"Mystery Image"

There is an Australian ICU web site that has a mystery image (X Ray usually) every couple of months. I have NEVER gotten one right. In their archive on that same page are some incredible films. One is a J wire vs. a greenfield filter! Try you rluck and let me know.

http://www.nepeanicu.org/Scans.htm

[Peeps Mcarthur]

P,

What's with the dots do you think?.........I haven't seen much "film" yet, but is it normal for the kidneys to contrast like that?

What is your perspective?

This is alot of fun. Thanks for directing me to the website.

Do you know of any other sites like this one?

Great post!

Brad

Columbia, MD

[BrandyBSN]

I dont think they are kidneys... They look more like lungs...

Maybe a double mastectomy with mets to the lungs?

I dont have a lot of experience reading slices :)

BrandyBSN

[kewlnurse]

cerebral cortex

[Peeps Mcarthur]

There is an contrast of a vertebra. I think the bilateral images just superior and lateral to the vertebra are kidneys in a transverse section.

[BrandyBSN]

oh :) I thought that mass in the middle was a heart, and that would be too far up for the kidneys?

I honestly have no clue, but I didnt think they looked like kidneys, because of the placement on the heart

BrandyBSN

[panda_181]

Well, on the top of that page there are some scans of a lung abcess, and they look just like the mystery scan. So maybe they're trying to trick you! :)

Amanda :)

[Doey, BSN, RN]

Looks like heart and lungs but I don't know what the "nodules"? are. Inflammation, metastatic dz, microorganism, granulomas?

[RNed]

The x-ray is of the chest and cardiac area. Dark areas is lung tissue to the right and left with bilateral bronchi outlined in white spreading out into the lung areas. The central white area is the cardiac silhouette with the spine posterior. In picture #1 there is a very flat near straight line running at an angle from right to midline located in the anterior of the cardiac shadow beneath the sternum. In addition this line is fuzzy and non-distinct in picture # 1 and #2. I question whether this is a pericardial effusion, however, in picture # 3 this line is absent and there is a small bulge from what I think is the right ventricle.

Question or quess? possible right ventricular aneursym verses hypertrophy with associated pericardal effusion.

Of coarse I am probably all wrong, but it does sound good doesn't it?

[RNPD]

Also think ct chest -possibly esophogeal varices? Good site BTW-thanks!

[P_RN, ADN, RN]

mailto:[email protected]

I forgot to give you the address. If you guess correctly Andrew will put your name in the spot of honor as the winner.

[Peeps Mcarthur]

You guys,

I'm still in prerequesites so I haven't seen enough to take an educated guess. I can however make a few observations.

The vertebral cavity is clearly seen in the medial inferior portion. That would mean the sternum would be medial superior. that would place the heart in the left mediastinum, so that looks like a good landmark also. The sternum looks out of place posteriorly(pectus excavatum?) I've only seen a few CTs but I think it should be less concave.

There are (what I think) anomalies lateral to the thoracic vertebra and posterior to where I think the pericardium would be(A&P I, cut me some slack).

I don't know what this could be, but I am confident that that's what I'm looking at.

Does anyone agree?...............This has got me all sidetracked. what fun!!

Come on BSNs....Give me a reason to want to be one.

Brad

Columbia, MD

Great post!!