Chiro Essentials- Radiological Summary Findings (1 of 2) Flashcards
Linear calcifications anterior to L1-L4, US diagnosis with diameter >3.5 cm
Abdominal Aortic Aneurysm
Champagne Glass pelvis, Splayed cupped methaphyses, small skull base
Achondroplasia
Large Sella Turcica, arrowhead phalanges, heel pad >23 mm
Acromegaly
Soap-bubble metaphyseal lytic lesion, filled with blood, ballooning of cortex
Aneursymal bone cyst
Shiny corners, Romanus lesions, dagger sign, bamboo spine
Ankylosing Spondylitis
Wedged shaped dense medial upper end of tibia, overweight and black kids
Blount
Hallux valgus deformity with marked soft tissue swelling
Bunion
AVN of the head of the femur, patchy sclerosis and lucency, crescent sign
Chandler
Totally disorganized joint with destruction, debris and distension
Charcot’s joint
Multiple faceted stones in right upper quadrant, ultrasound, + Murphy’s sign
Cholelithiasis
Linear intra-articular calcification in the knee, elbow, shoulder or wrist
CPPD [pseudogout]
Eccentric lucent lesion in metaphysis with cortical depression
Chondroma
Oval epiphyseal lytic lesion in lower or upper tibia, fluffy Cotton Wool
Chondroblastoma
Round or elongated lesion eccentrically located, thins the cortex
Chondromyxoid Fibroma
Intramedullary lytic soap-bubble lesion, speckled calcification in the tibia
Chondrosarcoma
Absent clavicles, numerous Wormian bones, pear-shaped skull
Cleidocranial dysostosis
Small femoral epiphysis, lateral femoral displacement, shallow acetabulum
Congenital Hip Dysplasia
Generalized osteoporosis, compression fractures, cod fish vertebrae
Cushing’s Syndrome
ADI > 5 mm in a child, hypoplastic atlas, agenesis of the dens
Down’s syndrome
Geographic central expansile lesion with stippled calcification, hands or feet
Enchondroma
Numerous intramedullary lesions in long bonse, phlebolith calcifications
Enchondromatosis
Geographic lesion in medullary region,destructive moth-eaten appearance
Eosinophilic granuloma
Diaphyseal permeative, onion-skin appearance with cortical saucerization
Ewing’s Sarcoma
Circumscribed lytic lesion, ground glass, soap-bubble, shepherds crook
Fibrous Dysplasia
Lytic metaphyseal lesion extending into diaphysis, soft tissue involved
Fibrosarcoma
AVN, sclerosis, fragmentaion and deformation of the 2nd metatarsal head
Freiberg
Eccentric metaphyseal lesion crosses epiphyseal line, soap bubble lesion
Giant cell tumor
Soft tissue swelling, periarticular bone erosion, overhanging margin sign
Gout
Periarticular calcification around the shoulder joint, may affect hip and spine
HADD
Osteolytic lesion, corduroy cloth, striated vertebrae, picture frame vertebrae
Hemangioma
Beak-like spurs on radial sides of metacarpal heads, joint space narrowing
Hemochromatosis
Articular irregularity, wide intercondylar femoral groove, soft tissue swelling
Hemophilia
Salt and Pepper skull, acro-osteolysis, bone cysts, rugger jersey spine
Hyperparathyroidism
AVN, dense sclerotic lunate bone with partial fragmentation and collapse
Kienbock
Blocked vertebrae, occipitalization of C1, platybasia, wasp-waist sign
Klippel Feil syndrome
AVN, partial fragmentation, sclerosis and collapse of the navicular bone
Kohler
Thick transverse radiodense metaphysis bands (lead line)
Lead poisoning
Small femoral head, mushroom deformity, epiphyseal sclerosis, fragementation
Legg-Calve-Perthes
Ivory vertebra, punched-out lytic bone lesions, bilateral hilar lymphadenopathy
Lymphoma in bone
Punched-out lesions, diffuse osteoporosis, raindrop skull, pathological fracture
Multiple Myeloma
