Dear Friends,
Today I am presenting the leading case of a new webinar entitled: “Sherlock Holmes and the curious finding in the chest radiograph”.
AP radiograph belongs to a newborn with respiratory distress.
Diagnosis:
1. Diaphragmatic hernia
2. Lung tumor
3. Pneumonia
4. None of the above
What do you see? Come back on Wednesday to see the answer and the webinar!
Click here to see the answer
Findings: at a first glance, the predominant abnormality is a large bump in the left hemidiaphragm (A, arrow), suggestive of localized eventration or hernia. However, there is and additional important finding: both humeri are not visible (A, circles).
This baby was born with a congenital absence of the arms (amelia).
I am showing this case to stress the importance of discovering so-called negative findings. Our training emphasizes the discovery of positive findings and forgets teaching us to detect structures that are absent, as this case proves.
My apologies for tricking you, but I was trying to prove my point. You can get more information about negative findings in today´s webinar.