X-ray of Bane? No, just a harmless lady with a mouth full of dental implants. Scary likeness though.
Best comment from our Facebook post:
"Oh, you think the radiology department is your ally, but you merely adopted it. I was born in it, molded by it. I didn’t see the light until I was already a man; by then, it was nothing to me but blinding!"
Pulmonary emphysema refers to destruction of alveolar spaces without fibrosis and occurs in several patterns. Centrilobular emphysema develops at the centre of the secondary pulmonary lobule and is the most common form seen in smokers. Panlobular emphysema refers to alveolar destruction throughout the secondary pulmonary lobule and is typical of alpha-1-antitrypsin deficiency. Paraseptal emphysema occurs along the interlobular septae and particularly the pleural margin. Often all patterns can be seen in the same lung, as with this HRCT example.
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Incudo-mallear joint disruption - the smallest joint dislocation you can get! The incus and malleolus are normally closely apposed with the malleolus appearing like a ball of ice-cream and the incus a cone. On this CT image the ball of ice-cream has fallen out of the cone consistent with ossicular chain disruption. Can you see it?