Now you see, now you don't - A radiopaque neck mass
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 s...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English English |
| Published: |
Malaysian Medical Association (MMA)
2020
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/80662/ http://irep.iium.edu.my/80662/7/80662%20Now%20you%20see%2C%20now%20you%20don%E2%80%99t.pdf http://irep.iium.edu.my/80662/8/80662%20Now%20you%20see%2C%20now%20you%20don%E2%80%99t%20SCOPUS.pdf |
| _version_ | 1848788999930380288 |
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| author | Shalihin, Mohd Shaiful Ehsan Amir Hamzah, Azwan Faiz Abidin, Mohd Radhwan |
| author_facet | Shalihin, Mohd Shaiful Ehsan Amir Hamzah, Azwan Faiz Abidin, Mohd Radhwan |
| author_sort | Shalihin, Mohd Shaiful Ehsan |
| building | IIUM Repository |
| collection | Online Access |
| description | 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 Xray 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. |
| first_indexed | 2025-11-14T17:49:45Z |
| format | Article |
| id | iium-80662 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-14T17:49:45Z |
| publishDate | 2020 |
| publisher | Malaysian Medical Association (MMA) |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-806622020-11-10T02:20:18Z http://irep.iium.edu.my/80662/ Now you see, now you don't - A radiopaque neck mass Shalihin, Mohd Shaiful Ehsan Amir Hamzah, Azwan Faiz Abidin, Mohd Radhwan R Medicine (General) RA Public aspects of medicine RC Internal medicine RF Otorhinolaryngology 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 Xray 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. Malaysian Medical Association (MMA) 2020-05 Article PeerReviewed application/pdf en http://irep.iium.edu.my/80662/7/80662%20Now%20you%20see%2C%20now%20you%20don%E2%80%99t.pdf application/pdf en http://irep.iium.edu.my/80662/8/80662%20Now%20you%20see%2C%20now%20you%20don%E2%80%99t%20SCOPUS.pdf 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. The Medical Journal of Malaysia, 75 (3). pp. 301-303. ISSN 0300-5283 http://www.e-mjm.org/2020/v75n3/radiopaque-neck-mass.pdf |
| spellingShingle | R Medicine (General) RA Public aspects of medicine RC Internal medicine RF Otorhinolaryngology Shalihin, Mohd Shaiful Ehsan Amir Hamzah, Azwan Faiz Abidin, Mohd Radhwan Now you see, now you don't - A radiopaque neck mass |
| title | Now you see, now you don't - A radiopaque neck mass |
| title_full | Now you see, now you don't - A radiopaque neck mass |
| title_fullStr | Now you see, now you don't - A radiopaque neck mass |
| title_full_unstemmed | Now you see, now you don't - A radiopaque neck mass |
| title_short | Now you see, now you don't - A radiopaque neck mass |
| title_sort | now you see, now you don't - a radiopaque neck mass |
| topic | R Medicine (General) RA Public aspects of medicine RC Internal medicine RF Otorhinolaryngology |
| url | http://irep.iium.edu.my/80662/ http://irep.iium.edu.my/80662/ http://irep.iium.edu.my/80662/7/80662%20Now%20you%20see%2C%20now%20you%20don%E2%80%99t.pdf http://irep.iium.edu.my/80662/8/80662%20Now%20you%20see%2C%20now%20you%20don%E2%80%99t%20SCOPUS.pdf |