A patient came in for elective laparoscopic kiv open cholecystectomy.
While reviewing the pre admission testing results and X rays, the team saw this:
Spot the abnormality!
This is why we should always review the XR itself rather than read the report.
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1. Unfolded aorta with widened mediastinum. Consider aneurysmal dilatation.
2. There are also some calcifications in the right hypochondrium that correspond to possible gallstones, consistent with the admission for laparoscopic cholecystectomy.
Comment by hopeful — November 1, 2007 @ 9:29 pm
1. i don’t think so…
2. nope those aren’t stones but u’ve picked up the abnormality… but what are they then?
Comment by dopey — November 1, 2007 @ 9:36 pm
surgical clips - previous cholecystectomy?
Comment by Anonymous — November 1, 2007 @ 10:08 pm
in mbbs style, from outside in
1. buttons
2. body piercing
3. liver pathology - granuloma, cyst etc.
4. something in the bowel - coin, wedding ring
5. migrated surgical clip
dopey, careful. what if your boss wants to publish this image?
Comment by another m5 — November 1, 2007 @ 10:14 pm
pancreatic calcifications? hydatid cysts?
Comment by hopeful — November 1, 2007 @ 10:31 pm
well… scars were there but the person in question and relatives vehemently denied any op. odd…
Comment by dopey — November 2, 2007 @ 11:16 pm