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<article>
<meta-data>
<journal-meta>
<journal-name>Clinical Medical Image Library

</journal-name>
<journal-shortname>Clin Med Img Lib</journal-shortname>
<journal-doi>10.23937/2474-3682</journal-doi>
<issn>2474-3682</issn>
<publisher>
<publisher-name>ClinMed International Library</publisher-name>
<publisher-location>Wilmington, USA</publisher-location>
<publisher-doi-prefix>10.23937</publisher-doi-prefix>
</publisher>
</journal-meta>
<article-meta>
<article-title>
Teleconsultation in COVID Era can be Unwholesome at Times
</article-title>
<citation_author>Bhalgat B</citation_author>
<article-doi>10.23937/2474-3682/1510193</article-doi>
<article-description>
COVID-19 pandemic has led to a vast increase in the number of teleconsultations. These images alongside are a perfect example of misinterpreted diagnosis due to unwanted importance to radiological investigations without performing a proper clinical examination. The X-ray chest PA view (see Figure 1) was advised by family physician of the patient on a well-known multiplatform messaging app when the patient complained of "chhati mai gaath hai" (translated to English: "swelling in the chest"). 
</article-description>
</article-meta>
</meta-data>
<body>
<article-type>IMAGES IN SURGERY</article-type>
<volume>7</volume>
<issue>4</issue>
<access-type>OPEN ACCESS</access-type>
<article-doi>10.23937/2474-3682/1510193</article-doi>
<article-title>
Teleconsultation in COVID Era can be Unwholesome at Times
</article-title>
<Author-Group>
<aut id="aut1">
<label>Author-1</label>
<name>Bhushan Bhalgat</name>
<affiliation>
Department of Surgical Oncology, SMS Medical College and Hospital, Jaipur, India
</affiliation>
</aut>
<aut id="aut2">
<label>Author-2</label>
<name>Suresh Singh</name>
<affiliation>
Department of Surgical Oncology, SMS Medical College and Hospital, Jaipur, India
</affiliation>
</aut>
<aut id="aut3">
<label>Author-3</label>
<name>Pravin Kumar</name>
<affiliation>
Department of Surgical Oncology, SMS Medical College and Hospital, Jaipur, India
</affiliation>
</aut>
<aut id="aut4">
<label>Author-4</label>
<name>Phanindra Kumar Swain</name>
<affiliation>
Department of Surgical Oncology, SMS Medical College and Hospital, Jaipur, India
</affiliation>
</aut>
<aut id="aut5">
<label>Author-5</label>
<name>Kamal Kishore Lakhera</name>
<affiliation>
Department of Surgical Oncology, SMS Medical College and Hospital, Jaipur, India
</affiliation>
</aut>
<aut id="aut6">
<label>Author-6</label>
<name>Raj Govind Sharma</name>
<affiliation>
Department of Surgical Oncology, SMS Medical College and Hospital, Jaipur, India
</affiliation>
</aut>
</Author-Group>
<author-notes>
<corres-author>
<label>Corresponding-Author</label>
<name>Bhushan Sanjay Bhalgat</name>
<address>
Department of Surgical Oncology, SMS Medical College and Hospital, Jaipur, India
</address>
</corres-author>
</author-notes>
<history>
<published-date>
<day>13</day>
<month>December   </month>
<year>2021</year>
</published-date>
</history>
<citation>
<author-names>
Bhalgat B, Singh S, Kumar P, Swain PK, Lakhera KK, et al.
</author-names>
<published-year>2021</published-year>
<article-title>
Teleconsultation in COVID Era can be Unwholesome at Times
</article-title>
<journal-short-name>Clin Med Img Lib</journal-short-name>
<article-doi>10.23937/2474-3682/1510193</article-doi>
</citation>
<permissions>
<copyright>
<copyright-year>2021</copyright-year>
<copyright-holder>Bhalgat B, et al. </copyright-holder>
<copyright-notes>
© This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
</copyright-notes>
</copyright>
</permissions>
<article-content>
<Image-Description>
<p>COVID-19 pandemic has led to a vast increase in the number of teleconsultations. These images alongside are a perfect example of misinterpreted diagnosis due to unwanted importance to radiological investigations without performing a proper clinical examination. The X-ray chest PA view (see Figure 1) was advised by family physician of the patient on a well-known multiplatform messaging app when the patient complained of "chhati mai gaath hai" (translated to English: "swelling in the chest"). After seeing the X-ray on the same messaging app, the doctor further advised a computed tomography scan of the chest (see Figure 2); still unaware of the plane of the swelling. The patient, having trust in his family physician, underwent the unnecessary investigation. On viewing the CT scan films, the physician referred the patient to our higher center for excision.
</p>
<p>Had the family physician examined the patient during the first consultation itself, (at least by inspection!); the patient would not have required to go through the extra investigation (see Figure 3).</p>
</Image-Description>

<Conflict-of-Interest>
<p>None.</p>
</Conflict-of-Interest>

<Ethical-Committee-Approval>
<p>Not required.</p>
</Ethical-Committee-Approval>
 
<figure-1>
	<label>Figure 1</label>
	<title>The X-ray chest PA view.</title>
	<graphic-link> https://www.clinmedjournals.org/articles/cmil/cmil-7-193-001.jpg</graphic-link>
</figure-1>

<figure-2>
	<label>Figure 2</label>
	<title>Computed tomography scan of the chest.</title>
	<graphic-link> https://www.clinmedjournals.org/articles/cmil/cmil-7-193-002.jpg</graphic-link>
</figure-2>

<figure-3>
	<label>Figure 3</label>
	<title>Swelling in the chest.</title>
	<graphic-link> https://www.clinmedjournals.org/articles/cmil/cmil-7-193-003.jpg</graphic-link>
</figure-3>

</article-content>
 
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</article>