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  • AP, lateral, OM, OM 30 degrees.

A. Alignment

B. Bones

  • Fracture: linear, asymmetrical, no well-defined sclerotic margins.
  • Suture line: anatomical position, branching/zig-zag, well-defined sclerotic margins.

S. Soft tissue

  • Notes soft tissue swelling, which could indicate haematoma. This in turn highlights the ROI to look for occult fractures.


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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