Radiology Flashcards
Gull wing sign
EOA
DIP and PIP
Mouse ear sign
Justaarticular process
PA
rat bite erosions
RA
PIP, MCP, wrist
Bilateral
Perform flexion/extension films
Eburnation
Subchondral sclerosis
DJD
Osteophytes
DJD
ESR
Gull wing sign
EOA
HLA-B27
PA
AS
Allopurinol
Eburnation
DJD
Adjust per chiropractic
RA
IVOC
Irregular sclerotic endplates
Disc spaces
AS
Pannus formation
Squaring of VB
Syndesmophytes
DISH
Thick flowing interconnecting spondylosis
Ivory vertebrae
Blastic mets - prostate m/c, colorectal, bladder, kidney Lymphoma - VB convex or concave Carcinoid cancer Pagets Chronic infection - destruction
Expansion of bone
Pagets
Acid phosphatase
Ivory vertebrae
Prostate cancer
Alkaline phosphatase
Cancer, non-specific
Pagets
Glucose tolerance test
DISH
IVOC adjust?
Yes
S sign of golden
Atelectasis RUL
Pancoast tumor
Superior sulcus tumor
Substernal thyroid
Tracheal space deviation and opacification
Pushes trachea away
Pneumonia RUL
Opacification but does not cause trachea to shift
AS
Interbody fusions, vertical spurs, no disc
Surgical block
No wasp waist
No endplates
No remnant
Klippel-Feil
Multiple congenital anomalies
Young person
Fasting plasma glucose test
DISH
Refer MRI
IVOC
Neurosurgeon
Surgical block
Adjus
Klippel fiel
Snow capping
AVN
Epiphysis
Tophi
Uric acid
Gout
Osteophytes
DJD
Flexion/extension films
AS
RA
Syndesmophytes
HLA-B27
ESR
Sclerotic appearance with degeneration - inflammation
Antibiotics
Sunburst periosteal reaction
Uric acid
Gout
Tophi
No labs
Lytic mets
PSA elevated
Blastic mets
Proprioception and sensory
Charcot’s spine
TB of the spine
Potts
Anderson lesion
AS
HLA-B27
Diabetic neuropathy
Charcot’s joint
Positive PPD
Pott’s disease
IVOC
Intervertebral osteochondrosis Some disc height loss Lots of spondylosis Endplate irregularity Endplate sclerosis
ESR
IVOC
HLA-B27
AS
PA
Reactive spondy
Sarcoidosis
Age 28 Female 123 sign Potato lymph nodes Hilar changes
Obstruction atelectasis
Tumor or inhaled object cause blockage of branch shift of mediastinum
Hilar change
Lymph change
fungal cavity
Circle within a circle
Pulmonary alveolar edema
Bilateral batwing sign
Butterfly pattern
Pulmonary alveolar edema
Potato nodes
123 sign
Sarcoidosis
S sign of golden
Obstruction atelectasis
Crescent sign
Fungal cavity
AVN
Silhouette sign
Can’t see all structures
disc height loss Vacuum phenomenon Mild spondylosis Endplate sclerosis Endplate irregularity
IVOC
Refer to ER
AAA
PSA
Ivory vertebra
No referral needed
IVOC
Simple bone cyst
Benign tumor prox diametaphyseal portion of humerus
Posterior dislocaiton
Does not go medially
Fallen fragment sign
Simple bone cyst
Posterior apprehension test positive
Posterior dislocation
Anterior apprehension test positive
Anterior dislocation
Lytic mets
Usually older
Refer to orthopaedist
Dislocation
RA latex
RA
PIP, MCP, WRIST
EOA
DIP and PIP
Gout
Lumpy bumpy
Overhaning edges
Not all joints
Serum uric acid
Gout
ESR
EOA
PA
Thick swollen fingers All joints in hand Fusion of joint and dislocation Central joint erosions Mouse ear erosisons
No labs
PA - skin disease
Seatbelt fx
Typically fx goes through SP and up into neural arch or through VB
PCP
Lytic mets
No referral
Old fx
Colles
Posteriorly displaced
Galeazzi’s fx
Midshaft radial fx with distal radio-ulnar dislocation
Lipohemarthrosis
Indicates intraarticular fx
Will get fluid level!!!
