MSK Congenital Fong (Nail-patella)
thanatophoric dysplasia
Achondroplasia Chondroblastoma
Osteoblastoma Osteosarcoma
Pagets Iory ertebra Pict!re "rame #!gger $ersey Fishmo!th MPSs %-& &!rler %-S Schie ' (&!nter) (Sanllipo) * (Mor+!io)
,a!cher M!ltiple epiphyseal dysplasia Ma"!cci #eiters psoriatic ertebra plana Osteoporosis Osteopenia
.reor/s .reor/s
.!rner/s .!rner/s 0POP
Fibro!s dysplasia Ma1abra!d McC!ne-Albright Spondyloepiphyseal dysplasia Acro-osteolysis 2ISI ISI SNAC Carpal angle Kienboc3/s disease Freiberg/s $IA
Osteochondritis dissecans hypertrophic osteoarthropathy &POA high it a pachydermoperiostosis Sho!lder .horacic o!tlet
s!prascap comp A4 comp Adhesie caps!litis Median 0!"ord/s comple4 Spine t!mo!rs
M2P Osteosarcoma Osteosarcoma staging pelis m!scle insertion
5rlenmayer Claic!lar erosion
Klippel6Feil 0anana 7 #olando 0ennett #eerse Segond Pilon .riplane .riplane .illa!4 Ca8ey/s
MM OO CPP2 amyloidosis 5ngelman Sche!ermann
0oehler/s angle NF% #ice bodies 0ranchial ne!ritis .endonopathy Medial an3le
9ateral an3le
&ypoplastic nail: patella: radi!s: capitell!m .elephone receie "em!r; Cloerlea" s3!ll; =a"er thin ertebra; =ide costochondral ?!nction;
most common dysplasia; rhi1omelia (pro4 limbs shortened lytic; oedema HH; painD pea3 G'B; rareD 5piphyseal; B h!mer!s; "em!r; tibiaD Also anterior: mid calcane!m similar to osteoid osteomaD Pea3 'B-BD pain"!l scoliosis; larger than OO; limited response to aspirin; commonly in spine o"ten posterior col!mn; meta and distal diap o" long bones telangiectatic - ; corneal clo!ding; A!tosomal recessie Normal I>; c clo!d; sti8 ?oint lo= I>; no corneal clo!ding (&!nter can see; so no clo!d); @-lin3ed No coarse "eat!res; seere behaio!ral: ne!rological changes Normal I>; seere platyspondactyly 9ysosomal storage diseaseD Ash3ena1i $e=s; .ype % non-CNS; .ype ' CNS (death =ithin ' years); .ype J % H CNSD Anaemia; Osteopenia: necrosis; endosteal scalloping; 5rlenmeyer
gro=th arrest at %yo; small odontoid; thinning o" ribs and claicle; short *-th MC; horseshoe 3idney amorpho!s mass at !lna: ngerD s osteochondroma =ide-base; perpendic!lra to bone a4is; B-*Byo Mono most common; asymptomatic till 'B-ByoD #ib (b!bbly; "!si"orm); "em!r; tibia; "aceD Poly - -%Byo; legs; monomelicD ,,; =ell-circ!mscribed; no periosteal recation polyostotic bro!s dysplasia H so"t tiss!e my4oma (lo= .%;high .'; heter post,d) polyostotic bro!s dysplasia; precocio!s p!berty; ca" a! lait !nilateral irreg!lar epiphysis t!"t destr!ction =itho!t other abnormality scaphoid 7: S9 tear; S9 angle LB; C9 L'B; leads to S9 adanced collapse (S9AC) tri+!etrol!nate ligament tear; S9 angle GB; C9L'B non-!nion scaphoid collapse N %B-%/D 2o=ns L%; MPS:.!rners J Madel!ng - G%%B AN o" l!nate; lin3ed =ith -e !lnar ariance AN o" 'nd M. early periartic!lar osteopenia; e8!sion; thic3ened synoi!m; periostitis o" hands; antegonal mandib!lar notchingD Knee most common 9ate erosion; epiphyseal hyperplasia Most common