Info Images Findings Impression Reco/Acuity Case Images View Images / Launch Visage Case Notes History 4 year old male with ALL and a limp and left leg pain. Exam AP and lateral left lower extremity. Prior Study none Dicom View Reference Material
Section 1 Submit Findings Case389 Findings Technique: The exam is over or under penetrated. Yes No The exam is limited by overlying structures or soft tissues, body habitus, patient positioning, support devices, or motion. Yes No The area of concern is indicated by the patient, technologist, or care provider. Yes No The area of concern is included on the exam. Yes No Soft Tissues: There is soft tissue swelling, indistinctness of fat/muscle planes, gas, or laceration in the area of clinical concern. Yes No There is an effusion, fat pad displacement, or fat fluid level. Yes No There is a radiodense or lucent foreign body. Yes No There are other densities, calcifications, post-surgical changes, or support devices in the soft tissues. Yes No Bone: There is a break or interruption of the continuity of the cortical or cancellous bone with or without displacement of a fracture fragment which could be from a greenstick or toddler’s fracture, or other fracture. Yes No There is abnormal angulation or bulging of the cortical surface relative to the normal cortex which could be from a buckle or torus fracture. Yes No There is linear or irregular lucency, or increased density, cortical depression, flattening, or collapse, with or without cortical disruption or thickening, which may be from a compression or impaction fracture, stress or insufficiency fracture, osteonecrosis (e.g. Legg-Calve-Perthes), other fracture, or from growth recovery lines. Yes No There is disruption of commonly recognized anatomical lines (e.g. iliopectineal, radiocapitellar, anterior humeral) or structures (e.g. sacral foraminal or arcuate lines). Yes No There is a displaced fragment which may be from avulsion by a tendon, ligament, or joint capsule or from a comminuted or other fracture. Yes No There is periosteal or endosteal reaction which could indicate a healing or subacute fracture, infection/inflammation, or other abnormality. Yes No There is a corner fracture or metaphyseal lesion that could be from nonaccidental trauma. Yes No The stress trabeculae or other trabeculae of the cancellous bone are interrupted or otherwise abnormal. Yes No There is metaphyseal abnormality (lucencies, increased density, erosion) which may be from something other than injury such as stress, metabolic disease (e.g. rickets), neoplasm (e.g. leukemia), heavy metals, inflammation, or infection. Yes No There is/are focal or multifocal lytic/lucent, blastic/sclerotic or mixed density lesion(s) or other abnormality. Yes No Overall bone density is increased or decreased with or without thinning or thickening of the cortical or cancellous bone. Yes No Growth plates, ossification centers, apophyses: The growth plate(s) is/are abnormal. Yes No There is widening of the physis from a fracture with or without displacement of the epiphysis (Salter-Harris I). Yes No N/A There is a fracture through the physis which then extends into the metaphysis with or without angulation or displacement (S-H II). Yes No N/A There is a fracture through the physis which then extends into the epiphysis and is intra-articular, with or without angulation or displacement (S-H III). Yes No N/A There is a fracture through the metaphysis, physis, and epiphysis which extends into the joint space with or without angulation or displacement (S-H IV). Yes No N/A There is narrowing of the physis from a compression fracture (S-H V). Yes No N/A The apophysis, epicondyle, secondary ossification center, or accessory ossicle is displaced or otherwise abnormal (e.g. avulsed ASIS, medial epicondyle of the humerus, etc). Yes No Joints and alignment: There is an effusion, fat pad displacement, or fat fluid level. Yes No The epiphysis or subchondral bone is fractured, interrupted, flattened, compressed, impacted, displaced, or otherwise abnormal. Yes No There is an intra-articular loose body or chondrocalcinosis. Yes No The joint is widened, narrowed, dislocated, malaligned, or incongruent. Yes No There is pseudoarthrosis. Yes No Other findings: There are developmental changes or other anatomic variants or other existing conditions that may or may not be contributing to symptoms which can or should be further evaluated non-emergently or are otherwise incidental. Yes No The remainder of the exam is abnormal for age. Yes No