Volvulus: Coffee Bean Sign

I'll have a venti triple shot half foam double whip cappuccino with non fat soy and 1/2 shot hazelnut, bitch.

In the previous Peeps post I talked about volvulus, a twisting of the colonic mesentery. Turns out you're more likely to see this huge bean looking thing on an X-ray to visualize this condition. Man I hate coffee.

Also, I drew this in two minutes.

Volvulus

Disgusting. Worst Easter treat ever.

I saw this CT with contrast for volvulus on one of the lectures and it totally looked like a Peep! Volvulus is a twisting of the mesentery (usually of the sigmoid colon or cecum) and also turns up as a "coffee bean" on a plain abdominal film. The beak of the Peep is the point where the twisting occurs.

Right Upper Lobe Bronchus

Free Willy!

At the request of an awesome friend/classmate, here's an inaccurately drawn CT scan of the thorax (totally not going to be a radiologist) cutting through the right upper lobe bronchus at around the level just below the carina. The right upper bronchus looks like a whale!

Remember when Shamu at Sea World killed that trainer last year?!