lateral aspect o" medial "emoral condyle: talar dome; capitell!m; "ragmented artic!lar s!r"ace tramline on bone scan long bone osteitis (metaphyseal lamellar); arthritis; cl!bbingD 9in3ed to broncho ca: ple!ral broma symmetrical; solid periosteal ne= bone "ormation %/ &OA; adolescent; irreg!lar epiphyseal periosteal proli"erationD intrascaleno!s (ant:mid scalene H %st rib)Q costoclaic!lar (cla; %st rib; mid scalene)Q s!bcoracoid (cora; pec minor ;ribs) posterior labr!m tear; ganglion cyst or thic3ened s!perior transerse scap!lar ligament; compressionD (s!prascap motor mainly; sensory to CC and AC$ - i" com at s!prascap!lar "oramen - both in"ra and s!praspinat!s a8ect; i" at sinoglenoid then only in"ra) A4 best .eres minor H:- deltoid (sag best) - +!adrilateral space (.eres ma?:min; long head o" tricep; nec3 o" h!mer!s)D Sensory regiment badge small +!adrilateral space 9igament o" Str!thers (bony sp!r) posterior labral de"ect H thic3ened glenoh!meral ligament OO: osteoblastoma A0C ,C.
Osteochondroma 9C& (5,) Osteosarcoma 5=ings Myeloma
Cell!litis - %' phase increased !pta3e; Osteomyelitis:pagets in all phasesD Prosthesis loosening:in"ection - remains hot L%' monthsD Metabolic s!perscan hot s3!ll: mandible; costochondral rib beading; tie stern!m; more di8!sed .% GJcm; .'Lcm; . s3ip lesions; M%a l!ngs; M%b others ASIS - abdo; sartori!s; AIIS - #F; Marro= inltration (,a!chers; thal; SC2)Q dysplasia (bro!s; metaphyseal - Pyle/s; osteopetrosis; achondro; &!rler; do=ns)Q metabolic (ric3ets; lead; lo= phosphate; #A) distal S&I#. (scleroderma; hyperpara; in"ection; #A; tra!ma; progeria medial MI95#S (met; in"ection; lymphoma; 5,; #A; sacroma Absent o!ter H cleidodysplasia; ,orlin basal cell) hypoplastic scap!laH omoertebral bar Pagets (lateral side) Comm!nited base o" %st MC 7 Non-comm!nited PC9 H MC9 a!llsion H medial menisc!s tear Comm!nted 7 o" distal tibia; a4ial load Sag tib epi; a4 physis; cor tib diaD .eenage A!lsion (S& III) lateral tibial ephysis; less common in ad!lts as ligament r!pt!res rst in"antile cortical hyperostosis - mandible; !lna; claicle; ribs; scap!laD 9amellated periosteal reaction B lysis be"ore isible on PFD Sclerosing type lin3ed =ith PO5MS (polyne!ropathy; organomegaly; endocrinopathy; monoclonal and s3in changes) #FA - i" L%cm "rom d!ral:ne!ral str!ct!re (!ns!itable "or spine generally as pos elementQ B s!ccess rate rst attemptD similar pattern to OA b!t sometimes in R"!nny distrib!tionR; no erosion; =ith chondrocalcinosis; radio!lnar inolment; lin3ed =ith MM; mimic3 #A; presered ?oint space; e4cess =ell-dened s!bchondral cysts; no periartic!lar osteopenia Ne!rom!sc!lar dystrophy; enlarged "!si"orm diaphysis and cortical thic3ening o" long boneD thoracic 3yphosis; idiopathic; yo!ng man; L ad?acent ertebral =edging L/
