Clues
Where is the left hilum?
Are both lung fields symmetrical?
What are the causes?
Clues
Which condition shows band like basal consolidation?
Is the areation of lung normal?
Patient has acute presentation
Clues
What extraneous device is present?
What could be the cause of wide mediastinum?
Patient has a CHD
Clues
What is the likely cause of large head?
What is the linear shadow observed?
How do you explain radiolucent bubbles?
Clues
What is the abnormality at left upper lobe ?
Is it a single entity or combination of more?
Patient has hemoptysis.
Clues
Which condition shows mixed bone lesions in multiple vertebrae
Did you notice that soft tissue element is missing?
Patient is elderly
Clues
Which condition/structure mimics band like basal radiolucency?
What is the likely procedure patient has undergone?
Patient is clinically very stable
Clues
This is a female patient with lower abdominal discomfort.
Did you see the location of uterus?
What is the nature of the structure behind the uterus?
Clues
Which condition causes this appearance in a vertebrae
Did you see any soft tissue element?
Patient is young, symptomatic
Clues
What is this examination?
What could be indication for this examination?
How do you describe this aapeance of mucosa?
Patient has a known disease
Clues
This is an incidental observation in an examination
Did you see this is a barium study for more than one?
Patient is young lives in an unhyegenic condition
Clues
Incidental observation
Did you see/look for any subtle bone changes?
Patient is young
Clues
Which condition shows boat shaped skull?
What do you look for in a bone window in a patient with abnormal head shape?
Patient is young
Clues
What is the structure not suppoed to be present?
Patient has intermittant headache
Occational cause of sudden death
Clues
In which cistern this abnormality is locateded?
Did you note that there is no mass effect?
Patient is asymptomatic
Clues
Very old man with missing tooth!!
Pre-anaesthtic radiograph?
Clues
Examination to exclude germinal matrix haemorrhage
Did you look for likely sites of bleed ?
Germinal matrix haemorrhages need not always be parenchymal
Clues
Neck pain and stiffnesss.
Did you see any soft tissue element?
Patient has low grade fever
Clues
This patient is very unstable
Did you see any abnormal gas pattern?
Patient is elderly
Clues
Do you see any soft tissue abnormalty in the exam?
Ultrasonography is very useful next step
Patient is young
Clues
Patient is operated for a congenital heart disease
Did you see any abnormal air distribution?
Did you any abnormal location of structures?
Not a very easy case
Clues
Look for asymmetry
Revisit normal antomy
Patient has swallowing difficulty
Clues
What surgery did the patient undergo?
Identify all hidden structures
Clues
What procedure did the patient undergo?
Identify all hidden structures
Pateint has a CHD
Clues
Benign or malignant?
Young patient preneting with walking difficulty
Clues
What is missing ?
Which part is missing?
Describe ventricular configuration
Clues
Hid you look for all hidden areas ?
Did you follow the rule of symmetry?
Missing one area, appears in the other !
Clues
What is abnormal bone or soft tissue?
Look at all bones - which one is abnormal?
Clues
Pattern recognition - what is the pattern seen?
What causes sharp cardiac border?
Acute clinical setting
Clues
What procedure did the patient undergo?
Identify the radiograpic view
Clues
What procedure did the patient undergo?
Identify all air containing structures
Need not be a clinical problem
Clues
What is the likely complaint patient has ?
Look for symmetry
Simple looking structures can be complex
Clues
What complication did the patient develop?
What is likely underlying cause?
Clues
What is symmertical in this study?
Identify all structures
Clues
What surgery did the patient undergo?
Identify the lesion for which surgery done
What do you expect in the bone?
Case 48 :