Image Collection

Many physicians collect images from the patients we see. In the same way we accumulate "interesting presentations" or "ethical dilemmas" or "amazing diagnoses," we also like having a case file of "cool images." Whether a gigantic spleen removed from a patient with leukemia or a CT scan of a ventriculoperitoneal catheter that has migrated into the wrong space or a picture of angioedema, these quick images and case studies provide an opportunity to learn and teach others. The most amazing and famous of these collections, I think, is the NEJM image challenge, which I recommend to anyone in medicine. In any case, it is important for us collecting our images to de-identify any patient information and get consent for taking photos. The X-ray shown above was taken to confirm placement of a triple lumen central line placed in the right neck. After reviewing the X-ray, we promptly discontinued the catheter.