normal 'B-*B; G'B indicates calcaneal 7 3yphoscoliosis; posterior ertebral scalloping; small posterior elements; enlarged e4it "oremina; rib notching (in"erior)Q m!ltiple NO-broma M# sho!lder - in s!bacromial b!rsa - brino!s depositsD #A:.0 parsonage-t!rnerQ hyperintense in"raspinat!s .ype % - "!si"orm thic3ening; II "ocal:di8!sed thinning; III complete tear Os naic!lare; II and III symptomaticD F29 in?!ry rare; r!ns !nder s!stentac!l!m tali F&9 - ballet dancers; comm!nicates =ith an3le ?oint in 'B P. - middle aged "emale; normally t=ice si1e to F29 on .S; attach to naic!la 2eep collateral (2eltoid) - A..9; P..9 deep S!percial - tibiocal; tibiona; PS..9; cal-na (spring) Collateral - A.F9 (M#I a4); P.F9 (a4); CF9 (cor) Perone!s breis - base o" th M.; prone to longit!dinal split; becomes c-shaped; leads to interposition o" PDlong!s P-long!s - lateral to P0; inserts to c!boidD
Fong/s horn (posterior iliac horns)
lethal; micromelia (all limbs shortend) 9eg bo=ing; C%:' instability; small FM (hydrocephal!s) early OA; b!llet shaped ertebra; hori1ontal sacr!m; champagne glass pelis; trident hands; oal "em!r s clear cell chondrosarcoma yo!nger; smaller; presence o" ad?acent bone oedema; inter .' signal as solid) lytic; rim o" reactie sclerosis; e4pansile; cortical e4pansion: destr!ctionD '/ A0C in 'B
posterior elements (pedicles); mar3ed oedema Spino!s process: ert body;
Any=hereD 9in3ed to hereditary m!ltiple e4ostosis: diaphyseal aclasis (polydactyly)D Cartilage cap thic3nessL%Bmm poss malignancy; L%mm J malignancy trans"ormation to chondrosarcoma Most in thoracic spine; ert body L posterior elementsD %st decade bone destr!ction H so"t tiss!e massD Mi4ed or sclerotic 9arge e4traosseo!s mass; bone preseredD o"ten spare pedicle
Flared iliac crest #enal dys"!nction
to do
menis!cs tear anatomy 3nee: an3le m!scle insertion laceration degree
Open-angle gla!coma
C&5S. 9AM 9C&
F; M; smo3ing; mid:!pper 1one nod!les: th
Castleman 9o"gren Fibrosis
0-cell lymphoma; large cal 9N ac!te sarcoid !pper radiaton; 5AA; an3 spond; sarcoi lo=er IP; scleroderma; bleomycin; a% harmorrhagic telangiectasia; AM l!ngD smo3er; a"ter bone marro= transplant ( peribronchial: s!bple!ral patchy consoli Central; rarely ca!se carcinoid syndrom o"ten bilateral; b!t !ni i" %/ l!ng caD lin3
Osler-=eber-rend! Obliteratie bronchiolitis COP Carcinoid 9ymphangitis Fleishner
CON,5NI.A9 Se+!estration 0ronchial atresia 9obar emphysema AM INF5C.ION Mycoplasma Klebsilla A0PA Angioinasie asp 5AA (&P) 9UeVer/s Ac!te eosinophilic pne!monia C5P Ch!rg Strass &istoplasmosis 9egionnaries A#2S .0 5@POS#5:A.OIMMN5 Asbestos #o!nd atelectasis PMF Post-transplant
none - Gyo; h4 ca; POD lo= ris3 GJ*mm nilQ *-mm %'mQ - high ris3 as lo= ris3 b!t stepped !pD Intralobar ; cystic lled =ith p!s:m 54trlobar '; o=n ple!ra; systemic dr &ypere4panded l!cent oligaeima l!ng s presents early; no m!s!s pl!g B &9; FLLM; central; m!ltipleD 2ete