Positive fat pad sign
Elnbow
Anterior displacement of fragment
Smith’s
Meniscus sign
Pleural effusion
Mitral valve stenosis
Viking hat
Heart puffed out
Eventration
Scalloping
Anatomical shape
IBS
AS
Multiparous
Osteitis condensans pubii
Skin lesions
PA
Non-specific urethritis
Reactive
IBS
EOA
Marathon runner
OA
Refer to PT
Disc herniation
Sequestered disc
Neurologist
Motor issues
Neurosurgical consult
Motor and sensory findings
Chiro management
Disc herniation
MS
Plaque involving spinal cord
Refer to orthopedistq
Unstable spine
Small bowel obstruction
Fluid levels
Sacroiliitis
HLA-B27
Cholelithiasis
Gallstones/bile stones
Postprandial pain and nausea
Image with US
MRI
Lytic mets
Elevated bilirubin
Gallstones
Cholecystitis
Gallbladder on R
Hepatic calcification
Right side
Histoplasmosis
Fungal infection
GE refer
Cholecystitis
Liver calcification
Pulmonologist
Disseminated histoplasmosis
Bilateral rash
AVN
STARS - steroids, trauma, alcohol, radiation, sickle cell
PLASTIC RAGS - pregnancy, pancreatitits, lupus, alcohol, steroids, trauma, infection idiopathic, collogen, caseons disease vascular disease, radiation, amyloidosis, gosche’s disease, sickle cell
Rheumatologist or orthopedist
Lupus
AVN
Lupus
Radiographs right shoulder
Silicosis
Pulmonary pneumoconiosis
Primarily upper portion of lungs
Asbestosis
Brake pads
Pattern
Erythema nodosum
Sarcoidosis
Upper lobe fibrosis
Silicosis
Mesothelioma
Asbestosis
Drug overdose
Cardiomegaly
Pulmonary hypertension
Pleural effusion
HPT
Rugger jersey spine
elevated parathormone
HPT
Osteoporotic compression fx
Adjust
Salt and pepper skull
HPT
Osteoporosis circumscripta
Big hole
Pagets phase 1
Raindrop skull
Bence jones proteinuria
Multiple myeloma
Acid phosphatase
Blastic mets from prostate
Cotton wool skull
Phase 3 pagets
Parathormaone lab test
HPT
Salt and pepper skull
Urine hydroxyproline
Pagets
RA latex
RA
ESR
EOA
DJD
Lupus
No labs
Crescent sign
Fungus ball
Mycetoma
Negative silhouette sign
Pneumonia RLL
Enchondroma
No pain
Benign
Adjust
MRI
No painless
CT
No painless
Bone scan
No painless
Ewings
Diaphysis in teens and children
Multiple myeloma
Flat bone
Bone marrow
Mixed mets
Some lucency some sclerosis
Septic arthritis
Infection
ER
Ewings
Onion skin multi-layered periosteal reaction
Osteomyelitis
Single layer periosteal lucency sclerosis
Morton’s neuroma
Usually between met heads causes pressure rxn not periosteal reaction
Stress fx
Soldier, walking, occupation,
Osteosarcoma with path fx
Metaphysis into diaphysis
Fibrous dysplasia
Nonunion fx
Renal osteodystrophy with insufficiency fx
Bone is sclerotic
Osteogenesis imperfecta with non-union fx
Orthopedist referral
Spondylosis deformans
Adjust
IVOC
Limbus
Spondylolytic anterolisthesis
No referral
Adjust
Neuropathic arthropathy
Syringomyelia
RA/pencil in cup
More in hands
Plasmacytoma/myeloma
Solitary location
Bence jones proteinuria
Multiple myeloma
Staph aureus
Infection
Osteosarcoma
Multicentric
Pain
Alveolar
Airspace disease
Bullae
Spaces in lung field
Emphysema
Pulmonary edema
Fluid center portion of lung
Heel pad huge
Acromegaly
Gigantism
Before physis is closed
Osteomalacia
Vit d def adult
Subperiosteal reaction
HPT
Rugger jersey spine
Salt and pepper skull
Pulmonary venous hypertension
Viking hat sign
Kerley B
Pleural effusion
Pulmonary venous hypertension