I Hope Your Radiologist Is THIS Good!

In residency, we are taught to look at all parts of a "film," including the corners. There are numerous examples of abnormalities that can only be seen in one view. Usually, those examples are of finger fractures. Here is another kind of "hidden" abnormality that just blows away anyone who thinks that "radiology is easy." Everyday we radiologists look for the proverbial needle in the haystack, without any surety that the needle is actually present!

Frontal view. Notice anything out of the ordinary?

Frontal view. Notice anything out of the ordinary?

Lateral view. How about this one? Look closely.

Lateral view. How about this one? Look closely.

How about now? A trained eye sees an abnormal rounded opacity.

How about now? A trained eye sees an abnormal rounded opacity.

A coronal reformatted CT Chest scan clearly reveals the giant lung mass and associated mediastinal adenopathy.

A coronal reformatted CT Chest scan clearly reveals the giant lung mass and associated mediastinal adenopathy.

Here's the sagittal reformatted image. Go back and look at the chest x-rays again. See it now?

Here's the sagittal reformatted image. Go back and look at the chest x-rays again. See it now?