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DOI:10.2214/AJR.05.0816
AJR 2006; 186:587-588
© American Roentgen Ray Society

Snooping Around the Adolescent Pelvis: Good Grief, It's the Brief!

R. G. Mestayer, K. C. Attaway and T. N. Polchow

Singing River Hospital Pascagoula, MS 39581

B. G. Brogdon

University of South Alabama Medical Center Mobile, AL 36617

An episode of diarrhea prompted referral of a 12-year-old girl for a radiograph of the abdomen. This revealed a lobulated density (Figs. 3A and 3B) suggestive of a foreign body in the pelvis. A lateral view did not confirm the finding. The patient was recalled for a repeat frontal view; the pelvic density was no longer present.


Figure 1
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  		Fig. 3A —12-year-old girl with diarrhea. Abdominal radiograph shows lobulated density overlying pelvic area.

 

Figure 2
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  		Fig. 3B —12-year-old girl with diarrhea. Close-up of pelvic radiograph.

 


Figure 3
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  		Fig. 3C —12-year-old girl with diarrhea. Girl's underpants with semiopaque appliqué of ubiquitous, widely loved, and highly recognizable Snoopy cuddling his friend Woodstock.

 
On inquiry, the technologist recalled that the girl's underpants had been removed entirely for the repeat examination, whereas, initially, the colorful brief had been pulled down below the waist but without uncovering the mons veneris. Examination of the garment (Fig. 3C) exposed the culprit.

There are two lessons here. First, misguided modesty is not a virtue in radiography. Second, even the most familiar anatomic configuration may go unrecognized in unexpected locations or embedded in an unlikely background.


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