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: Ravi Ramakantan’s Pearls
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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Approach to Bone Lesions: Dr Ravi Ramakantan’s film reading session
These are notes from Dr Ravi Ramakantan's film reading session in which a malignant bone lesion was presented by the residents. Mental approach to a tumor and tumor-like conditions of the bone: 1. First of all, look whether skeleton is mature or immature by looking at fusion of epiphysis and also simultaneously correlate with age. …
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Basics of metabolic bone disease, rickets and osteomalacia
Metabolic disorders are the disorders of bone strength, usually caused by abnormalities of minerals (Ca, P) or vitamins resulting in changes in bone mass or structure. The most common ones for exam and practical purposes would be rickets, osteomalacia, scurvy, and osteoporosis, with the first two being discussed in the session. Some broad points first. …
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Cervical spine and craniovertebral junction radiography
These are some noted from Dr Ravi Ramakantan’s talk on cervical spine and craniovertebral junction radiography. 1. Many of these x-rays (as also CTs) are taken in an emergency situation with the patient having suffered trauma. It is the responsibility of the radiologist to ensure that the patient is correctly shifted from the stretcher for …
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