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?

sigmoid-volvulus
Dr Wael Nemattalla, Radiopaedia.org, rID: 10633

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

caecal-volvulus
Case courtesy of Dr Mark Holland , Radiopaedia.org, rID: 2269

Question 2

What favourite cinema snack can be seen here?

Dr Roberto Schubert, Radiopaedia.org, rID: 14067
Dr Roberto Schubert, Radiopaedia.org, rID: 14067

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.

Frank Gaillard, Radiopaedia.org. From the case rID: 8694

Question 4

What has been licked here?

Dr Ian Bickle, Radiopaedia.org. From the case rID: 34600

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

Question 5

If your breast implant has an intracapsular rupture what type of pasta will be seen?

Frank Gaillard, Radiopaedia.org. From the case rID: 36020

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)


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Funtabulously Frivolous Friday Five

Dr Neil Long BMBS FACEM FRCEM FRCPC. Emergency Physician at Burnaby Hospital in Vancouver. Loves the misery of alpine climbing and working in austere environments. Supporter of FOAMed, toxicology, tropical medicine, sim and ultrasound

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