We are excited to introduce the #SRT2026 REALM Competition, an interactive session dedicated to learning from our real radiology practice.

REALM (Radiology Events and Learning Meetings) focuses on shared learning through discrepancies, diagnostic challenges, perceptual misses, and exceptional diagnostic observations. These cases highlight important teaching points that help improve radiology practice and patient care.

We invite radiology residents attending the conference to submit an interesting case that demonstrates a meaningful learning opportunity encountered during their clinical practice and on-call reporting.

Shortlisted cases will be presented anonymously by our moderators during the REALM session at the SRT Conference in Southampton, and compete for the 'Best REALM Case Award'.

Please refer to the RCR publication Standards for Radiology Events and Learning Meetings for further definitions and information.

Slides format

1. Slide 1 – Case Introduction

   • Case title

   • Patient age and gender

   • Relevant clinical history and indication

   • Imaging modality performed

2. Slide 2 – Imaging Findings

   • Large imaging panel

   • Use 4 images maximum

   • Annotate subtle findings with animated arrows or circles

3. Slide 3 – The REALM Element

   • The diagnostic challenge

   • Key questions:

     • Missed finding on initial report

     • Subtle abnormality detected later

     • Perceptual or cognitive error

     • Unexpected but important diagnosis

     • Excellent spot that changed management

4. Slide 4 – Final Diagnosis

   • Final diagnosis

   • How it was confirmed

   • Impact on patient management

   • Optional:

     • Surgical/pathology correlation

     • Follow-up imaging

5. Slide 5 – Learning Points

   • Take home lessons

   • 3–5 concise bullets including

     • Subtle signs to recognise

     • Search pattern tip for reporting

     • When to consider this diagnosis

     • Common pitfalls to avoid

If you have encountered a case that made you pause, rethink, or learn something important, we want to hear about it!

Submission deadline 19 April 2026 at 11:59 pm GMT.