Chiro Essentials- Radiological Summary Findings (1 of 2)

Question 1

Linear calcifications anterior to L1-L4, US diagnosis with diameter >3.5 cm

Answer 1

Abdominal Aortic Aneurysm

Question 2

Champagne Glass pelvis, Splayed cupped methaphyses, small skull base

Answer 2

Achondroplasia

Question 3

Large Sella Turcica, arrowhead phalanges, heel pad >23 mm

Answer 3

Acromegaly

Question 4

Soap-bubble metaphyseal lytic lesion, filled with blood, ballooning of cortex

Answer 4

Aneursymal bone cyst

Question 5

Shiny corners, Romanus lesions, dagger sign, bamboo spine

Answer 5

Ankylosing Spondylitis

Question 6

Wedged shaped dense medial upper end of tibia, overweight and black kids

Answer 6

Blount

Question 7

Hallux valgus deformity with marked soft tissue swelling

Answer 7

Bunion

Question 8

AVN of the head of the femur, patchy sclerosis and lucency, crescent sign

Answer 8

Chandler

Question 9

Totally disorganized joint with destruction, debris and distension

Answer 9

Charcot’s joint

Question 10

Multiple faceted stones in right upper quadrant, ultrasound, + Murphy’s sign

Answer 10

Cholelithiasis

Question 11

Linear intra-articular calcification in the knee, elbow, shoulder or wrist

Answer 11

CPPD [pseudogout]

Question 12

Eccentric lucent lesion in metaphysis with cortical depression

Answer 12

Chondroma

Question 13

Oval epiphyseal lytic lesion in lower or upper tibia, fluffy Cotton Wool

Answer 13

Chondroblastoma

Question 14

Round or elongated lesion eccentrically located, thins the cortex

Answer 14

Chondromyxoid Fibroma

Question 15

Intramedullary lytic soap-bubble lesion, speckled calcification in the tibia

Answer 15

Chondrosarcoma

Question 16

Absent clavicles, numerous Wormian bones, pear-shaped skull

Answer 16

Cleidocranial dysostosis

Question 17

Small femoral epiphysis, lateral femoral displacement, shallow acetabulum

Answer 17

Congenital Hip Dysplasia

Question 18

Generalized osteoporosis, compression fractures, cod fish vertebrae

Answer 18

Cushing’s Syndrome

Question 19

ADI > 5 mm in a child, hypoplastic atlas, agenesis of the dens

Answer 19

Down’s syndrome

Question 20

Geographic central expansile lesion with stippled calcification, hands or feet

Answer 20

Enchondroma

Question 21

Numerous intramedullary lesions in long bonse, phlebolith calcifications

Answer 21

Enchondromatosis

Question 22

Geographic lesion in medullary region,destructive moth-eaten appearance

Answer 22

Eosinophilic granuloma

Question 23

Diaphyseal permeative, onion-skin appearance with cortical saucerization

Answer 23

Ewing’s Sarcoma

Question 24

Circumscribed lytic lesion, ground glass, soap-bubble, shepherds crook

Answer 24

Fibrous Dysplasia

Question 25

Lytic metaphyseal lesion extending into diaphysis, soft tissue involved

Answer 25

Fibrosarcoma

Question 26

AVN, sclerosis, fragmentaion and deformation of the 2nd metatarsal head

Answer 26

Freiberg

Question 27

Eccentric metaphyseal lesion crosses epiphyseal line, soap bubble lesion

Answer 27

Giant cell tumor

Question 28

Soft tissue swelling, periarticular bone erosion, overhanging margin sign

Answer 28

Gout

Question 29

Periarticular calcification around the shoulder joint, may affect hip and spine

Answer 29

HADD

Question 30

Osteolytic lesion, corduroy cloth, striated vertebrae, picture frame vertebrae

Answer 30

Hemangioma

Question 31

Beak-like spurs on radial sides of metacarpal heads, joint space narrowing

Answer 31

Hemochromatosis

Question 32

Articular irregularity, wide intercondylar femoral groove, soft tissue swelling

Answer 32

Hemophilia

Question 33

Salt and Pepper skull, acro-osteolysis, bone cysts, rugger jersey spine

Answer 33

Hyperparathyroidism

Question 34

AVN, dense sclerotic lunate bone with partial fragmentation and collapse

Answer 34

Kienbock

Question 35

Blocked vertebrae, occipitalization of C1, platybasia, wasp-waist sign

Answer 35

Klippel Feil syndrome

Question 36

AVN, partial fragmentation, sclerosis and collapse of the navicular bone

Answer 36

Kohler

Question 37

Thick transverse radiodense metaphysis bands (lead line)

Answer 37

Lead poisoning

Question 38

Small femoral head, mushroom deformity, epiphyseal sclerosis, fragementation

Answer 38

Legg-Calve-Perthes

Question 39

Ivory vertebra, punched-out lytic bone lesions, bilateral hilar lymphadenopathy

Answer 39

Lymphoma in bone

Question 40

Punched-out lesions, diffuse osteoporosis, raindrop skull, pathological fracture

Answer 40

Multiple Myeloma