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R3 Journal
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Roentgen Ray Review (R3) is @arrsradiology.bsky.social's newest peer-reviewed radiology journal.

https://r3journal.org/
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/...
October 5, 2026 at 2:45 PM
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/...
September 24, 2026 at 3:28 PM
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/...
September 22, 2026 at 1:53 AM
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/...
September 12, 2026 at 4:29 AM
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/...
September 8, 2026 at 2:47 PM
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/...
August 29, 2026 at 4:15 PM
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.
August 24, 2026 at 5:18 PM
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/...
August 22, 2026 at 5:40 PM
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/...
August 17, 2026 at 5:51 AM
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)
www.youtube.com
August 10, 2026 at 1:06 PM
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/...
August 7, 2026 at 6:21 PM
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/...
August 5, 2026 at 1:21 PM
PCCT sees past calcium, sharpens stents, and cuts through noise—putting every photon to work. r3journal.org/doi/10.2214/...
July 24, 2026 at 6:55 PM
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
July 20, 2026 at 6:55 PM
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/...
July 17, 2026 at 3:09 PM
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/...
July 15, 2026 at 9:15 PM
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/...
July 8, 2026 at 5:52 PM
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/...
July 7, 2026 at 5:03 AM
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.
July 1, 2026 at 3:56 PM
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/...
June 29, 2026 at 2:00 PM
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/...
June 29, 2026 at 5:05 AM
58YO man who had undergone an orthotopic heart transplant one year prior. Serial chest CTA examinations revealed a rapidly dilating ascending aorta. Despite suspicion of mycotic aneurysm based on imaging, standard blood cultures were repeatedly negative. r3journal.org/doi/10.2214/...
June 22, 2026 at 3:22 PM
This R3 Education Innovation article reports that 92% of respondents thought the ARRS Clinician Educator Development Program had a net positive impact on their career growth, with 46% claiming a key impact on their trajectory. r3journal.org/doi/10.2214/...
June 15, 2026 at 3:03 PM
In a 14-year-old girl with headache, blurry vision, and hypertensive crisis, MRI revealed posterior reversible encephalopathy syndrome isolated to the brainstem and spinal cord subsequently found to be due to an abdominal paraganglioma. r3journal.org/doi/10.2214/...
June 5, 2026 at 3:24 PM
Delayed complications that interpreting radiologists must be prepared to identify include filter migration, strut fracture, strut penetration, acute thrombosis, as well as chronic postthrombotic changes. r3journal.org/doi/10.2214/...
June 1, 2026 at 3:05 PM