Funtabulously Frivolous Friday Five 177
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF, introducing the Funtabulously Frivolous Friday Five 177. This week we have a food based radiology quiz sourced from radiopaedia.org.
Question 1
Let us start of with an easier question, what bean is seen here?
Reveal the funtabulous answer
A coffee bean
…I know, a coffee bean is not actually a bean, its a pit inside the fruit, commonly called a cherry – but I digress…
This represents a sigmoid volvulus. Sometimes confused with a caecal volvulus
In comparison a caecal volvulus has only one air-fluid level as shown below
- Coffee-bean sign (sigmoid colon). Radiopedia
Question 2
What favourite cinema snack can be seen here?
Reveal the funtabulous answer
Popcorn (amorphous calcifications often with rings and arcs)
Popcorn calcification may be seen in many radiological settings including:
- Chondroid lesions (e.g enchondroma, chondrosarcoma)
- Fibrous dysplasia
- Pulmonary harmatomas
- Degenerating fibroadenomas of the breast
- Calcified uterine fibroid
- Metaphyses and epiphyses of the long bones of children with osteogenesis imperfecta
Question 3
What particular biscuit represents pericardial fluid on a lateral chest X-ray?
Reveal the funtabulous answer
An Oreo cookie
A vertical opaque line (pericardial fluid) separating a vertical lucent line directly behind sternum (pericardial fat) anteriorly from a similar lucent vertical lucent line (epicardial fat) posteriorly.
- Oreo cookie sign (heart). Radiopedia
Question 4
What has been licked here?
Reveal the funtabulous answer
A candy stick
It refers to tapering of the tips of the metacarpal bones, metatarsal bones, phalanges or clavicles and is usually associated with:
- Psoriatic arthropathy
- Rheumatoid arthritis
- Leprosy
- Neuropathic joint
- Licked candy stick appearance (bones). Radiopedia
Question 5
If your breast implant has an intracapsular rupture what type of pasta will be seen?
Reveal the funtabulous answer
Linguine
After implantation of a silicone or saline breast implant, a fibrous capsule (scar) forms around the implant shell (right breast above). In an intracapsular rupture, the contents of the implant are contained by the fibrous scar, while the shell appears as a group of wavy lines (left breast above)
- Linguine sign (breast). Radiopedia
FFFF
Funtabulously Frivolous Friday Five
Dr Neil Long BMBS FACEM FRCEM FRCPC. Emergency Physician at Kelowna hospital, British Columbia. Loves the misery of alpine climbing and working in austere environments (namely tertiary trauma centres). Supporter of FOAMed, lifelong education and trying to find that elusive peak performance.