Category: Xray Vision

Xray Vision: Air Air Everywhere

28 year old male presents to the ED complaining of severe coughing, shortness of breath and chest pain. Denies fever or chills. But persistently complains of the severe coughing during history taking. States that only the last two days he…

Xray Vision: What Foreign Body? Answer

Here are the images again:   that’s correct Dr. Bogoch! it is indeed a domino! The patient was brought in by staff members of the facility after questionable ingestion during a game of dominos.   Ingested Foreign Body Foreign bodies…

Xray Vision: What Foreign Body?

35 year old male with MR presents from a monitored facility for possible ingestion of a foreign body. Per staff who are with the patient, the ingestion took place a few hours prior to arrival. Since the incident, the patient…

XRay Vision: ANSWER

Here are the images again.   Official read of the CT head: left hemispheric subdural hematoma with significant subfalcine and likely uncal/downward transtentorial herniation.   Traumatic Brain Injury Impairment of brain function as a result of mechanical force. The clinical…

Xray Vision: It All Falls Down

During one of your trauma shifts at Janus General, a 21 year old male is BIBEMS s/p fall onto his head. Patient was unresponsive at the scene without a gag reflex, but the patient could not be intubated in the…

Xray Vision: Answer

Here are the images again   Both Drs. Greenstein and Chan got the answer right. Dr. Greenstein is the winner for putting in the read first. Please note that there is a fracture noted on the post reduction film.  …

XRay Vision: Put Your Hands in the Air

27 year old male presents to Janus General Hospital (where Drs. Grock and Freedman also happen to work) s/p left shoulder injury. The patient says he was playing basketball when the incident occurred. He states that he has been unable…

XRay Vision: Belly Pain Answer

Great job, Drs. Liang and Reisman. But the winner is…. Dr. Liang for providing a more thorough reading. The CXR is read as pneumoperitoneum/free air under the diaphragm.   Differential diagnoses: perforated viscus – perforated duodenal ulcer, perforated peptic ulcer,…

MVC: Answer

here’s another image of the portable xray. Case: 30 year old female restrained driver BIBEMS after her vehicle collided with a pole at a high speed. The official read of the portable pelvis film: “dislocation of both femoral heads and…