most common-non bacterial in"ectionD O chronic 5.O&; b!lging ss!es Finger in gloe m!ltiple ,, nod!les (halo; haemorrhag ac!te - centrilob!lar nod!les mid 1onesQ Fleeting inltrate -Simple p!lmonary esi laage L' eosinophils; thic3ened bro reersed bat/s =ing (peripheral consolid 5A; p-ANCA random ,,: consolidation americanD polyarthralgia; erythema nod Ple!ral e8!sion; !nilateral inltrates; hy =edge L%mm&gD C@# N G'*hrsD ,, H %/ mediastinal 9NQ '/ ape4; caitation; L
S!bple!ral brosis; l!ng base Silicosis; bases; pse!dot!mo!r Pse!dot!mo!r; can be F2,-aid; periph %hr hyperac!te re?ection '* hrs reper"!sion oedema
#A:S95 9IP 2r!g-ind!ced brosis Fibrosing mediastinitis N5OP9ASM: NO295S 0AC Pancoast 0ronchogenic cyst NF% .S N&9 A%A 5mphysema Caplan .racheaQ Ca CI2 CA#2IOASC9A# indentation o" anterior oesophag!s coarctation pse!docoarctation A1ygo!s cont o" IC M# endocardial endocardial circ!m"erential midcardial
* days ac!te re?ecton; e8!sionQ ,, a"t '-=3s angioinasie asp (0ronch-arte '-m 9IPQ Lm CM - M!ltiple ,, chan ple!ral e8!sion most common (!nilater lin3ed =ith a!toimm!ne (S?orgrens) - , 9 - amiodarone (also dense lier); M.@ 9in3ed to methysergide: histoplasmosisD
peripheral; lo= density (m!cin); most c SCC thin =all; precarinal; !niloc!lated; may in"erior rib notching; ne!robroma (med renal AM9; 9W brosis; bilateral cysts (li posterior mediastinal 9N panlobar:panacinar emphysema; lo=er l Smo3ing related - W; centrilob!larD nod!lar presentation o" #A SCC most common; then adenoid cystic .ree-in-b!d; bronchiectasis: thic3ened b
my4oma My4oma
abberant le"t p!lmonary ad!lt - post-d!ctalD %- ribs not notched no press!re gradient: rib notching: cardi abscent hepatic IC; & drains directly in"arct amyloid patchy septal - &OCM: # oerload thin septal - I2CM: myocarditis lateral - sarcoid; myocarditis; AndersonAs aboe Arrhythmogenic right entric!lar cardio pos in constritie b!t not restrictie dis Stan"ord A (pro4) J20 %H' (%Jasc H de Stan"ord 0 (dis) J 20 B 9 (intraatrial sept!m; near "ossa o &ypo .% to myocardi!m; hetero (mi4ed
5psiein balloon si1e Fibrom!sc!lar dysplasia
cystic lesion =ith
AS2 PAPC
sec!nd!m B; prim!m (5ndocard P to # SC (most common); 9 SC; #A;
5picardial A#C septal bo!nce dissection
2-.,A 9-.,A .NM
:>
Complete transposition; egg-on-side Corrected (A discordance)D .'a J -cmQ .'b -Q . L; G'cm to N% ips hilar: peribronchial N' ips mediasintal: carina N contra media: hilar; s!pra; scalene M% beyond aboe; ple!ral: pericadial no &igh L% 9arge or %9 L %M; or L Inter % 9arge Inde G* M or % matched H N C 9o= Others
in-=alled cysts; then retic!lation:brosis; increased l!ng ol; rec!rrent pne!mot
; silicosis; .0; histoplasmosis .D #ight:le"t sh!nt; emboli %yr) - distal bronchial obliteration =ith air trapping ation; reerse halo (atoll); cra1y paing; H:- nod!lesD -Byo; ; F2, coldD d =ith adeno; breast; ,I; thyroid; ceri4D ol!me loss
-%'m; then %-'*mQ L ;;'*m H:- dC.; P. or b4
c!s:
"ten lo=er lobes (also isolated !pper lobe); nod!lar interstitial; non-caitation; '
