1
Fifth stage
Radiology
عملي
د. هديل
25/11/2015
Musculoskeletal system seminar
Slide1 Musculoskeletal system.
Slide2 x-ray of the hand / AP view / show extra number of fingers / Diagnosis:
polydactyly.
Slide3 x-ray of the skull / AP view / show linear straight line passing from the suture /
Diagnosis: fracture of the skull.
Slide4 x-ray of the spine / AP and lateral view / showing burst out fracture of the body of
the second lumber vertebra / Diagnosis: fracture of vertebra.
Slide5 x-ray of shoulder / AP view / showing displacement of the humerous head infero-
medially / Diagnosis: anterior dislocation.
Slide6 x-ray of wrist joint / AP view / showing transverse line passing through scaphoid
bone / Diagnosis: fracture of scaphoid bone.
Slide7 x-ray of the hand of child / AP and lateral view / showing greenstick fracture of
the radius / Diagnosis: fracture of radius.
Slide8 x-ray of the pelvis / AP view / showing transverse line of fracture in the femoral
neck with impaction / Diagnosis: fracture of head of femur.
R: normal fracture.
L: pathological fracture.
Slide9 x-ray of the leg / AP view / showing area of rarefication or moth eaten
appearance in the upper third of tibial shaft + soft tissue swelling + periosteal reaction /
Diagnosis: acute osteomyelitis.
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Slide10 x-ray of the leg / AP and lateral view / showing area of lucency (sequestrum) in
the distal lower third of femur surrounded by massive sclerosis (involucrum) and cloaca /
Diagnosis: chronic osteomyelitis.
Slide11 x-ray of the spine / AP and lateral view / showing irregular area of destruction in
the vertebral end plate of coutageous lumbar vertebra with sclerosis and partial wedging /
Diagnosis: TB of the spine.
Slide12
upper film: x-ray of the pelvis / AP view / showing multiple areas of increased bone density
/ Diagnosis: …..
lower film: x-ray of the pelvis / AP view / showing multiple areas of osteopenia / Diagnosis:
secondary metastasis.
Skull film: x-ray of the skull / lateral view / showing multiple well-defined areas of lytic
lesion / DDx: secondary metastasis or multiple myeloma.
Slide13
x-ray of the wrist joint / AP view / showing clubbing of metaphysis, fraying, splaying
between distal bone ends / Diagnosis: rickets.
x-ray of the chest / AP view / showing widening of anterior end of the ribs / Diagnosis:
rickets rosary.
Slide14
x-ray of the pelvis / AP view / showing triradiate deformity of the pelvis with invagination of
both femoral head / Diagnosis: osteomalacia.
x-ray of the spine / lateral view / showing multiple codfish vertebra / Diagnosis:
osteomalacia.
Slide15 x-ray of the spine / lateral view / showing multiple lines of increased density
across vertebral end plate (roger jersey spine) / Diagnosis: renal osteodystrophy.
Slide16 x-ray of the lower limbs / AP view / showing overall decrease in the desity of the
bone with multiple fractures and callus formation and there is bowing of the legs /
Diagnosis: osteogenesis imperfecta.
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Slide17+18 x-ray of chest + arm + skull + pelvis / AP and lateral view / all showing overall
increase if bone density / Diagnosis: osteopetrosis.
Slide19 x-ray of the skull / lateral view / showing hair on end appearance of the outer
skull surface / Diagnosis: Thalassemia.
Slide20
x-ray of the lower limb / AP view / showing flowing of the distal medial metaphysis /
Diagnosis: achondroplasia.
x-ray of the spine / lateral view / showing pullet shape vertebra / DDx: achondroplasia.
Slide21
upper film: x-ray of the skull / lateral view / showing multiple intrasutural bones (wormian
bones) / Diagnosis: down syndrome.
lower film: x-ray of the skull / lateral view / showing copper beaten appearance / Diagnosis:
craniostenosis.
Slide22 x-ray of the skull / lateral view / showing:
1.Thickening of the skull vault &diplioc space
2.Thickening of the posterior occipital tubercle
3.Prognathism
4.Froehead bossing with enlargement of the frontal sinuses also with enlargement of the
mastiod air cell .
