: If the count is "off," a mobile X-ray (C-arm) is brought into the operating room to scan the surgical site before the patient is closed.

: Operating room teams perform multiple manual counts of all sponges, needles, and instruments before, during, and after surgery.

In medical imaging, an X-ray that includes sponges typically refers to the detection of a (gossypiboma or textileoma) following a surgical procedure . The Role of Radiopaque Markers

: Many hospitals now use Radio-Frequency Identification (RFID) or barcoded sponges in addition to X-ray markers to provide a second layer of verification.

: A "burlap" or "soap-bubble" appearance may occur if gas becomes trapped within the fibers of the sponge, often indicating a secondary infection or abscess formation.

: Over time, the sponge may appear as a "whirled" or reticular pattern due to the physical structure of the gauze fibers.