Case Images

View Images / Launch Visage

Case Notes

History

Hip pain.

Exam

Frontal view of the pelvis and a single view of the left hip.

Prior Study

Dicom

Findings

You scored: 0 / 39

IMAGE QUALITY	Correct Answer	Your Answer
Portions of the patient’s anatomy are excluded from the field of view.	No	NA
There are external structures overlying the patient’s pelvis, such as a backboard.	No	NA
The image is rotated.	No	NA

VISUALIZED LUMBAR SPINE	Correct Answer	Your Answer
There are compression fractures.	No	NA
There are transverse process fractures.	No	NA
There is lumbar spine degeneration.	No	NA

SACRUM and SACROILIAC JOINTS	Correct Answer	Your Answer
There are displaced fractures or disrupted/asymmetric foraminal arcs.	No	NA
The sacroiliac joints are widened and asymmetric.	No	NA
There is malalignment at the inferior margin of the sacroiliac joints.	No	NA
There are radiographic findings of sacroiliac inflammation or degeneration.	No	NA

PUBIC SYMPHYSIS and RAMI	Correct Answer	Your Answer
The pubic symphysis is widened or vertically incongruent.	No	NA
There are radiographic findings of pubic symphysis inflammation or degeneration.	No	NA
There is a pubic ramus fracture.	No	NA
There are avulsion fractures at the ischial tuberosities.	No	NA

ILIAC BONES	Correct Answer	Your Answer
Iliac wing fractures are present.	No	NA
Posterior iliac bone fractures are present.	No	NA
Iliac crest avulsion fractures are present.	No	NA
Anterior superior iliac spine avulsion fractures are present.	No	NA
Anterior inferior iliac spine avulsion fractures are present.	No	NA
Ischial spine avulsion fractures are present.	No	NA

HIPS/PROXIMAL FEMURS	Correct Answer	Your Answer
Ilioischial lines are disrupted.	No	NA
Iliopubic (iliopectineal) lines are disrupted.	No	NA
Anterior walls of the acetabula are disrupted.	No	NA
Posterior walls of the acetabula are disrupted.	No	NA
Anterior walls of the acetabula are lateral to the posterior walls (“crossover sign”).	No	NA
Acetabular roofs are discontinuous.	No	NA
The teardrop distance is asymmetric.	No	NA
There are radiographic findings of hip osteoarthritis or inflammation.	No	NA
The cortices of the femoral heads are irregular.	No	NA
There is abnormal osseous density of the femoral heads.	No	NA
The center edge angle of the femoral heads is abnormal.	No	NA
There is osseous prominence at the lateral femoral head/neck junctions.	No	NA
There are fractures of the femoral neck, intertrochanteric region, or subtrochanteric region.	Yes	NA
The trabecular pattern of the proximal femurs is abnormal.	No	NA
There are avulsion fractures of the greater or lesser trochanters.	No	NA

MISCELLANEOUS	Correct Answer	Your Answer
The osseous mineralization is diffusely abnormal.	No	NA
Additional osseous lesions are identified.	No	NA

SOFT TISSUES	Correct Answer	Your Answer
There are radio-opaque foreign bodies, lacerations, or soft tissue swelling.	No	NA
There are other incidental soft tissue abnormalities such as atherosclerosis, urolithiasis, bowel abnormalities, or calcified fibroids.	No	NA

Impression

Expert Answer

Possible stress fracture along the compressive side of the left femoral neck.

Your Answer

Recommendations & Acuity

Recommendations

Expert Answer

MRI.

Your Answer

Acuity

Expert Answer

Priority: non-routine communication within 8 hours

Your Answer