images

Question 1

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

Answer 1

new fracture (black is whack, white is right)

Question 2

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

Answer 2

old fracture (black is whack, white is right)

Question 3

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

Answer 3

osteoporosis

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

Question 4

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

Answer 4

osteopenia

thinner cortex, thinner subchondral region, trabeculation

Question 5

What kind of fracture is this?

Answer 5

compression fracture

Question 6

what kind of fracture is this?

Answer 6

pathological fracture

Question 7

What is the radiographic feature?

Answer 7

codfish deformity

Question 8

What is the radiographic feature? How does this occur?

Answer 8

Ward’s triangle

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

Question 9

What is the diagnosis?

Answer 9

rib fracture

Question 10

What is the diagnosis?

Answer 10

Multiple lytic calvarial lesions associated with mutiple myeloma

punched out lesions

Question 11

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

Answer 11

disuse osteoporosis

Question 12

What is the diagnosis? What makes you think so?

Answer 12

Reflex sympathetic dystrophy

there is pretty severe demineralization and the joint spaces are good

Question 13

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

Answer 13

transient osteoporosis of the hip

Question 14

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

Answer 14

Ostomalacia

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

basilar invagination, acetabular protrusion

Question 15

What is the diagnosis? What makes you think so?

Answer 15

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

Question 16

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

Answer 16

rickets

rachitic rosary

Question 17

What is the diagnosis? What are the radiographic features?

Answer 17

Scurvey

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

Question 18

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

Answer 18

subperiosteal resorption, HPT

Question 19

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

Answer 19

salt and pepper skull

HPT

Question 20

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

Answer 20

subperiosteal resorption at SI joints

HPT

Question 21

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

Answer 21

Rugger Jersey spine

HPT

Question 22

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

Answer 22

Brown tumor

HPT

Question 23

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

Answer 23

enlarged sella

empty sella, tumor, normal, aneurysm

Question 24

What is the diagnosis? What radiographic features are present?

Answer 24

acromegaly

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

Question 25

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

Answer 25

cushing's syndrome generalized osteopenia, compression fx, AVN, atherosclerotic plaquing

Question 26

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

Answer 26

trident hand

Question 27

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

Answer 27

Champagne glass pelvis achondroplasia macrocephaly, frontal bossing, foramen magnum stenosis, etc

Question 28

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

Answer 28

bullet vertebra achondroplasia narrowed interpediculate distance (trefoil spinal canal), decreasing caudally

Question 29

What is the most possible disease, why?

Answer 29

achondroplasia skull vault enlarged, small base

Question 30

What is the diagnosis? How do you know?

Answer 30

cleidocranial dysplasia hypoplasia of the clavicles

Question 31

What is the possible diagnosis? How do you know?

Answer 31

cleidocranial dysplasia inverted pear shape, womian bones

Question 32

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

Answer 32

Marfan's syndrome

Question 33

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

Answer 33

bowed long bones, thin cortices osteogenesis imperfecta

Question 34

What are the radiographic features? What is the diagnosis?

Answer 34

loss of medullary shape, dense bones, thick cortices osteopetrosis