Radiological Oddity #007

How many foreign bodies can you identify?

abdominal-foreign-bodies9

abdominal foreign bodies

Agree a bit academic with the ‘broken’ spoon and whether to count the handle or not.
Most interesting thing was the actual objects:

  1. Spoon (1) (cafeteria issue – broken)
  2. Spoon (2) (Strong One(s))
  3. Parker pen with metal body (pink)
  4. Parker pen with metal body (blue)
  5. Tweezers
  6. Nail clippers
  7. Nail file (metal – with rubber handle)
  8. Pocket radio complete with aerial and wrist strap (still turned on!)

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About Mike Cadogan

Emergency physician with a passion for medical informatics and medical education. Co-founder of HealthEngine, iMeducate, and the GMEP. He writes more eclectically on the web as @sandnsurf | + Mike Cadogan | Contact

Comments

  1. DrCris says:

    I can definitely see 11. I think a lateral would help, but I need to say that the difference between 11 and 13 is a bit academic. And it’s not like you’re going to get rid of this guy’s foreign bodies and more won’t magically appear…

  2. DrCris says:

    I can definitely see 11. I think a lateral would help, but I need to say that the difference between 11 and 13 is a bit academic. And it’s not like you’re going to get rid of this guy’s foreign bodies and more won’t magically appear…

  3. Victoria Powell says:

    I say 10 and one is a Swiss Army Knife!

  4. Victoria Powell says:

    I say 10 and one is a Swiss Army Knife!

  5. Captain Atopic says:

    I think the key in deciding between 12 and 13 is whether the spoon broke pre- or post- ingestion…?

  6. rlbates says:

    Some of them are overlying each other, so it’s hard to get a true count, but I say 13.

  7. rlbates says:

    Some of them are overlying each other, so it’s hard to get a true count, but I say 13.

  8. rlbates says:

    Some of them are overlying each other, so it’s hard to get a true count, but I say 13.

  9. DrCris says:

    Not quite right, then. Missed incidental finding, and even counting broken object as two, counted third part of radio as seperate.

    Was this a friend of your, @sandnsurf?

  10. DrCris says:

    Not quite right, then. Missed incidental finding, and even counting broken object as two, counted third part of radio as seperate.

    Was this a friend of your, @sandnsurf?

  11. phorun says:

    12?

    Was he and extra in the pirate of the Caribbean movie when they shoot cutlery out of cannons?

    My antispam word was “implant”… oh the irony

  12. phorun says:

    12?

    Was he and extra in the pirate of the Caribbean movie when they shoot cutlery out of cannons?

    My antispam word was “implant”… oh the irony

  13. phorun says:

    12?

    Was he and extra in the pirate of the Caribbean movie when they shoot cutlery out of cannons?

    My antispam word was “implant”… oh the irony

  14. It looks like 14 to me.

    That is a very overexposed film, too.

  15. It looks like 14 to me.

    That is a very overexposed film, too.

  16. It looks like 14 to me.

    That is a very overexposed film, too.

  17. DrCris says:

    I can definitely see 11. I think a lateral would help, but I need to say that the difference between 11 and 13 is a bit academic. And it’s not like you’re going to get rid of this guy’s foreign bodies and more won’t magically appear…

  18. DrCris says:

    I can definitely see 11. I think a lateral would help, but I need to say that the difference between 11 and 13 is a bit academic. And it’s not like you’re going to get rid of this guy’s foreign bodies and more won’t magically appear…

  19. Strong One says:

    I was WONDERING where my spoon went! :)

  20. Strong One says:

    I was WONDERING where my spoon went! :)

  21. Strong One says:

    I was WONDERING where my spoon went! :)

  22. sandnsurf says:

    Great comments guys, thanks
    Agree a bit academic with the ‘broken’ spoon and whether to count the handle or not.
    Most interesting thing was the actual objects:
    1. Spoon (1) (cafeteria issue -- broken)
    2. Spoon (2) (Strong One(s))
    4. Parker pen with metal body (pink)
    5. Parker pen with metal body (blue)
    6. Tweezers
    7. Nail clippers
    8. Nail file (metal -- with rubber handle)
    9. Pocket radio complete with aerial and wrist strap (still turned on!)

