Black and White Illustrations

These black and white illustrations by freelance medical and scientific illustrator Susan Decker showcase a range of styles, from simple line drawings to detailed line work and realistic charcoal. Designed to support:

  • Medical and scientific education – clarifying complex anatomy, surgical procedures, and scientific concepts for students and professionals

  • Clinical and veterinary reference – providing detailed visuals for surgical planning, research, or consultations

  • Artistic study and inspiration – demonstrating realistic black and white rendering techniques in anatomy, surgery, and wildlife illustration

Examples include anatomical diagrams, surgical illustrations, educational visuals, and lifelike depictions of animals such as dogs, horses, and hummingbirds, suitable for medical, veterinary, and scientific purposes. Each illustration highlights precision, clarity, and realistic black and white rendering. Click on each image to expand the selection.

Surgical & Anatomical Illustrations

Proximal Radius Repair

Av Fistula Surgery

    Lower Extremity Musculature

- About These Illustrations -
  • Proximal Radius Fracture Repair
    Black and white surgical illustration of proximal radius fracture repair, showing internal fixation hardware placement. Detailed medical illustration useful for orthopedic reference, surgical planning, patient education, and anatomy study.
  • AV Fistula Creation
    Black and white medical illustration of AV fistula creation for hemodialysis, showing arterial and venous connection in the arm. Detailed surgical diagram supporting clinical reference, vascular anatomy study, patient education, and surgical guidance.
  • Lower Extremity Musculature
    Black and white anatomical illustration of lower extremity muscles, highlighting detailed thigh and calf anatomy. Realistic medical illustration ideal for anatomy education, physiotherapy instruction, clinical reference, and medical study.

Surgical and Anatomical Illustrations; Equine Studies

Pediatric Facial Surgery

Deep Gluteal Musculature

   Saddle Bred Horse

- About These Illustrations -
  • Pediatric Facial Surgery
    Black and white medical illustration of pediatric facial surgery, showing detailed anatomy and procedural steps. Detailed surgical diagram useful for surgical planning, medical education, patient or caregiver education, and clinical reference.
  • Deep Gluteal and Pelvis Anatomy
    Black and white anatomical illustration of deep gluteal and pelvic muscles, highlighting detailed muscle structure and anatomical relationships. Ideal for medical education, surgical reference, anatomical study, and clinical illustration purposes.
  • Saddlebred Horse Anatomy
    Black and white charcoal artwork of a Saddlebred horse, emphasizing realistic muscle structure and form. Realistic anatomical illustration perfect for veterinary reference, equine anatomy study, scientific research, and artistic or educational purposes.

Surgical and Scientific Illustrations

Splenic Tumor Removal

Internal Uterine Massage

   Hummingbird Pollination

- About These Illustrations -
  • Splenic Tumor Removal
    Black and white surgical illustration of splenic tumor removal, showing detailed anatomy of the spleen and surrounding organs. Detailed medical illustration useful for surgical planning, clinical reference, medical education, and patient education.
  • Internal Uterine Massage
    Black and white medical illustration of internal uterine massage, demonstrating proper technique and anatomical details. Ideal for obstetric training, surgical guidance, clinical reference, and patient education.
  • Hummingbird Pollinating a Flower
    Black and white scientific illustration of a hummingbird pollinating a flower, emphasizing anatomical details and plant interaction. Detailed diagram perfect for scientific study, natural science education, and educational illustration purposes.

Transplant and Biomechanical Studies

Transplant Vessel Suturing

Foot Anatomy & Biometrics

Border Collie 

- About These Illustrations -
  • Transplant Vessel Suturing
    Black and white surgical illustration of vessel suturing during transplant surgery. Detailed medical illustration useful for surgical planning, clinical reference, medical education, and patient education.
  • Foot Biomechanics During Exercise
    Black and white patient education illustration of foot bones, showing their positions during running and exercise. Highlights biomechanics and anatomical function, ideal for physiotherapy instruction, medical education, and patient education.
  • Border Collie Anatomy
    Black and white charcoal-style illustration of a Border Collie, detailed and lifelike, emphasizing realistic muscle structure and form. Perfect for veterinary reference, equine and animal anatomy study, artistic study, and educational illustration.

Breast, Foot & Obstetric Illustrations

Breast Exam Diagram

Shoulder & Orthopedic Exercises

External Uterine Massage

- About These Illustrations -
  • Breast Self-Exam
    Educational black and white medical diagram showing breast self-exam procedure, including hand placement and breast anatomy. Supports patient education, medical training, and clinical reference.
  • Foot Biomechanics During Exercise
    Black and white patient education illustration of foot bones, showing their positions during running and exercise. Highlights biomechanics and anatomical function, ideal for physiotherapy instruction, medical education, and patient understanding.
  • External Uterine Massage
    Black and white surgical illustration demonstrating external uterine massage technique with detailed anatomy. Useful for obstetric training, clinical reference, and patient education.