This month is a practical spot radiology quiz. Try to identify the "abnormality" on each film.
- By: Ian C Bickle, Barry Kelly
Dense nipples may appear as “coin like” lesions in the lung fields. These may be mistaken for pathological pulmonary masses, such as metastases. A symmetrical contralateral shadow from the other nipple can aid the diagnosis but it is confirmed by requesting re-examination with “nipple markers.” These are usually opened paper clips, bent around the nipples, holding them in place with sticky tape. This film can then be compared with the original. It is worth repeating the film in another phase of respiration as intrapulmonary lesions will move position. Nipples will not.
The use of ingested condoms to transport illegal drugs is well established. Diligent examination of the gas pattern within the abdomen can often reveal sausage shaped masses within the normal faecal pattern. The courier is often at great personal risk should any of these containers tear.
An important point to remember here is that, as the usual indication for