) (H:- caitation); peribronchial consolidation; imm!nes!pressed chronic - brosis !pper 1one nophilia (lin3ted to ascariasis); reerse bat/s =ing; high blood eosinophil nchoasc!lar b!ndle; ple!ral e8!sion ation) os!mD 9N; popcorn H centrally calcied (target); m!ltiple calcied nod!les ponatraemia; no 9N bronchial dilatationD Chronic scarring in non-dependent lobes yo; small ple!ral e8"!sion
ery to hil!m; can caitate: calciedD 9in3ed to coal miner/s: silicosis (pne!mocon
r %m ial st!la); "!ngal: bacteria (li3ely .4 l!ng) es H consolidation l) O H thin-=all cysts ; nitro Asymptomatic; calcied # para. massD
mmonsolitary nod!le; thenn di8!sed consolidationD 9in3ed =ith smo3ing; MJFD ' omm!nicate =ith trachae l!men iastinal)Q meningocoele (cone4 side o" scoliosis ia ne!ral "oramen)Q 9W brosis e 9AM)Q MSK - bone cysts in hands; bone island in s3!ll obe; bronhiectasis: =all thic3ening; symptomatic (basal)
ca ronch!s; nod!lesD 9in3ed to N&9
as s!pplied by thyrocerical tr!n3 (pro4 to coractation)Q !s!ally in"erior posterio omegalyD 2istal to 9 s!bcla o #D # gonadal to # renal; eno!s ret!rn ia a1ygo!s: hemia1ygo!sD lin3ed to p
Fabry; Chagas yopathy -"attybrotic inltration o" #:sept!m:9; microane!rysms; # =all thi ase s) alis); o"ten ped!nc!lated; rarely sessileD Can obstr!ct mitral ale - large 9A; p tiss!e); SSFP hypo to blood; hyper to myo
small #; abn tric!spid -*
ial C!shion 2e"ect - *B do=n/s syndrome); sin!s enos!s (entrance o" SC) IC (in"racardiac - scimitar t!r3ish s=ord syndrome; lin3ed to hypogenic l!ng)
arina; chest =all; diaphragm; phrenic; ple!ra; pericardi!m; atelectasis:pne!mo
d!les: e8!sion; nod!la in contra lobe M #
oracesD Spares costophrenic recess; anterior #M9:ling!la
to do
months to resole; H:- ple!ral e8!sion
iosis)
nd most common caitation cancer in l!ngsD Maybe F2P coldD
W b!llae; P&.
r -th ribs notched lysplenia (le"t isomerisation - bilobar l!ngs; partial anomalo!s p!l en connecti
ing H dilatationD
l &.N
- al=ays lin3ed to PAPC
itis o" entire l!ng; nod!les in same lobeQ .* mediastinal; great essel; trachea:c
interention
n; le"t SC; sit!s ambig!ito!s; SA2; do!ble o!tlet #)
rina; rec lary nere; oeso; ertebra; separate nod!le in di8erent ips lobe
&N:N5#O &S .emporal lobes: limbic system - oedema
C&5S. 0rohchop!lm0arotra!ma "rom L'd entilationD B-d A#2S-li3e patchinessQ *-%
CS Moyamoya
.erminal ICA - p!8 o" smo3e on angio
,I &irshspr!ng inerted cone at transition; "!ll-term in"ant; G:' "rom birth
, PK2
#ecessie hyperechoeic enlargement; lost o" CM di8erentiationQ s
MSK SF5
posteroin"erior; B bilateral
Syndromes .risomy % .risomy % .risomy '%
AKA Pata! - death =ithin days o" birthD &oloprosencephaly (insepa AKA 5d=ard - death =ithin *dD Clenched hand =ith ': digit oerl Moyamoya; Al1heimers; AS2; p!lmonary hypoplasia; pig bronch!
d =hite-o!t =ith airbronQ %B-'Bd cystic changesQ L'Bd hyperin
erity inersely related to hepatic brosis
ate hemispheres); S2; Spina bida; dysmophic "aces; cle"t lips; polydactyly; o pD C&2; choroid ple4!s cysts; corp!s callos!m agenesis; stra=berry s3!ll ("ronta ; %% ribs; 22&; atlanto-a4ial s!b; le!3aemiaD
nges; "ocal emphysema
