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Follow along as our expert subspecialist reviews this case of portal vein thrombosis as demonstrated on an ultrasound study. The most common etiology of portal hypertension is cirrhosis, but a blood clot occurring in the portal vein can also lead to increased portal venous pressure and subsequent portal hypertension. The portal hypertension may result in ascites, variceal bleeding, and splenomegaly. Over the last 10 years, the Department of Radiology at the University of Florida College of Medicine has conducted a simulation-based evaluation of radiology resident competence in critical care imaging. 321 residents interpreted this case of portal vein thrombosis as one of 65 cases during an 8-hour simulated on-call shift, with a median score of 2 out of 10 and an overall average score of 3.42 out of 10. On average, 6.58 points out of 10 were lost due to missed observations. At the same time, 0.00 points were lost due to interpretive errors. We define an effective report to be one which achieves scores between 7 and 10. In terms of letter grades, this would be A & B. In this “most missed” case 19% of residents produced effective reports. We define a report having a critical error to be one with scores between 0 and 2. In terms of letter grades, this would be F & D. In this “most missed” case 72% of residents produced reports with critical error(s). View the full DICOM set and final report here: https://bit.ly/3TMo4Xf Claim 0.5 AMA PRA Category 1 CME Credit™ per case by reviewing this case and others available in our Decision Support critical care case library. Use WIDIonline to fill in your knowledge gaps by reviewing our educational curriculum on this subject. WIDI Online: https://widionline.xray.ufl.edu/ Twitter: / uflwidi WIDI SIM is a critical care radiology SIMulation consisting of 65 cases across all subspecialties and modalities, including normals, given over an eight hour “shift” experience. For more information on WIDI SIM: https://widi.xray.ufl.edu/widi-resear... Subscribe to our channel for more videos from the University of Florida Department of Radiology and Wisdom in Diagnostic Imaging. Intro 0:00 Case Statistics 0:15 Missed Case: Portal Vein Thrombosis 1:02 Teaching Points 2:59 #abdominalimaging #portalveinthrombosis #PVthrombosis