Radiology 1st Unit
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Transcript of Radiology 1st Unit
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 1/44
Radiology Unit 1
Shoulder, Elbow, Wrist, Hand,Spine
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 2/44
AP View of the Shoulder Girdle
1. Clavicle
2. Acromioclavicular
joint
3. Acromion
4. Greater tubercle of
humerus5. Head of humerus
6. Lesser tubercle of
humerus
7. Surgical neck of
humerus
8. Coracoid process9. Glenoid fossa
10. Shoulder joint
11. Lateral border of
scapula
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 3/44
AP Shoulder²External Rotation View
8/3/2019 Radiology 1st Unit
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AP Shoulder²External Rotation
View
Source: http://uwmsk.org/Rad Anat/ExtRotLabelled.html
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 5/44
AP Shoulder²Internal Rotation
View(compare this to the ER View)
8/3/2019 Radiology 1st Unit
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AP Shoulder²Internal Rotation View(compare this to the ER View)
Source: http://uwmsk.org/Rad Anat/IntRotLabelled.html
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 7/44
AP SHOULDER View ER
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 8/44
AP View SHOULDER IR
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 9/44
Y View
SHOULDER
The x-ray beam is
aligned with theplane of the scapula
Note the ³Y´ created
by the spine of the
scapula, coracoidprocess and body of
the scapula
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 10/44
AXILLAR Y SHOULDER VIEW
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 11/44
Axillary Shoulder View
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 12/44
Axillary Shoulder View
Source: http://uwmsk.org/Rad Anat/ AxillaryLabelled.html
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 13/44
Acromioclavicular joints
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 14/44
Sternoclavicular Joints
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 15/44
MRI SHOULDER
HINTS:
T1 contrasting gives better anatomical detail (highresolution) while T2 shows a better distinction betweensolid and cystic structures
Water appears bright on a T2 weighted image and darkon a T1 weighted image
Fat appears dark in a T2 weighted image and bright in a
T1 weighted image
Muscle appears gray
8/3/2019 Radiology 1st Unit
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CORONAL Shoulder MRI T1
Acromion
Supraspinatus
Glenoid
Trapezius
Teres Major
Latissimus Dorsi
Deltoid
Subscapularis
8/3/2019 Radiology 1st Unit
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SAGITTAL SECTION Shoulder MRI T1
Acromion
SupraspinatusM
&T
Infraspinatus M & T
Teres Minor M & T
Deltoid
Subscapularis M & T
Deltoid
8/3/2019 Radiology 1st Unit
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AXIAL Shoulder T2 MRI w/ Arthrogram
Identify the following:
Deltoid Muscle
Coracoid process
Glenoid fossa
Spine of scapula
Subscapularis
Arthrogram: injection of radiologically opaque dye into the joint (the joint is bright white in this MRI)
long head of
biceps tendon
Clavicle
Glenoid labrum
ANTERIOR
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 19/44
R ADIOLOGY OF THE ELBOW
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 20/44
A/P View ELBOW
Source: http://uwmsk.org/Rad Anat/Elbow.html
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 21/44
Lateral View Elbow
Source: http://uwmsk.org/Rad Anat/Elbow.html
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 22/44
AP VIEW LATERAL VIEW
Identify the following:
1. humerus
2. medial epicondyle ( AP view)
3. lateral epicondyle ( AP view)
4. head of radius5. capitulum
6. coronoid process
7. trochlea / trochlear notch
8. olecranon (lateral view)
9. radial tuberosity
10. distal radius / styloid process11. head of ulna / styloid process
FOREARM
8/3/2019 Radiology 1st Unit
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THE FORE ARM (Lateral View)
Source: http://uwmsk.org/Rad Anat/Elbow.html
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 24/44
THE FORE ARM ( AP View)
Source: http://uwmsk.org/Rad Anat/Elbow.html
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 25/44
RADIOLOG Y OF THE WRIST &
HAND
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 26/44
PA HAND
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 27/44
PA OBLIQUE
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 28/44
Lateral View of the Wrist
Source: http://uwmsk.org/Rad Anat/Elbow.html
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 29/44
SCAPHOID VIEW (the wrist is positioned in ulnar deviation)
Identify all the
carpal bones
8/3/2019 Radiology 1st Unit
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5th Metacarpal
Hamate
Triquetrium
Lunate
Ulna:
Radius
Scaphoid
Trapezium
Trapezoid
1st Metacarpal
Capitate
CORONAL WRIST MRI T2
8/3/2019 Radiology 1st Unit
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CORONAL WRIST MRI T2
Identify the following:
1. ulna
2. radius
3. scaphoid
4. lunate
5. triquetrum
6. trapezium
7. trapezoid
8. capitate
9. hamate
8/3/2019 Radiology 1st Unit
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CORONAL SECTION (SUPERFICIAL TO PREVIOUS IMAGE)
Identify the following:
1. head of ulna
2. distal radius
3. scaphoid4. lunate
5. triquetrum
6. trapezium
7. trapezoid
8. capitate
9. hamate10. base of first metacarpal bone
8/3/2019 Radiology 1st Unit
http://slidepdf.com/reader/full/radiology-1st-unit 33/44
CORONAL WRIST MRI T2
8/3/2019 Radiology 1st Unit
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CORONAL WRIST MRI T2 (more superficial than the previous image)
Lunate
Pisiform
Scaphoid
Trapezium
Capitate
Hamulus of the
Hamate
8/3/2019 Radiology 1st Unit
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RADIOLOG Y OF THE SPINE
8/3/2019 Radiology 1st Unit
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PA VIEW LUMBOSACRAL
8/3/2019 Radiology 1st Unit
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AP View: Lumbar Spine
8/3/2019 Radiology 1st Unit
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LATERAL VIEW LUMBAR
8/3/2019 Radiology 1st Unit
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Sacral hiatus
8/3/2019 Radiology 1st Unit
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CT AXIAL VIEW: LUMBAR SPINE
8/3/2019 Radiology 1st Unit
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MRI LUMBAR T1 WEIGHTED ,T2
WEIGHTED SAGITTAL VIEW
T2 WEIGHTEDT1 WEIGHTED
8/3/2019 Radiology 1st Unit
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MRI SAGITTAL, T1, T2 THORACO-LUMBAR
8/3/2019 Radiology 1st Unit
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CT AXIAL THORACIC
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EXAMPLES OF CT SCAN AXIAL IMAGES T12- SACRUM
T12
S1