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Now you see, now you don’t - a radiopaque neck mass?

Shalihin, Mohd Shaiful Ehsan and Amir Hamzah, Azwan Faiz and Abidin, Mohd Radhwan (2020) Now you see, now you don’t - a radiopaque neck mass? Medical Journal of Malaysia, 75 (3). pp. 301-303. ISSN 0300-5283

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Chest X-ray is valuable in the primary care setting in helping clinicians to confirm the underlying findings of the respiratory and cardiovascular systems. This view also includes the lower cervical vertebrae region which is helpful in elaborating the findings surrounding the neck. However, a single view of the film may sometimes cause confusion regarding the exact origin of the abnormal signs of the X-ray images. Thus, clinical correlation and application of ‘rule of two’ in X-ray imaging is definitely useful to clarify the findings and avoiding any misdiagnosis, medical errors and non-justifiable further investigations. Here we report a case of an 18-year-old female student with abnormal radiopaque neck mass seen from her chest the X-ray image. She was clinically well without any significant clinical findings. Surprisingly, the findings totally resolved after repeat the X- ray at two different occasions within the same week. This strange abnormal finding was later confirmed to be her hair tier. She was saved from unnecessary investigations for tuberculosis and thyroid disorder by repeating the X-ray (rule of two occasions). Now you see, now you don’t of X-ray findings is indeed illogical and technical error needs to be rule out.

Item Type: Article (Journal)
Additional Information: 6934/82567
Uncontrolled Keywords: adult, Article, calcification, case report, cervical rib, clinical article, diagnostic error, female, human, low risk patient, neck tumor, thorax radiography, tuberculosis, young adult
Subjects: R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine
Kulliyyah of Medicine > Department of Community Health & Family Medicine
Depositing User: Dr Mohd Shaiful Ehsan Shalihin
Date Deposited: 01 Sep 2020 10:14
Last Modified: 01 Sep 2020 10:14
URI: http://irep.iium.edu.my/id/eprint/82567

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