Image interpretation 2

This Chest x-ray is

• Normal

• Abnormal

In these x-rays we can see...

• Nothing, its normal

• A patella dislocation

• Nothing, it's over rotated

Answer explanation

There is patella alta with lateral displacement.

This Lat CSPN is part of a Shunt series to assess its integrity. Is there anything worth mentioning?

• No, its normal.

• It's displaced

• It's disconnected at the level of the cranial base

• It's broken at the level of the trachea

This chest x-ray is

• normal

• abnormal, has an effusion

• abnormal, has a mass

• abnormal, has pneumothorax

How is this injury called?

• Galleazzi

• Torus

• Greenstick

• Monteggia

Answer explanation

There is a fracture of the ulnar midshaft and a dislocation of the proximal radius.

What can we see on this knee x-ray?

• Osteoblastoma

• Chondrosarcoma

• Osteochondroma

• Osteosarcoma

Answer explanation

We often image patients with Multiple Hereditary Exostosis, another name for osteochondroma. They can be: pedunculated, sessile, cauliflower. Chondrosarcomas and osteosarcomas are malignant so they appear more aggressive. A chondroblastoma tends to be lucent in appearance.

What pathology can you identify in this chest x-ray?

• pneumothorax

• situs inversus

• infection

• diaphragmatic hernia

Answer explanation

Diaphragmatic hernia is a rare condition that occurs when the diaphragm fails to close during prenatal development. This allows abdominal organs (stomach, intestines, and/or liver) to move into the chest.

There is a fracture of the distal tibia. Should we suspect an additional fracture? Is there an additional x-ray that should be done?

• No, it's a stable injury.

• Yes, a foot.

• Yes, a hip.

• Yes, a tib-fib.

Answer explanation

When there is a single fracture that disrupts the syndesmotic ligament, an additional fracture should be suspected. Like it happens with the forearm.

Maisonneuve fracture refers to a combination of an unstable ankle injury together with a fracture of the proximal fibula.

Name the structure

Name the structure

Answer explanation

Remember CRITOL! A fracture involving the medial epicondyle can change the anatomy of the elbow, and this structure can even position as the trochlea. So think about patients' age the respective ossification centres.