Radiology Quiz August 2026

In collaboration with Dr. Adrien-Maxence Hespel from the University of Tennessee, we present the following radiology quiz. The goal of this case is to practice identifying radiographic findings and formulating a radiographic diagnosis based on a brief patient description. The final section provides additional information about the treatment.

History

6y FS cat. acute onset vomiting for 24 hours. O found pieces of foamy nerf gun toy. 

X-ray images

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Description of the RX images

The serosal detail is within normal limits. There are 4 nerf bullets in the GI tract. 2 of them are in the colon. 2 of them are in the small intestines. Only the rubbery part of the bullet is present, and only one is complete, otherwise only the very tip of the bullet is present. There is moderate dilation of the stomach with gas and fluid. The small intestines are fluid filled primarily with mild gas dilation. The remainder of the abdomen is otherwise unremarkable.

The serosal detail is within normal limits. There are 4 nerf bullets in the GI tract. 2 of them are in the colon. 2 of them are in the small intestines. Only the rubbery part of the bullet is present, and only one is complete, otherwise only the very tip of the bullet is present. There is moderate dilation of the stomach with gas and fluid. The small intestines are fluid filled primarily with mild gas dilation. The remainder of the abdomen is otherwise unremarkable.

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