Sergio P. Klimkowski, M.D.
Department of Abdominal Imaging, Division of Diagnostic Imaging
Present Title & Affiliation
Primary Appointment
Assistant Professor, Department of Abdominal Imaging, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX
Dual/Joint/Adjunct Appointment
Assistant Professor, Department of Abdominal Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX
Education & Training
Degree-Granting Education
| 2012 | University of Tennessee College of Medicine, Memphis, Tennessee, US, MD |
| 2003 | Tulane University School of Engineering, New Orleans, Louisiana, US, Computer Science, BS |
Postgraduate Training
| 2018-2019 | Body Imaging Clinical Instructor and Fellowship, Vanderbilt University, Nashville, Tennessee |
| 2017-2018 | Interventional Radiology Fellowship, Vanderbilt University, Nashville, Tennessee |
| 2016-2017 | Radiology Residency, Children's Hospital of Alabama, Birmingham, Alabama |
| 2014-2017 | Radiology Residency, Image South and American Health Imaging, Birmingham, Alabama |
| 2013-2017 | Diagnostic Radiology Residency, University of Alabama, Birmingham, Alabama |
| 2012-2013 | Internal Medicine Preliminary Year, University of Tennessee, Memphis, Tennessee |
Licenses & Certifications
| 2019 | Texas Medical License |
| 2017 | Tennessee Medical License |
| 2014 | Alabama Medical License |
| 2013 | American Board of Radiology |
Experience & Service
Faculty Academic Appointments
Assistant Professor, The University of Texas Medical Branch at Galveston, Galveston, TX, 2019 - 2021
Administrative Appointments/Responsibilities
Medical Student Faculty Advisor, The University of Texas Medical Branch at Galveston Medical School, Galveston, TX, 2020 - 2021
Honors & Awards
| 2014 | Certificate of Merit - Customizing Dual Energy CT Post Processing to Your Abdominal Radiology Practice, Radiological Society of North America Scientific Assembly and Annual Meeting |
| 2014 | Certificate of Merit - Seeing is Believing: Deadly Type A Aortic Dissection, Radiological Society of North America Scientific Assembly and Annual Meeting |
Professional Memberships
Selected Presentations & Talks
National Presentations
- 2021. Education Exhibit - Renal Bleeding in Cancer Patient Cross Sectional Imaging and Role of Interventional Management. Conference. Radiological Society of North America Scientific Assembly and Annual Meeting. Chicago, IL, US.
- 2014. Education Exhibit - Seeing is Believing: Deadly Type A Aortic Dissection. Conference. Radiological Society of North America Scientific Assembly and Annual Meeting. Chicago, IL, US.
- 2014. Education Exhibit - Customizing Dual Energy CT Post Processing to Your Abdominal Radiology Practice. Conference. Radiological Society of North America Scientific Assembly and Annual Meeting. Chicago, IL, US.
Selected Publications
Peer-Reviewed Articles
- Klimkowski SP, Shi A, Altabbakh O, Szklaruk J, Shenoy-Bhangle A, Likhari GS, Elsayes KM. Update on Hepatocellular Carcinoma Imaging Features Associated With Histology, Subtype, and Prognosis Along With Changes to LI-RADS in 2024. Semin Roentgenol 60(1):6-18, 2025. e-Pub 2025. PMID: 39914909.
- Stanietzky N, Salem AE, Elsayes KM, Rezvani M, Fraivillig K, Salem U, Klimkowski S, Diab M, Naik S, Menias CO, Shaaban AM. Tumor-like conditions that mimic liver tumors. Diagn Interv Radiol. e-Pub 2024. PMID: 38874132.
- Taffel MT, Petrocelli RD, Rigau D, Schieda N, Al-Rasheed S, Carney BW, Chung R, Yao ML, Blake MA, Elsayes KM, Badawy M, Klimkowski S, Remer EM, Wetzel A, Pandya A, Caoili EM, Corwin MT. Prevalence of Malignancy in Adrenal Nodules with Heterogeneous Microscopic Fat on Chemical-Shift MRI: A Multiinstitutional Study. AJR Am J Roentgenol 220(1):86-94, 2023. e-Pub 2023. PMID: 35920707.
- Corwin MT, Badawy M, Caoili EM, Carney BW, Colak C, Elsayes KM, Gerson R, Klimkowski SP, Mcphedran R, Pandya A, Pouw ME, Schieda N, Song JH, Remer EM. Incidental Adrenal Nodules in Patients Without Known Malignancy: Prevalence of Malignancy and Utility of Washout CT for Characterization-A Multi-institutional Study. AJR Am J Roentgenol. e-Pub 2022. PMID: 35731098.
- Doan S, Bastarache L, Klimkowski S, Denny JC, Xu H. Integrating existing natural language processing tools for medication extraction from discharge summaries. J Am Med Inform Assoc 17(5):528-31, 2010. e-Pub 2010. PMID: 20819857.
