How to read an X- ray : BY Take a look at the Hx and the Ex كل منها سيفصل على حده
الشروط 1 2 Should be from different angles متعامده In case of joint imaging it shoud show bone above (( 50% )) and bone below (( 50 % ))
Interpretation : A : adequacy : this image is not Adequate because it does not Show 2 joints It show tumor of the tibia
Determine it on the joint
Interpretation : No pt info A : adequacy : this image is not Adequate because it is not 2 view AND the joints are not fully visible A: Alignment : show medial displacement ( look at the distal part ) Apex راس المثلث : is medial Angle : measure it Vagus or Varus : it is valgus B : Bone show complete fracture
Interpretation : No pt, info A : adequacy : this image is not Adequate because it is not 2 view AND the joints are not fully visible A: Alignment : show lateral displacement ( look at the distal part ) Apex راس المثلث : is lateral Angle : measure it B : Bone show complete fracture
Interpretation : No pt, info A : adequacy : this image is not Adequate because it is not 2 view AND the joints are not fully visible B : Bone show complete fracture of the proximal femur ( metaphysis complete fracture ) A: Alignment : show medial displacement ( look at the distal part ) Apex راس المثلث : is lateral Angle : measure it
Interpretation : No pt, info A : adequacy : this image is not Adequate because it is not 2 view B : Bone show spiral fracture of the diaphesis of the humoros A: Alignment : show lateral displacement ( look at the distal part ) Apex راس المثلث : is medial Angle : measure it
Interpretation : No pt, info A : adequacy : Yes B : Bone show incomplete fracture of the radius diaphesis A: Alignment : show No displacement Apex راس المثلث : is Ulnar ( use this name only in the forearm ) Angle : measure it
Interpretation : No pt, info A : adequacy : this image is not Adequate because it is not 2 view Nor 2 joints shown B : Bone show cyst at the metaphysis and it show thinning of the cortex A: Alignment : Normal
Interpretation : No pt, info A : adequacy : No – here No 2 bones ( above and below the joint ) B : Bone show lost of cortex with hyperdense area and irregularity at the femure indicate necrosis A: Alignment : normal
Interpretation : No pt, info A : adequacy : this image is not Adequate because it is not 2 view Nor 2 bones shown B : Bone show no abnormalities A: Alignment : Normal C : cartilage : decrease joint space in the medial aspect – indicate arthritis
Interpretation : منب متاكد من هذي No pt, info A : adequacy : this image is not Adequate because it is not 2 view Nor 2 bones shown B : Bone show no abnormalities A: Alignment : Normal C : cartilage : decrease joint space in the lateral area – Fubula – (( ligament torn ))
Interpretation : No pt, info C : loss of joint space in the left hip
Show Fat pad sign – Fracture of the bone is not visable in the Xray If you see this sign you need to investigate more