Bone Disease Flashcards

1
Q

This lesion would be considered ____-based

A

Medullary (centric)

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2
Q

This lesion would be considered ____-based

A

Cortical (eccentric)

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3
Q

This lesion would be considered ____-based

A

Periosteal

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4
Q

This lesion would be consider ____-based

A

Extraosseus

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5
Q

The shape of this lesion would be described how

A

Pedunculated Exostosis (think of broccoli)

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6
Q

The shape of this lesion would be described how

A

Sessile Exostosis

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7
Q

What is shown here?

A

Poorly defined margination

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8
Q

What is shown here?

A

Well defined margination

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9
Q

What is shown here?

A

Cortical Thinning

(also well-defined lesion)

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10
Q

What is shown here?

A

Cortical Thickening

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11
Q

What is shown here in regards to cortex?

A

Cortical Expansion with cortical interupption

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12
Q

What is shown here?

A

Cortical Destruction

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13
Q

_____ are usually used to describe decreased focal density due to aggressive lesions

A

Osteolytic (aka permeative/motheaten)

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14
Q

_____ are usually used to describe decreased focal density due to benign lesions

A

Lucent (aka geographic or soap bubbly)

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15
Q

What lesion is shown here in regards to density?

A

Lucent (aka geographic)

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16
Q

What is shown here in regards to density?

A

Soap Bubble (lucent, well-defined)

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17
Q

What is seen here in regards to density?

A

Peremeative/Motheaten (osteolytic)

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18
Q

What is seen here in regards to density?

A

Permeative/Motheaten

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19
Q

What is seen here in regards to density? (left is abnormal)

A

Permeative/Motheaten

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20
Q

_____ are usually used to describe increased focal density due to aggressive lesions

A

Osteoblastic

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21
Q

_____ are usually used to describe increased focal density due to benign lesions

A

Sclerotic

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22
Q

What is seen here in regards to density?

A

Osteoblastic (large zone of transition, ill defined)

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23
Q

What is seen here in regards to density?

A

Sclerotic

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24
Q

What is seen here in regards to density?

A

Mixed (osteoblastic & osteolytic)

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25
Q

What are the 5 different types of matrixes?

A

Fat

Cartilage

Bone

Fibrous

Cystic/Fluid

26
Q

What is seen here in regards to matrix?

A

Fat Matrix - bone

27
Q

What is seen here in regards to matrix?

A

Fat matrix - soft tissue (periosteal reaction in orange)

28
Q

Focal, small spots in cartilaginous matrix is referred to as ____

A

Stippled

29
Q

What is seen here in regards to matrix?

A

Stippled calcification in cartilaginous matrix

30
Q

Larger, variable size & density, confluence of stippled Ca++ is referred to as ____

A

Flocculent

31
Q

Thin, curvilinear Ca++, typically seen in aggressive leasions referred to as ____

A

Arc & ring

32
Q

What is seen here in regards to matrix?

A

Flocculent calcification - cartilage matrix

33
Q

What is seen here in regards to matrix?

A

Arc & ring - cartilage matrix (laterally)

34
Q
A

Osseous Matrix (sclerotic benign tumor)

35
Q

“Ground glass” appearance is associated with a lesion in the ____ matrix

A

Fibrous matrix

36
Q

What is seen here in regards to matrix?

A

Fibrous Matrix - Ground glass (smoky)

37
Q

What is seen here in regards to matrix?

A

Cystic Matrix

38
Q

What are the 4 categories of periosteal reactions from least to most aggressive?

A

Solid

Laminated

Spiculated

Codmans triangle

39
Q

What is seen here in regards to periosteal reaction?

A

Solid - single layer

40
Q

What is seen here in regards to periosteal reaction?

A

Solid - cortical thickening

41
Q

What is seen here in regards to periosteal reaction?

A

Sold - irregular single layer

42
Q

What is seen here in regards to periosteal reaction?

A

Laminated

43
Q

In a stipulated periosteal reaction, ____ refers to lesion perpendicular to cortex & _____ refers to lesion radiating from a point source

A

Hair-on-end

Sunburst

44
Q

What is seen here in regards to periosteal reaction?

A

Spiculated - hair on end

45
Q

What is seen here in regards to periosteal reaction?

A

Spiculated - hair on end

46
Q

What is seen here in regards to periosteal reaction?

A

Spiculated - sunburst

47
Q

What is seen here in regards to periosteal reaction?

A

Codmans triangle

48
Q

What is seen here in regards to soft tissue changes?

A

Water density

49
Q

What is seen here in regards to soft tissue changes?

A

Fat density

50
Q

What is seen here in regards to soft tissue changes?

A

Calcific density

51
Q

What is seen here in regards to soft tissue changes?

A

Ossific Density

52
Q

How would you describe the left vs. right image in regards to number of lesions?

A

Monostotic

Polyostotic

53
Q

Long zone of transition

Permeative or motheaten appearence

Cortical destruction

Solid, lamined, or spiculated periosteal reaction

Codmans triangle

Soft tissue involvement/mass

These are characteristics of ____ (benign/aggressive) lesions

A

Aggressive

54
Q

Short zone of transition

Cortical thinning

Cortical expansion w/o destruction

Sclerotic rim or peripheral sclerosis

Solid or periosteal reaction

Lesion size stable

These are characteristics of ____ (benign/aggressive) lesions

A

Benign

55
Q

Describe this lesion in location, density, cortical & overall appearence

Aggressive or benign?

A

Distal tibial (lateral) metaphysis

Lucent, thin rim of sclerosis

Eccentrically located, cortically based

Cortical thinning & expansion

Soap bubble appearence

Benign

56
Q

Describe this lesion in location, density, cortical & overall appearence

Aggressive or benign?

A

Distal Diaphysis/Metaphysis

Motheaten/Permeative

Long zone of transition

Ill-defined lucencies, cortical destruction

Periosteal reactions

Soft Tissue mass

Aggressive

57
Q

Describe location of lesion, ____-based

A

Intertrochanteric

Medullary-based

58
Q

The following lesion is ____ based

A

Eccentrically, cortical-based

59
Q

Descibe location of lesion

A

2nd Distal Phalange

60
Q

Describe shape of lesion

A

Pedunculated exostosis

61
Q

Describe the margination of the following lesion

A

Sharply marginated, well defined lesion

62
Q
A