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Incidental finding of a midline, tongue piercing, obscuring the open mouth (odontoid) view and limiting plain film assessment. In addition, there is a horizontal left-sided, lower lip piercing.
There is evidence of pain and /or muscle spasm and no acute post-traumatic bony abnormalities.
Incidental normal variant- pseudotumour deltoideus (left humerus) on the Swimmer's view.