0:00

This is one area that I am very, very scared of.

0:04

Uh, because when we are reading these lumbar spines,

0:08

cervical spines, thoracic spines, we are so honed down

0:11

and focused on our, our, uh, spine, our thecal sacs,

0:16

our spinal canal, our foramina, that there are elephants

0:20

around us and we completely, uh, completely miss,

0:23

uh, those elephants.

0:24

And this is a great example of that.

0:26

And many, many, many times we have seen this, I'm sure

0:31

in the audience there, there are people who have examples

0:34

of this who, and they have called, uh,

0:36

so something like this out,

0:38

but should be very, very careful.

0:40

Either first or last, just forget about the spine

0:45

and look at the surrounding soft tissues, abdominal, neck,

0:49

uh, or, or chest if you're reading the thoracic spine.

0:52

And because you do not want to miss something like this.

0:55

And in this case it was particularly bad

0:58

because for some odd reasons

0:59

for low back pain contrast was given.

1:02

And this makes the miss look even worse

1:04

because there was significant enhancement, uh, of

1:08

that incidental RCC that was seen in this, uh, scan.

1:12

And the patient, uh, there was a, there was a delay

1:16

of at least six to seven months be between this scan

1:21

and the scan when it was finally picked

1:23

up, uh, in this patient.

1:24

So always make sure on these spine, Mrs.

1:27

So look at aorta, look at the surrounding structure so

1:30

that it, it, it is in your report.