This painting depicts Martin Rutkowski, MD, during his residency at the University of California, San Francisco performing a craniotomy for aneurysm clipping. Dr Rutkowski's interest in neurosurgery developed in Medical School, where he studied the complete cascade's promotion of development and growth of glioblastoma under Dr Andy Parsa. While in residency at UCSF, he maintained a strong interest in brain tumors, endocrinology, and skull base neurosurgery. He developed a particular interest in pituitary disease and neuroendocrine disorders, and spent his research year in the Brain Tumor Research Center working with Dr Manish Aghi examining how tumor-associated macrophages contribute to the proliferative and invasive characteristics of pituitary adenoma. Currently, Dr Rutkoswki is a fellow in open and minimally invasive endoscopic skull base neurosurgery at the University of Southern California with Dr Gabriel Zada and Dr Steven Giannotta. © Lewis Blevins of Medical Portraiture. Used with permission, all rights reserved.