaging & peer review experience, we want you on our team. Learn more and apply by November 30: arrs.org/caeditor

In MRI Characteristics of Bartholin Gland Nodular Hyperplasia, Jessie Zhang and colleagues describe three pathologically confirmed cases with recurring findings: low T2 signal, homogeneous enhancement, and no significant diffusion restriction. r3journal.org/doi/10.2214/...

We are looking for an Abdominal Imaging Section Editor to start in January. If you have expertise in abdominal imaging & peer review experience, we want you on our team. Learn more and apply by November 13: arrs.org/r3abdominal

This R3 Case Series details clinical presentation, multimodality imaging, and management, while reviewing screening recommendations and uncertainties surrounding breast cancer risk. r3journal.org/doi/10.2214/...

From pulmonary interstitial emphysema and the angel-wing sign of pneumomediastinum to rib fractures that should raise concern for nonaccidental trauma, review the subtle findings that may be the first indication of conditions requiring urgent action. r3journal.org/doi/10.2214/...

When a patient presents with acute joint pain, yet no obvious cortical break, the true injury might be hiding in plain sight—whether as a subtle subchondral impaction or an avulsion fragment signaling soft-tissue damage. r3journal.org/doi/10.2214/...

In Imaging Approach to Acute Lung Diseases, Drs. Jonathan Liu and Brett Elicker explore the critical role of CT when chest radiography and clinical assessment are discrepant or unrevealing. r3journal.org/doi/10.2214/...

From new masses in the lumpectomy bed to enhancing abnormalities along the reconstructed breast, read Multimodality Imaging of the Treated Breast by Motaz Daraghma, MD, et al., to recognize the varied imaging patterns of breast cancer recurrence. r3journal.org/doi/10.2214/...

This R3 Clinical Practice Challenge with CME credit looks at the nuances of immediate and long-term hemostatic control—examining how treatment strategy depends on a patient's anatomy, baseline function, as well as the extent of underlying disease: r3journal.org/doi/10.2214/...

A pelvic mass with a wandering identity. Discover how mobility, a long vascular stalk, and spleen-like enhancement help distinguish a wandering splenule from a neoplasm. r3journal.org/doi/10.2214/...

A rare breast MPNST in a 19YO woman with NF1 highlights the importance of rapid growth and clinical history—even with deceptively benign imaging. r3journal.org/doi/10.2214/...

Take your journal experience further with our new commenting feature, now available to all ARRS members on R3 articles. Share your thoughts, ask questions, and engage directly with authors and your peers today.

This R3 Categorical Course Highlight with CME credit helps you confidently connect the imaging features of aspergillosis, nocardiosis, coccidioidomycosis, and more with their pathologic underpinnings. r3journal.org/doi/10.2214/...

That incidental sclerotic jaw lesion…what should you call it? Odontogenic sclerotic lesions are frequently encountered unexpectedly on head and neck CT, yet their overlapping appearances can make diagnosis challenging. r3journal.org/doi/10.2214/...

R3 now has a YouTube channel! Check out this new teaching case from our EIC Mahesh Thapa, MD, MEd. www.youtube.com/watch?v=MCyZ...

R3 Teaching Case: Pilocytic Astrocytoma

YouTube video by R3 Journal (Roentgen Ray Review)

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Hussain et al. describe what may be the first reported case of a complex sclerosing lesion demonstrating somatostatin analogue avidity and highlight an important mimic to consider when DOTATATE uptake is discovered in the breast. r3journal.org/doi/10.2214/...

Come for the prostate, stay for the rest of the pelvis—six cases why cancer mimics and unexpected findings deserve more than a glance. r3journal.org/doi/10.2214/...

PCCT sees past calcium, sharpens stents, and cuts through noise—putting every photon to work. r3journal.org/doi/10.2214/...

Dynamic MRI catches tissue and gas moving through a persistent Huschke foramen between the TMJ and ear canal—an open-and-shut case . . . literally. 👂https://r3journal.org/doi/10.2214/R3J.25.01147

Not everything that glitters is gold. Find out what's causing all the tiny spherical areas of metallic attenuation scattered throughout lungs, right ventricular myocardium, and interventricular septum in this R3 What's That Finding article. r3journal.org/doi/10.2214/...

The mystery starts with a cough and ends with Hg everywhere. This week’s case shows how metallic spherules can reveal systemic elemental mercury embolism. r3journal.org/doi/10.2214/...

In his final column, our inaugural Editor in Chief, John Leyendecker, MD reflects on his transition to retirement and the valuable role retirees can play in supporting radiology's academic mission on their own terms. 🔭 r3journal.org/doi/10.2214/...

This R3 Case-Based Review with credit explores how US, CT, MRI, and transcatheter venography can be helpful in diagnosing pelvic congestion syndrome and prescribing appropriate treatment pathways. r3journal.org/doi/10.2214/...

Roentgen Ray Review was built with your daily workflow in mind. Hear from new EIC Mahesh Thapa, MD, MEd and Neuroradiology Section Editor Xin (Cynthia) Wu, MD on how R3 works to distill complex knowledge into high-yield, actionable insights you can rely on in the reading room.

Blood-derived cancers such as lymphomas, leukemias, and myelomas rarely affect breast tissue, either primarily or secondarily. When they do, they present unique diagnostic challenges for imagers. r3journal.org/doi/10.2214/...

Blood-derived cancers such as lymphomas, leukemias, and myelomas rarely affect breast tissue, either primarily or secondarily. When they do, they present unique diagnostic challenges for imagers. r3journal.org/doi/10.2214/...