Radiological Summary Findings (pg 144) Flashcards
soft tissue swelling, intra - articular erosion, ulnar deviation of MCP joints
RA
dystrophic calcification in muscle,
myositis ossificans
small femoral epiphisis, later femoral displacement, shallow acetabulum
congenital hip dysplasia
AD>5mm, hypoplastic atlas, agenesis of the dens
down syndrom
numerous intrameduallary lesion in long bones, phlebolith calcifaications
enchondromatosis
generalized osteoporosis, compression fractures, cod fish vertebrae
cushings sydrome
AVN of head of the femur, patchy sclerosis and lucency, crescent sign
chandler
solitary oval radiolucent defect; thin cortex, bunch of grapes appearance
non-ossifying fibroma
multiple faceted stones in right upper quadrant, ultrasound, +murphy’s sign
cholelithiasis
hair on end skull, undertubulation of long bones, cod fish vertebae
sickel cell disease
AVN, fragmented irregular sclerosis of the calcaneal apophysis
sever
ossification of the medial knee collateral ligament, traumatic
pelligrini - stieda disease
soft tissue swelling, periosteal elevation, broadies’s abscess, incolucrum
osteop=myelitis
round or elongated lesion eccentrically located, thins the cortex
chondromyxoid fibroma
apical cavitation; unilateral or bilater hilar lymphadenopathy, tracheal shift
TB
frankls line, pelkens spur and wimbergers ring
scurvy
AVN , sclerosis and fragmentation of the proximal pole of the scaphoid
preiser
soft tissue swelling, periarticular osteoporosis, reducible ulnar deciation
SLE
large sella turcica, arrowhead phalanges, heel pad >23mm
Acromegaly
joint space narrowing, subchondral sclerosis, osteophytes
osteoarthitis
small elevated scapula; omovertevral bone and klippel feil syndrome
Sprengels deformity
eccentric metaphyseal lesion crosses epiphyseal line, soap bubble
GCT
beak like spurs on radial side of metacarpal heads, joint space narrowing
hemachromatosis
thick traverse radiodense metaphysis bands
Lead poisoning
Shiny corners, dagger sign, bamboo spine, ramanus lesions
AS
circumscribed lytic lesion, ground glass, soap bubble, shepherds crook
fibrous dysplasia
hair on end skull, undertubulation of long bones, cod fish vertebae
sickel cell disease
articular irregularity, wide intercondylar femoral groove, soft tissue swelling
hemophilia
cup and pencil deformity of DIP joints, mouse ears, sausage digits
psoriatic arthitis
slippage of one vertebra on the other, most common at L5/S1, pars fracture
spndylolisthesis
diaphyseal permieative, onion skin appearance with cortical saucerization
ewings sarcoma
dense sclerotic well circumscribed lesion rarely >2cm, in the skull or sinuses
osteoma
blocked vertebrae, occipitalization of C1, platybasia, wasp waist sign
Klippel feil sytndrome
lucent lesions
osteoid osteoma
Linear intra-articular calcification in the knee, elbow, shoulder or waist
CPPD (pseudogout
Linear calcifications ant. to L1-L4
Abdominal Aortic Aneurysm
soft tissue swelling, periarticular osteoporosis, reducible ulnar deciation
SLE
intramedually lystic soap bubble lesion, speckeled calcification in the tibia
chondrosarcoma
triangular sclerosis of the lower ilium near sacroiliac joint, bilateral, symmetric
osteitis condensans ilii
geographic central expansile lesion with tippled calcification, hand or feet
enchondroma
pseudofractures in long bones, decreased bone density, coarsened travecuale
osteomalacia
soft tissue swelling, periarticular bone erosion, overhanging margin sing
gout
broad based one outrgrowth - cauliflower (mushroom like) or coat hanger look
osteochondroma
blastic metaphyseal permeative lesion, codmans triangle, sunburst appearnce
osteosarcoma
expansile geographic defect in proximal humerus or femur, fallen fragment sign
simple bone cyst
eccentric, lytic lesion in the metaphysis or diaphysis or in the neural arch
osteoblastoma
cotton wool skull, mixed blastic/lytic lesions, pelvic bring and candle flame sign
Pagets diesaes
general demineralization, thin cortex, few but coarsened trabecuale
osteoporosis
ice cream sliding off the cone sign, disrupted Klein’s line and shentons lines
SCFE
wedged-shaped dense media upper end of tibia, overweight and black kids
blount
expansile geographic defect in proximal humerus or femur, fallen fragment sign
simple bone cyst
Champagne glass pelvis, splayed cupped metaphysis, small skull base
Achondroplasia
eccentric lucent lesion in metaphysis with cortical depression
Chondroma
absent clavicles, numerous wormian bones, pear shaped skull
cleidorcranial dysostois
AVN, partial fragmentation, sclerosis and collapse of the navicular bone
Kohler
ant. surface irregularites of the tibial tuberosity in teens
osgood- Schlatters
AVN, medial femoral epicondyle, ankle, hip and elbow, arc like cleft, fragment
osteochondrtis dessicans
ivory vertebra, punched out lytic bone lesions, bilateral hilar lympadenopathy
lymphoma in bone
soft tissue retraction, calcinosis cutis and acro osteoolysis
scleroderma
geographic lesion in medually region, destructive moth eaten appearnce
eosinophilic granuloma
metaphyseal fractures at different healing stages, pencil thin cortices
osteogensis imperfecta
subluxation of the proximal radio ulnar joint in a child
nursemaids elbow
Periarticular calcification around the shoulder joint, may affect hip and spine
HADD
small femoral head, mushroom deformity, epiphyseal sclerosis, fragmentsion
legg calve perthes
ant. wedging, schmorls nodes, decreased disc height in 3+ vertebrae
scheuermann’s
totally disorganized joint with destruction, debris and distension
Charcot’s joints
multiple small rounded radiopacities in the ends of long bones (normal varient)
osteopoikilosis
AVN, sclerosis, fragmentation and deformation of the second metatarsal head
freiberg
salt and pepper skull, acro osteolysis, bone cysts, rugger jersey spine
hyperparthyroidism
punched out lesions, diffuse osteoprosis, raindrop skull, pathological fracture
MM
AVN, dense sclerotic lunate bone with partial fragmentation and collapse
Kienbock
widened froth plate meaphyseal cupping, paint brush appearance in a child
rickets
hallux valgus deformity with marked soft tissue swelling
bunion
slippage of one vertebra on the other, most common at L5/S1, pars fracture
spndylolisthesis
oval epiphyseal lytic lesion in lower or upper tibia, fluffy cotton wool
chondroblastoma
soap bubble metaphyseal lytic lesion, ballooning of cortex
Aneurysmal one cyst