images Flashcards

1
Q

Based on this image, does this patient have an old or a new fracture?

A

new fracture (black is whack, white is right)

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2
Q

Based on this image, does this patient have a new or old fracture?

A

old fracture (black is whack, white is right)

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3
Q

The patient is 70 years old. What is the dianosis? What are the radiographic features you see?

A

osteoporosis

radiographic features: cortical thinning, resorption of nonstress-bearing trabeculae, accentuated vertical struts, altered vertical shape (codfish deformity), schmorl’s nodes, endplate infractions

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4
Q

What is the diagnosis? What are the features you see that make that so?

A

osteopenia

thinner cortex, thinner subchondral region, trabeculation

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5
Q

What kind of fracture is this?

A

compression fracture

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6
Q

what kind of fracture is this?

A

pathological fracture

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7
Q

What is the radiographic feature?

A

codfish deformity

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8
Q

What is the radiographic feature? How does this occur?

A

Ward’s triangle

occurs when primary and secondary compressive and primary tensile trabecular patterns of the hip wither away at about the same time

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9
Q

What is the diagnosis?

A

rib fracture

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10
Q

What is the diagnosis?

A

Multiple lytic calvarial lesions associated with mutiple myeloma

punched out lesions

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11
Q

A person comes in with this xray. They have just gotten out of a cast. What is the diagnosis?

A

disuse osteoporosis

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12
Q

What is the diagnosis? What makes you think so?

A

Reflex sympathetic dystrophy

there is pretty severe demineralization and the joint spaces are good

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13
Q

This is an xray film of a 30 year old female. What is the possible diagnosis?

A

transient osteoporosis of the hip

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14
Q

What is the diagnosis? What radiographic features make that so (features both on the xray and off)?

A

Ostomalacia

osteopenia, coarsened trabeculation, LOOSER LINES, bowing of the femur

basilar invagination, acetabular protrusion

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15
Q

What is the diagnosis? What makes you think so?

A

Rickets

osteopenia, paintbrush metaphysis, lack of provisional zone of calcification

return of the zone is a sign of healing

fraying, splaying, bowing deformities, rachitic rosary

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16
Q

What is the diagnosis? What is the radiographic feature called?

A

rickets

rachitic rosary

17
Q

What is the diagnosis? What are the radiographic features?

A

Scurvey

ring epiphysis (wimberger’s sign), scorbutic zone, dense zone of provisional calcium (farkle’s), pelkin’s sign

18
Q

What is the radiographic feature? This is the most definitive radiographic sign of what disease?

A

subperiosteal resorption, HPT

19
Q

What is the radiographic feature? What disease is this associated with?

A

salt and pepper skull

HPT

20
Q

What is the radiographic feature? What disease is this associated with?

A

subperiosteal resorption at SI joints

HPT

21
Q

What is the radiographic feature? What disease is this associated with?

A

Rugger Jersey spine

HPT

22
Q

What is the radiographic feature? What disease is this associated with?

A

Brown tumor

HPT

23
Q

What is the radiographic feature present? What are the possible causes of it?

A

enlarged sella

empty sella, tumor, normal, aneurysm

24
Q

What is the diagnosis? What radiographic features are present?

A

acromegaly

spade-like distal tufts, hooking osteophytes, increased joint spaces initially, widened shaft, increased tissue thickness

25
Q

What is the possible diagnosis? What radiographic features are associated with this disease?

A

cushing’s syndrome

generalized osteopenia, compression fx, AVN, atherosclerotic plaquing

26
Q

What is the radiographic feature? What disease is this associated with?

A

trident hand

27
Q

What radiographic feature is this? What disease is this? What other radiographic features are prominent in this disease?

A

Champagne glass pelvis

achondroplasia

macrocephaly, frontal bossing, foramen magnum stenosis, etc

28
Q

What radiogrphic feature is this? What disease is this? What other radiographic features could be present?

A

bullet vertebra

achondroplasia

narrowed interpediculate distance (trefoil spinal canal), decreasing caudally

29
Q

What is the most possible disease, why?

A

achondroplasia

skull vault enlarged, small base

30
Q

What is the diagnosis? How do you know?

A

cleidocranial dysplasia

hypoplasia of the clavicles

31
Q

What is the possible diagnosis? How do you know?

A

cleidocranial dysplasia

inverted pear shape, womian bones

32
Q

This patient, along with this xray, also has pectus excavatum and is really tall and lanky. What is the diagnosis?

A

Marfan’s syndrome

33
Q

This patient also has blue sclera. What are the radiographic features? What is the diagnosis?

A

bowed long bones, thin cortices

osteogenesis imperfecta

34
Q

What are the radiographic features? What is the diagnosis?

A

loss of medullary shape, dense bones, thick cortices

osteopetrosis