Dr Ravi Ramakantan took a fantastic film reading session with some classic radiographs on display for description and learning. We lay down the descriptions for everyone to learn from. Case 1: These are frontal and lateral radiographs of the upper humerus and shoulder of an immature skeleton. (How do we tell which is lateral view …
Category: Learning with Cases
The Cervicothoracic sign: Dr Ravi Ramakantan’s film reading session
This is a frontal chest radiograph (do not state AP or PA in exams nor talk about well-centralized or rotated unless you are prepared for the viva to go there!). There is a well-defined homogeneous 5x3 cm vertically oval soft tissue lesion (in practice, prefer stating ‘lesion’ or ‘shadow’ over ‘mass’, especially for benign findings, …
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ICU Chest X-ray: Dr Ravi Ramakantan’s film reading session
History: Patient with cervical carcinoma admitted in the ICU with urosepsis. DESCRIPTION: This is a frontal chest radiograph. (As a routine, prefer to say frontal rather than AP or PA as then the discussion could go tangentially!.. In this case of course this is a supine AP film as it is an ICU patient). The …
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Description of a bone lesion (osteogenic sarcoma)
More details about approach to analyzing and describing a bone lesion can be seen in our blog on this topic based on Dr Ravi Ramakantan's film reading session. These are frontal and lateral radiographs of the lower 2/3 of the right femur and the knee joint of a mature skeleton. There is an expansile mass …
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Abdominal aortic aneurysms sample template for reporting
Sample template for reporting an aortic aneurysm: (Please note this is just a suggested template and any report you write has to be individualized depending on the patient’s history and findings). The template is also available on our blog on abdominal aortic aneurysms. EXAMINATION: CTA of the thoraco-abdominal aorta CLINICAL INDICATION: … TECHNIQUE: Dedicated CT angiography of …
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‘Routine’ spine X-ray formats
The same are also available on our blog on essentials of spinal x-rays. Click here to view the blog. 1. Report format for frontal and lateral radiographs of the lumbar spine Findings/impression: There are five non-rib bearing lumbar type vertebrae. There is no fracture or destructive osseous lesion. Straightening of lumbar spine. Alignment is maintained. Mild to …
MSK Basics: I see its broken..can you tell me more?
Based on the talk by Dr Aditya Daftary and Dr Malini Lawande, here is a checklist to comprehensively describe a fracture. Checklist to describe fractures: Site: Epiphysis, metaphysis, diaphysis Proximal/mid/distal shaft Orientation: Transverse/oblique/vertical (avoid “comminuted” unless it is truly completely fragmented) Angulation Apex medial/lateral/anterior/posterior Varus/valgus Displacement of distal fragment and extent Minimal/How many shaft width …
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Cafe Roentgen 