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G. CXR-BONES & SOFT TISSUE

G. CXR-BONES & SOFT TISSUE

1.Ribs

  • Normal variant: bifid rib.
  • Rib fractures in children < 2yrs: suspect NAI. Occurs in posterior ribs, close to the spine. A/W other fractures (skull, long bones, spine, sternum). In 50% of proven NAI, radiographs are normal.
  • Lesions: lytic (lucency in bone), sclerotic (opacity in bone). Invert contrast to spot lesions better.

2. Vertebrae

  • Fractures: compression, burst, change fractures.
  • Lesions: lytic, sclerotic.
  • Clavicle: fractures, distal erosion, sclerosis.

3. Soft tissue

  • Assymetric soft tissue, surgical clips (around lobectomy/pneumonectomy/axillary clearance, thyroidectomy), Poland syndrome.
  • Subcutaneous emphysema, lacerations.


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REFERENCES

1. Goodman, L. and Felson, B. (2015). Felson's principles of chest roentgenology. 3rd ed. Philadelphia, PA: Elsevier, Saunders.
2. Dähnert W. Radiology Review Manual. LWW. (2011) ISBN:1609139437. Read it at Google Books - Find it at Amazon
3. Elizabeth Puddy, Catherine Hill; Interpretation of the chest radiograph, Continuing Education in Anaesthesia Critical Care & Pain, Volume 7, Issue 3, 1 June 2007, Pages 71–75, https://doi.org/10.1093/bjaceaccp/mkm014

Ⓒ A. Manickam 2018

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