Decoding Program Signals: A Radiology Residency Program's Experience With the ERAS Supplemental Application.

The ERAS supplemental application has had a profound impact on the interview selection process. At our institution, we found the information in the supplemental application, particularly program signals, especially useful when inviting applicants for interviews. Applicant data was reviewed from this application cycle and the previous cycle and was subcategorized according to various demographic variables. Our analysis revealed that we were able to invite more geographically diverse candidates compared to last year. Program signaling was also beneficial for applicants in demonstrating interest in our program. 47% of interview offers were sent to those who had signaled, despite only 5% of total applications containing a program signal to our institution. Overall, we viewed the supplemental application favorably and reaffirmed its value in the interview selection process.

Unusual progression of osmotic demyelination after liver transplantation on MRI brain.

Osmotic demyelination syndrome, comprised of central pontine and extrapontine myelinolysis, is an important and potentially fatal complication primarily related to rapid overcorrection of serum sodium leading to devastating neurological symptoms. While traditionally presenting in the pons, we report the case of a 43-year-old female patient who recently underwent a liver transplant and developed extrapontine myelinolysis and subsequently central pontine myelinolysis resulting in irreversible spastic quadriparesis. This rare case highlights the variability of presentation of osmotic demyelination syndrome on imaging.