Recommended Articles ||A Phase One Exploratory Study of Distance Coaching of Augmentative and Alternative Communication Implementation Strategies for Speech-Language Pathologists||------||Construction of Dual Gene-activated Matrix Via Coaxial Electrospinning and Its Application in Periodontal Tissue Regeneration|| Evaluation of a Prototype Application for Supporting Visual-Graphic Symbol Acquisition in Preschool Aged Children with Complex Communication Needs||------||Anti-JOVI.1 Antibody to Detect Clonal T Cell Populations: Implementation into a Diagnostic Flow Cytometry Laboratory and Correlation with Clinical Findings||------||Efficacy of Mechanical, Subsonic, Ultrasonic and Photon-Induced Photoacoustic Streaming techniques in reducing Enterococcus faecalis in severely curved root canals: An ex vivo study||------||Eye-gaze Profiles of Children with Autism Spectrum Disorders in Relation to Fast-mapping Abilities||------||Bone-Anchored Hearing Aid (BAHA) Softband Fitting in Treacher Collins Syndrome||......||The Correlation Between Lifetime Smoking and Ethnicity in People Who Smoke: A Study of Vocal Characteristics|

Online First

Volume 1, Issue 1 Ann Case Rep Clin Images 2025, 1:1          Clinical Image

Metallic line in Chest Radiograph: Artifact

B Jayakrishnan, Boris Itkin, Anitha Jose, Sami M Bennji

BACKGROUND

A 72-year-old man with advanced right thigh synovial sarcoma and pulmonary metastasis presented with bilateral pleural effusion in March 2024. Upon admission he underwent left-sided pleural drainage. A few days later, an 8F pigtail catheter was inserted on the right side, which successfully drained approximately 1500 ml of slightly blood-stained pleural fluid (Figure 1). However, on the same night, the catheter was inadvertently dislodged by the patient. A tight-fitting plaster was promptly applied, and he remained symptom-free. A follow up chest radiograph showed a clear linear radiopaque shadow measuring around 9.4 cm with the tip visible well inside the right chest (Figure 2). This shadow was puzzling as the pleural drain had been completely removed. There was no palpable swelling, wires, or tubes under the skin. Upon closer examination, it was discovered that the gauze used (Bromed Gauze Lap sponges, Brosco International Inc, Mesquite, USA) had a linear radiopaque marker (Figure 3). A repeat radiograph did not show this opacity. This radiopaque marker on the gauze resembled a metallic foreign object in the thorax, causing anxiety and confusion among the medical staff and the patient. Patient remained well without worsening of the effusion for two months but succumbed to his illness subsequently.

PDF   FULL TEXT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Go to top