    Colonic finding: intussusception descending colon (donut sign)

  23. sandnsurf says:

    Great comments guys, thanks
    Agree a bit academic with the ‘broken’ spoon and whether to count the handle or not.
    Most interesting thing was the actual objects:
    1. Spoon (1) (cafeteria issue -- broken)
    2. Spoon (2) (Strong One(s))
    4. Parker pen with metal body (pink)
    5. Parker pen with metal body (blue)
    6. Tweezers
    7. Nail clippers
    8. Nail file (metal -- with rubber handle)
    9. Pocket radio complete with aerial and wrist strap (still turned on!)

    Colonic finding: intussusception descending colon (donut sign)

  24. sandnsurf says:

    Great comments guys, thanks
    Agree a bit academic with the ‘broken’ spoon and whether to count the handle or not.
    Most interesting thing was the actual objects:
    1. Spoon (1) (cafeteria issue -- broken)
    2. Spoon (2) (Strong One(s))
    4. Parker pen with metal body (pink)
    5. Parker pen with metal body (blue)
    6. Tweezers
    7. Nail clippers
    8. Nail file (metal -- with rubber handle)
    9. Pocket radio complete with aerial and wrist strap (still turned on!)

    Colonic finding: intussusception descending colon (donut sign)

  25. Francesca says:

    All I can identify is a broken spoon, spoon, tweezers, electronic gadget, razor, ring like object. Looks like 10 objects?

  26. Francesca says:

    All I can identify is a broken spoon, spoon, tweezers, electronic gadget, razor, ring like object. Looks like 10 objects?

  27. Francesca A. says:

    All I can identify is a broken spoon, spoon, tweezers, electronic gadget, razor, ring like object. Looks like 10 objects?

  28. DrCris says:

    Not quite right, then. Missed incidental finding, and even counting broken object as two, counted third part of radio as seperate.

    Was this a friend of your, @sandnsurf?

  29. DrCris says:

    Not quite right, then. Missed incidental finding, and even counting broken object as two, counted third part of radio as seperate.

    Was this a friend of your, @sandnsurf?

  30. Vijay says:

    Wow!! Great case Mike :)
    I got all nine including the wrist strap of the radio, which I thought was some kind of necklace with a metal pendant :)
    Totally missed the doughnut in the left lower quadrant. Would have had trouble distinguishing it from normal colonic gas + fecal residue on this particular radiograph even if I had been told to look for intus.

  31. Vijay says:

    Wow!! Great case Mike :)
    I got all nine including the wrist strap of the radio, which I thought was some kind of necklace with a metal pendant :)
    Totally missed the doughnut in the left lower quadrant. Would have had trouble distinguishing it from normal colonic gas + fecal residue on this particular radiograph even if I had been told to look for intus.

  32. Vijay says:

    Wow!! Great case Mike :)
    I got all nine including the wrist strap of the radio, which I thought was some kind of necklace with a metal pendant :)
    Totally missed the doughnut in the left lower quadrant. Would have had trouble distinguishing it from normal colonic gas + fecal residue on this particular radiograph even if I had been told to look for intus.

  33. goldenskye says:

    Ugh. Imagine the pain involved!
    All very interesting, sandnsurf. Great post. :)

  34. goldenskye says:

    Ugh. Imagine the pain involved!
    All very interesting, sandnsurf. Great post. :)

  35. goldenskye says:

    Ugh. Imagine the pain involved!
    All very interesting, sandnsurf. Great post. :)

  36. @rdjfraser says:

    This is a super fun post, I wish I found it before the answers. You should do more of these myteries.

    Rob Fraser

  37. @rdjfraser says:

    This is a super fun post, I wish I found it before the answers. You should do more of these myteries.

    Rob Fraser

  38. @rdjfraser says:

    This is a super fun post, I wish I found it before the answers. You should do more of these myteries.

    Rob Fraser

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