Today's medical mysterie.
-
OK, here's XRayGPT's take.
Upon reviewing this chest X-ray, here are the key observations:
1. Lung Fields: Both lungs appear well-aerated with no focal consolidation, pleural effusion, or pneumothorax visible. The lung markings are symmetrical and extend to the periphery without any obvious abnormal opacities. 2. Cardiomediastinal Contour: The heart size is within normal limits, and there is no visible widening of the mediastinum. The aortic arch appears normal, with no signs of enlargement. 3. Bony Structures: The ribs, clavicles, and visible parts of the spine do not show any fractures or lytic lesions. The bones appear intact. 4. Diaphragm and Costophrenic Angles: The diaphragms are well-defined, with sharp costophrenic angles bilaterally. No subdiaphragmatic free air is observed, which would suggest pneumoperitoneum.Impression
This is a normal chest X-ray with no evident pathology. If the patient is symptomatic, further investigation might be necessary, as subtle or early pathologies (e.g., small nodules or early interstitial lung disease) may not be readily visible on standard X-ray.
If there’s any relevant history or clinical symptoms, feel free to share them, as they could guide additional diagnostic steps.*
Then I asked it to look at the left side.
Thank you for directing my attention. Upon closer examination of the left side of the chest X-ray, the following observation stands out:
• There is a relative increase in radiolucency (darkness) on the left side, particularly in the upper and mid-lung zones. This increased radiolucency suggests a potential left-sided pneumothorax or hyperinflation of the left lung. • The lung markings appear to be diminished or absent in the outer portion of the left hemithorax, which further supports the suspicion of a pneumothorax. • Additionally, the left hemidiaphragm and left lateral costophrenic angle are visible, without any obscuring opacities, which is consistent with a pneumothorax rather than effusion.Impression
This X-ray is suggestive of a left-sided pneumothorax. The absence of lung markings in the periphery and the increased radiolucency on the left side are key indicators. However, confirming the size and clinical significance of this pneumothorax would be essential, as well as assessing the patient’s respiratory status to determine if urgent intervention is needed.
If the patient has symptoms like sudden shortness of breath, chest pain, or hypoxia, they may require immediate treatment.*
I wonder how well a specialized AI model would do in such cases. My guess is that it's way better.
wrote on 28 Oct 2024, 11:52 last edited by@Klaus said in Today's medical mysterie.:
I wonder how well a specialized AI model would do in such cases. My guess is that it's way better.
I've read that AI-assisted radiology is remarkably good, particularly for breast imaging. @bachophile knows more about that than I do.
-
wrote on 28 Oct 2024, 12:07 last edited by
And here I thought he problem was that he was see through. I mean, you can see past his skin and blood and everything. That’s nuts!
-
wrote on 28 Oct 2024, 12:16 last edited by
every one of our chest X-rays in my institution (must be hundreds a day) undergo AI reading in addition to being read by a radiologist. This has resulted in numerous call backs for CTs because of missed small lesions susp for lung cancer.
Yes in breast imaging also pretty sharp but we don’t have that incorporated automatically like chest films.
We also are beginning to use AI in pathology slide readings. -
every one of our chest X-rays in my institution (must be hundreds a day) undergo AI reading in addition to being read by a radiologist. This has resulted in numerous call backs for CTs because of missed small lesions susp for lung cancer.
Yes in breast imaging also pretty sharp but we don’t have that incorporated automatically like chest films.
We also are beginning to use AI in pathology slide readings.wrote on 28 Oct 2024, 12:18 last edited by@bachophile said in Today's medical mysterie.:
We also are beginning to use AI in pathology slide readings.
Makes sense. Head scratchers do occur.
-
wrote on 28 Oct 2024, 12:24 last edited by
Just an example of two random chest X-rays I pulled up just now. On the bottom of each is the abnormality score rated by an AI. One was completely normal. The other showed a bilateral pneumonia. Those would be seen easily anyway. The tricky ones are the small nodules which can be missed and may be early lung cancer. And it works. We have picked up otherwise occult cancers missed by the radiologist.
-
wrote on 28 Oct 2024, 12:34 last edited by
Nice mitral valve in pic #2.
