A 36-year-old man was admitted to the hospital with abdominal pain, fever, hypoxemia, and thrombocytopenia.[2][1] The patient also had bacteremia, and imaging studies revealed pulmonary opacification and duodenal thickening.[3][2] The case compares a doctor's diagnostic approach to an artificial intelligence trained on cases from Massachusetts General Hospital.[4] The doctor arrived at the correct diagnosis of intestinal perforation caused by the toothpick.[4] The AI model suggested a perforation or penetration process in the duodenum, but did not recommend endoscopy as a next step.[4] The discussion highlights that AI came close to diagnosis, but was not as complete as a human doctor.[4]