In the past and still in some remote interpretation services overt diagnoses are made from still images. I once played a bad trick on a good friend that knew her patient had nothing wrong but the owner was insistent that there was something wrong with his 3 year old labx. She said “Please just scan and tell me nothing is wrong with this dog. The owner is driving me crazy!” So with a room full of techs in on the act I took an oblique angle still image off the left kidney and made it look like a big mesenteric lymph node such as that of lymphoma. My friend and client came back in and I shook my head and said, “You don’t want to hear what I found.” She did some journeyman scanning so she knew what a LSA lymph node looked like and she said “No Way!!!, Not this dog and this owner…. and thats a big one how could I not palpate that?….” Half the techs left the room bending over in laughter and the other half stood steadfast serious as she sweated having to eat crow in front of the owner. Then I let her in on the joke and if she had had a gun I would have been a dead man for sure! Then I bought her dinner and she laughed as well.

This just goes to show you, if it doesn’t look right, then video clip the lesion and video clip clinical player organs and do stills of the normals and those organs that aren’t clinical “players” in the case.

So here is a still I ran into the other day and scratched my head a few seconds till I saw the video. What do you think this is and have you had misdiagnoses by you or a remote service based on still images alone?