-
wrote on 28 Oct 2024, 12:40 last edited by
Found an example
-
Found an example
wrote on 28 Oct 2024, 12:42 last edited by@bachophile said in Today's medical mysterie.:
Found an example
I'm no photon-shooter, but that one's pretty obvious.
-
wrote on 28 Oct 2024, 12:46 last edited by
whatever
-
wrote on 28 Oct 2024, 12:48 last edited by
in the meantime, im not that far away from retirement, when i come into the the ER with my congestive heart failure or pneumonia, i presume the AI will be all there is.
-
And here I thought he problem was that he was see through. I mean, you can see past his skin and blood and everything. That’s nuts!
wrote on 28 Oct 2024, 15:21 last edited by@LuFins-Dad said in Today's medical mysterie.:
I thought he problem was that he was see through
Doctors get so serious about this stuff.
-
every one of our chest X-rays in my institution (must be hundreds a day) undergo AI reading in addition to being read by a radiologist. This has resulted in numerous call backs for CTs because of missed small lesions susp for lung cancer.
Yes in breast imaging also pretty sharp but we don’t have that incorporated automatically like chest films.
We also are beginning to use AI in pathology slide readings.wrote on 28 Oct 2024, 15:39 last edited by@bachophile said in Today's medical mysterie.:
every one of our chest X-rays in my institution (must be hundreds a day) undergo AI reading in addition to being read by a radiologist. This has resulted in numerous call backs for CTs because of missed small lesions susp for lung cancer.
Yes in breast imaging also pretty sharp but we don’t have that incorporated automatically like chest films.
We also are beginning to use AI in pathology slide readings.I wonder if our spanky new oh so supposedly awesome Cancer Centre uses this technology? Ever think of an interim pre-retirement move? I’m sure we’d really appreciate you here @bachophile
-
in the meantime, im not that far away from retirement, when i come into the the ER with my congestive heart failure or pneumonia, i presume the AI will be all there is.
wrote on 28 Oct 2024, 15:41 last edited by@bachophile said in Today's medical mysterie.:
in the meantime, im not that far away from retirement, when i come into the the ER with my congestive heart failure or pneumonia, i presume the AI will be all there is.
Oh, negate my last comment. You don’t want to die here. Truly.
-
@bachophile said in Today's medical mysterie.:
every one of our chest X-rays in my institution (must be hundreds a day) undergo AI reading in addition to being read by a radiologist. This has resulted in numerous call backs for CTs because of missed small lesions susp for lung cancer.
Yes in breast imaging also pretty sharp but we don’t have that incorporated automatically like chest films.
We also are beginning to use AI in pathology slide readings.I wonder if our spanky new oh so supposedly awesome Cancer Centre uses this technology? Ever think of an interim pre-retirement move? I’m sure we’d really appreciate you here @bachophile
wrote on 28 Oct 2024, 15:42 last edited by@blondie said in Today's medical mysterie.:
I’m sure we’d really appreciate you here
I believe he spent time in Calgary for fellowship.
-
wrote on 28 Oct 2024, 15:47 last edited byThis post is deleted!
-
wrote on 28 Oct 2024, 15:48 last edited byThis post is deleted!
-
wrote on 28 Oct 2024, 16:18 last edited by
-
@blondie said in Today's medical mysterie.:
I’m sure we’d really appreciate you here
I believe he spent time in Calgary for fellowship.
wrote on 28 Oct 2024, 17:18 last edited by@George-K yea I did my surg onc fellowship in Calgary. Loved it.
my institution invests a lot in innovation ( we r number 10 in worlds smart hospitals https://www.newsweek.com/rankings/worlds-best-smart-hospitals-2025. )
So we have lots of things like AI stuff in various disciplines
-
in the meantime, im not that far away from retirement, when i come into the the ER with my congestive heart failure or pneumonia, i presume the AI will be all there is.
wrote on 29 Oct 2024, 20:27 last edited by@bachophile said in Today's medical mysterie.:
when i come into the the ER with my congestive heart failure or pneumonia, i presume the AI will be all there is.
OK, doc...
Let's ask AI:
-
wrote on 30 Oct 2024, 18:54 last edited by
Ugg. The guy has gas forming bacteria in his arm. If he doesn’t get debrided soon he will go into septic shock, lose his arm, and probably his life.
