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#31

Figure it out fridays 

FIOF 01-01.jpg
FIOF 01-01 2.jpg

A 50 year old woman presented to the ED with increasing painful and enlarged mass in the anterior neck. WBC 13 and CRP 15 md/dL She had been given antibiotics for 5 days without clinical improvement. Imaging was done and results are as shown. Failure of rigid esophagoscopy prompted a thyrotomy. A fish bone which the patient swallowed a month ago had perforated the esophagus and migrated into the thyroid. 

What is the best imaging modality to detect a migrated fishbone?

 

A. Echography

B. X Ray

C. CT scan 

D. MRI

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