5.Balloning with Double floor appearance of the sella tursica .
Diagnosis: acromegaly.
Slide23 x-ray of the upper limb / lateral view / showing rather well defined lesion
affecting the distal part of the limb with cortical and central medullary involvement with
periosteal reaction and codmanns triangle surrounded by soft tissue swelling / Diagnosis:
osteochondroma.
Slide24 same as slide23.
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Slide25 x-ray of the upper limb / AP view / showing ill-defined destruction with onion
peal appearance and periosteal reaction.
DDx: Ewing sarcoma (center of diaphysis – 5-15 years) & osteochondroma (metadiaphysis –
above 20 years).
Slide26 x-ray of the wrist / AP view / showing expensile lytic lesion, subarticular in
position with intact cortex giving the soap bubbles appearance / mostly at wrist and knee /
Diagnosis: Giant cell tumor.
Slide27 x-ray of the knee / AP and lateral view / showing bony projection from the distal
lateral aspect with wide pedicle directed away from the joint / Diagnosis: osteochondroma.
Slide28 x-ray of the knee / AP and lateral view / showing multiple exostosis and
calcification of the cap / Diagnosis: diaphyseal aclasia.
Slide29
x-ray of the finger / AP view / showing well defined lesion, expinsile lytic inside the
phalagus with intact cortex / Diagnosis: enchondroma.
x-ray of hand / AP view / showing multiple enchondromas / Diagnosis: ollier's disease.
Side30 x-ray of the hummers / AP view / showing expensile lytic lesion affecting
metadiaphysis of the proximal hummers with thinning and intact cortex / Diagnosis: simple
bone cyst.
Slide31 x-ray of femur / AP view / showing lucent area surrounded by sclerotic rim /
Diagnosis: osteoid osteoma.
Slide32 x-ray of lumbar and cervical spine / lateral view / showing narrowing of joint
space and osteophyte projection from upper and lower aspect of the vertebral end plate
and subcondral sclerosis / Diagnosis: osteoarthritis of the spine called spondyloarthropathy.
Slide33 x-ray of knee joint / AP view / showing reduction of joint space, osteophyte,
elongation of tibia spine, subcondral sclerosis / Diagnosis: osteoarthritis.
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Slide34 x-ray of the hand / AP view / showing erosions of DIP and PIP with gull wing
pattern and interphalangeal fusion / Diagnosis: erosive osteoarthritis.
Slide35 x-ray of the hand / AP view / showing periarticular erosion with destruction and
narrowing of whole MCP joint + juxta-articular osteoporosis + soft tissue swelling +
subluxation / Diagnosis: rheumatoid arthritis.
Slide36 x-ray of the pelvis / AP view / showing both sided ankylosis of the sacro-iliac
joint / Diagnosis: ankylosing spondylitis.
Slide37 x-ray of spine / AP and lateral view / showing clear bamboo spine / Diagnosis:
ankylosing spondylitis.
Slide38 x-ray of the foot / AP view / showing periarticular erosion and destruction of
MTP joint and soft tissue tophi / Diagnosis: gout.
Slide39 nothing.
Slide40 x-ray of the pelvis / AP view / showing mushroom deformity and flattening and
dense appearance of the epiphysis / Diagnosis: perthis disease.
Slide41 x-ray of the foot / AP, lateral, obigue view / showing hyperdense disk like
appearance of navcular bone / Diagnosis: Kohler's disease.
Slide42 x-ray of the knee / lateral view / showing osteochondrosis of the tibial tubercle /
Diagnosis: Osgood schlatter.
Slide43 x-ray of the knee / AP view / showing rather well defined small sperated part of
the distal medial aspect of the femur / Diagnosis: osteochondritis dissecans.
Slide44 x-ray of the pelvis / AP view / showing shenlon's and perkin's lines.
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Silde45 x-ray of the pelvis / AP view / showing disturbances of shenlons line with
displacement of femoral head superiolaterally with shallow acetabulum / Diagnosis: DDH.
Slide46 x-ray of the pelvis / AP view / showing displacement of femoral head
superiolaterally with shallow acetabulum and psuedoarticulation / neglected DDH in adult.