In a 2003 issue of the American Journal of Roentgenology, two Seattle radiologists described a 35-year-old man with severe abdominal pain but normal vital signs, who was found to have “multiple” heads from Barbie dolls lodged in his small bowel, which he attributed to his pursuit of the pleasurable anal sensation he gets from excreting them. After a straight-laced description of how doll heads show up differently from other objects on X-rays, the authors advised radiologists to “keep in mind that human imagination may not follow clinical algorithms.” [American Journal of Roentgenology, April 2003, p. 986]