AXR

Question 1

System

Answer 1

Name, Technical (psoas, xiphi to hernial, vert bodies), foreign objects, bowel gas, hernial orrifces, abnormal gas collections, calcification, organs, bones and soft tissues

Question 2

Bowel gas

Answer 2

SBO (>3cm, central, many loops, valvulae conviventes), LBO (>6cm, peripheral, haustra, strictures), Gas under diaphragm, Rigler’s sign, double bubble (duodenal obstruction)

Question 3

Calcification

Answer 3

AAA, gall bladder stones, popcorn (pancreatitis/cancer), renal stone

Question 4

Bone

Answer 4

Punched out (myeloma), sclerotis, mets, look at spine (osteosclerosis 2o to CKD (rugger jersey spine)

Question 5

Volvuli

Answer 5

direction SW-NE = caecal or (>9cm) / NW-SE = sigmoid (both are risk of perforation/ischaemia) - constipation

Question 6

Rugger Jersey spine

Answer 6

alternating bands of sclerotic and porous bone in the spine