Breast pathology second reads.
If you are a pathologist practicing outside the United States and would like another opinion on a difficult breast case, send me de-identified photomicrographs and a focused question. I review every case personally and usually reply within 24 hours.
An informal, educational consult between colleagues — not a formal diagnosis, and never a substitute for your own sign-out.
How it works
Send your case
Upload de-identified photomicrographs and describe the problem: your differential, your question, and any context that matters.
De-identification is built in
Images are decoded and re-created before storage to remove embedded metadata. You also confirm that no identifiers are visible in the image itself.
Receive a written opinion
I send a written informal read with the favored interpretation, the features behind it, and any suggested next steps. I usually reply within 24 hours.
Who reads your cases
Every case is read by Dr. Fouad Boulos, a subspecialty-trained academic breast pathologist. Each opinion is written by him personally.
Curbside is an independent service for pathologists outside the United States. Opinions are informal and educational; when a case warrants a formal consultation with an institutional report, that remains the right channel, an informal read may tell you exactly that — and such a read is never charged.
Compared with posting in an online group
Many pathologists share difficult cases in online groups, and often get useful replies. Curbside offers a different arrangement for the cases where that isn't enough.
Private
Cases stay between you and the consultant. Nothing appears in a public feed.
Predictable
I usually reply within 24 hours. If a case needs more time or information, I will let you know.
Consistent
The same breast pathologist reads every case, so you know whose judgment you are getting.
De-identified
Metadata stripping and an identifier checklist are part of every upload.
Why this exists
Subspecialty opinion is unevenly distributed. In much of the world, a pathologist facing a difficult breast case has no consultation service within reach. Curbside is meant to narrow that gap: a careful, timely second read available to any pathologist, wherever they practice.