Report Guide ? History Elbow pain after fall. Evaluate for elbow fracture. Fall on outstretched hand. Exam Frontal and lateral radiographs of the elbow. Prior Study N/A Findings ? Image Quality The lateral radiograph is obliquely imaged. [Yes/No] Soft Tissues A joint effusion is present. [Yes/No] There is soft tissue edema/fullness overlying the olecranon process, overlying the lateral or medial epicondyles, or elsewhere about the elbow. [Yes/No] There is soft tissue laceration or radiopaque foreign body. [Yes/No] Alignment The anterior humeral line courses anterior or posterior to the middle third of the capitellar ossification center. [Yes/No] A line drawn down the center of the radius does not pass through the center of the capitellum on all imaging planes. [Yes/No] Ulnohumeral alignment is abnormal. [Yes/No] Osseous The sequence of apophyseal ossification about the elbow is abnormal. [Yes/No] The secondary ossification centers are abnormal in size, shape, or position. [Yes/No] The physes are widened or irregular. [Yes/No] The proximal radius is fractured. [Yes/No] The coronoid process is fractured. [Yes/No] The olecranon process is fractured. [Yes/No] The medial or lateral humeral condyles are fractured. [Yes/No] Based on the mechanism of visualized injuries, there are additional subtle abnormalities. [Yes/No] A marrow replacing osseous lesion is present. [Yes/No] Impression Acute Traumatic Pediatric Elbow Pain Elbow fracture/malalignment.