Review Articles
- Klimkowski SP, Fung A, Menias CO, Elsayes KM. Gallbladder Imaging Interpretation Pearls and Pitfalls: Ultrasound, Computed Tomography, and Magnetic Resonance Imaging. Radiol Clin North Am 60(5):809-824, 2022. e-Pub 2022. PMID: 35989046.
- Wang MX, Mahmoud HS, Klimkowski SP, Salem U, Korivi BR, Corwin M, Ahmed AM, Shaaban AM, Menias CO, Elsayes KM. Cystic adrenal masses: spectrum of multimodality imaging features and pathological correlation. Clin Radiol 77(7):479-488, 2022. e-Pub 2022. PMID: 35428471.
- Wang MX, Guccione J, Korivi BR, Abdelsalam ME, Klimkowski SP, Soliman M, Shalaby AS, Elsayes KM. Gastrointestinal bleeding: imaging and interventions in cancer patients. Br J Radiol 95(1135):20211158, 2022. e-Pub 2022. PMID: 35451853.
- Virarkar M, Gopireddy DR, Morani AC, Alkhasawneh A, Klimkowski SP, Kumar S, Lall C, Bhosale P. Rectal neuroendocrine neoplasms: what the radiologists should know. Abdom Radiol (NY). e-Pub 2022. PMID: 35288791.
- Klimkowski S, Ibrahim M, Ibarra Rovira JJ, Elshikh M, Javadi S, Klekers AR, Abusaif AA, Moawad AW, Ali K, Elsayes KM. Peutz-Jeghers Syndrome and the Role of Imaging: Pathophysiology, Diagnosis, and Associated Cancers. Cancers (Basel) 13(20), 2021. e-Pub 2021. PMID: 34680270.
- Elsaiey A, Mahmoud HS, Jensen CT, Klimkowski S, Taher A, Chaudhry H, Morani AC, Wong VK, Salem UI, Palmquist SM, Elsayes KM. Mastocytosis-A Review of Disease Spectrum with Imaging Correlation. Cancers (Basel) 13(20), 2021. e-Pub 2021. PMID: 34680251.
- Elshikh M, Moawad AW, Salem U, Klimkowski S, Hassan T, Rao Korivi B, Jensen CT, Javadi S, Elsayes KM. Oncologic Imaging of the Lymphatic System: Current Perspective with Multi-Modality Imaging and New Horizon. Cancers (Basel) 13(18), 2021. e-Pub 2021. PMID: 34572781.
- Klimkowski S, Baker JC, Brown DB. Red Flags, Pitfalls, and Cautions in Y90 Radiotherapy. Tech Vasc Interv Radiol 22(2):63-69, 2019. e-Pub 2019. PMID: 31079712.
- Vande Lune P, Abdel Aal AK, Klimkowski S, Zarzour JG, Gunn AJ. Hepatocellular Carcinoma: Diagnosis, Treatment Algorithms, and Imaging Appearance after Transarterial Chemoembolization. J Clin Transl Hepatol 6(2):175-188, 2018. e-Pub 2018. PMID: 29951363.
Abstracts
- Nguyen T, Abdelsalam E, Klimkowski S, Badawy M, Soliman M, Wong V, Elsayes KM. Renal Bleeding in Cancer Patient Cross Sectional Imaging and Role of Interventional Management. Radiological Society of North America Scientific Assembly and Annual Meeting, 2021. e-Pub 2021.
- Kohlnhofer JA, Choi WJ, Krider S, Klimkowski S, Duran C, Skaug M. Genitourinary Fistulas: Imaging Approach and Case Review. Radiological Society of North America Scientific Assembly and Annual Meeting, 2020. e-Pub 2020.
- Gunn AJ, Mullenbach BJ, Poundstone MM, Klimkowski S, Gordetsky JB, Underwood ES, Rais-Bahrami S. Trans-arterial embolization of renal cell carcinoma as an adjunctive therapy prior to cryoablation: a propensity score matching analysis. Diagn Interv Radiol, 2018. e-Pub 2018.
- Klimkowski S, Sonavane SK, Henry T, Watts J, Shahir KS, Singh S. Seeing is Believing: Deadly Type A Aortic Dissection. Radiological Society of North America Scientific Assembly and Annual Meeting, 2014. e-Pub 2014.
- Klimkowski S, Jessica Zarzour J, Berland L, Morgan DE. Customizing Dual Energy CT Post Processing to Your Abdominal Radiology Practice. Radiological Society of North America Scientific Assembly and Annual Meeting, 2014. e-Pub 2014.
- Choi WJ, Calles G, Krider S, Kohlnhofer JA, Skaug M, Duran C, Klimkowski S. Pictorial Review of Acquired Fistulas Involving Colon and Rectum. American Roentgen Ray Society.
Patient Reviews
CV information above last modified January 12, 2026