![]() |
||
![]() | ![]() |
![]() |
Skeleton Radiology Quiz Cases |
![]() | How many pathologies can you see and which is the most significant? | |
![]() | 63 year old caucasian man with recent pain and restricted movement of the right hip. He is a known case of Non-Hodgkin lymphoma and had been receiving a combination of high dose chemotherapy and steroids. | |
![]() | Young adult male, who was training as a boxer. | |
![]() | 18 year old male with a congenital condition. | |
![]() | 12 year old girl with some left knee discomfort. | |
![]() | Painless swelling of the knee in a young woman. | |
![]() | 62 year old man back pain and a raised plasma alkaline phosphatase. | |
![]() | One year old male with an inherited condition and tender swelling of hands and feet. | |
![]() | Mature adult female with pain in 'right hip'. | |
![]() | Pedestrian hit by moving vehicle. | |
![]() | 60 year old woman. Recently stopped smoking. Weight loss and cough, follow-up after treatment. | |
![]() | 8 year old with a 3 month history of pain in the right groin, worse on walking or climbing. | |
![]() | Adult male from India with a skin rash and patchy anaesthesia. | |
![]() | 50 year old woman with pain in the knee. | |
![]() | 11 year old boy with pain in right hip. | |
![]() | 14 year old girl with pain and swelling above the right knee. | |
![]() | 14 year old boy systemically unwell, being treated with cytotoxic therapy. There is no record of thymic enlargement, common in this condition. | |
![]() | Male aged 13 years. There is no recorded history of obesity or particularly active pursuits. | |
![]() | Girl with a congenital condition and a mass above her right knee. | |
![]() | 13 year old boy with pain his right knee. | |
![]() | Incidental finding in a 15 year old girl. | |
![]() | 14 year old boy with a generalised abnormality. | |
![]() | 17 year old Jamaican girl with inherited anaemia. | |
![]() | Young adult with pain in foot after a hike. | |
![]() | 42 year old male with an 8 month history of increasing back pain. Had been bed-ridden for the last 3 weeks. The serum calcium was markedly elevated. | |
![]() | 30 year old woman with pain in the right ankle after her aerobics class. | |
![]() | 60 year old woman with a history of backache and recent renal colic. Corneal calcification noted by an observant clinican. | |
![]() | Pain and deformity in the leg of an elderly man. | |
![]() | 35 year old West-Indian woman with an inherited condition. | |
![]() | 12 year old boy with pain and swelling of his right thigh. | |
![]() | 16 year old girl had a 6 month history of pain in the left leg, particularly when playing tennis. | |
![]() | Fall by boy aged 8, now pain in the leg. | |
![]() | 20 year old male, from the West Indies, with episodic bone pain. | |
![]() | 83 yr old female with increasing pain and deformity. | |
![]() | 3 year old child. | |
![]() | Boy aged 7 years with pain and swelling in his right leg. | |
![]() | 20 year old woman with sudden onset of pain in the right ankle, which prevented her from standing on that leg. | |
![]() | Mature adult male with bladder outlet obstruction and recent "aches and pains". | |
![]() | Eccentric old man with high stepping gait and painless swelling of his knee. | |
![]() | 68 year old female with ischaemia and ulcers of her fingers. | |
![]() | Warm painless swelling of leg in a wheelchair-bound child. | |
![]() | A man with a previous history of acute pain in the leg, after trauma. Now has slight foot drop. | |
![]() | 38 year old male with pain in back and paraplegia. | |
![]() | I year old child with blue sclera and limb deformities. | |
![]() | Young woman with hip pain. | |
![]() | 39 year old woman from the Middle-East with a history of bone pains. There was no history of renal colic. | |
![]() | 84 year old woman with pain in the right hip. | |
![]() | Mature adult female, on follow-up for a chronic condition. | |
![]() | Mature adult male with sudden onset of calf pain and swelling, after a long walk the previous day. (Two tests) | |
![]() | Mature adult with pain in the heel. | |
![]() | Adult male, whose finger was X-rayed after a laceration. We don't know his job, but assume it was as a tailor. | |
![]() | 13 year old male with pain in the knees. | |
![]() | Old woman with an abnormal gait. | |
![]() | 13 year old admitted to A&E, following a fall and injury to right ankle. Formerly from Africa. Known immune compromised patient. | |
![]() | 4 year old child with an abdominal mass. | |
![]() | Incidental finding in an adult male, trauma case. | |
![]() | 12 year old boy with a history of joint swelling in the fingers for the last 4 months. | |
![]() | 43 year old female with pain in leg after a fall. | |
![]() | 3 year old child with colicky abdominal pain and constipation. | |
![]() | Child with inherited condition. | |
![]() | Mature adult with recent onset of wrist pain. | |
![]() | History of pain in the right shoulder in 30 year old. | |
![]() | 52 year old male with anaemia. | |
![]() | Term infant, stillborn. | |
![]() | 60 year old man with left buttock pain, getting worse for the last 10 years. Now has abnormalblood test. | |
![]() | Female aged 5 years, X-rayed after a fall, apparently symptomless. | |
![]() | 30 year old female and a recent immigrant from the Sudan, admitted complaining of a 3 week history of pain and swelling in the right ankle. | |
![]() | 49 year old woman with pain in the chest after cholecystectomy, pleural effusion and increasing weight loss and ankle swelling. | |
![]() | 45 year old male, brought-up in the tropics, with a deformity of his thumb. | |
![]() | Adult male with small, square, pits in his nails. | |
![]() | 87 year old caucasian lady with a 2 week history of painful swelling of the right hand. This lay predominantly over the dorsum of the hand and middle metacarpo-phalangeal joint, extending into the right middle finger. | |
![]() | Elderly man with a cough and weight loss. | |
![]() | Middle aged insulin dependant diabetic with right ankle swelling and deformity. | |
![]() | Elderly male with stiff knees. | |
![]() | Large 45 year old woman with coarse features. | |
![]() | Incidental finding of an inherited condition. | |
![]() | Mature adult female with history of right ankle trauma 6 weeks earlier. | |
![]() | Adult with blue sclera and an inherited condition. | |
![]() | 80 year old woman with a lump in the breast and back pain. | |
![]() | 80 year old woman admitted with swelling of the left knee after a fall. | |
![]() | 70 year old man with frequency, post-micturition dribbling and some back pain. | |
![]() | 67 year old lady, from India, with a painful thumb. | |
![]() | 28 year old man with disorder since childhood. There is a history of bone pain, tenderness and deafness. | |
![]() | 2 year old girl with a family history of inherited disorder. | |
![]() | Elderly man with a chronic joint problem since childhood. | |
![]() | Leg pain improved by aspirin in a sixteen year old boy. | |
![]() | 16 year old girl with painful swollen right shoulder. | |
![]() | 23 year old male, a professional boxer, training hard. | |
![]() | 6 month old child with previous fever and limb swelling. There is no history or indication of trauma. | |
![]() | Recent immigrant from south India with a stiff back and bad teeth. | |
![]() | Small 4 year old girl with mental retardation. | |
![]() | History of progressive tender swelling of thumb in 81yr old caucasian female. | |
![]() | Female patient, aged 2 years unwell, failing to thrive. | |
![]() | 26 year old woman with pain in the left hip. | |
![]() | Mature adult female with history of renal colic. | |
![]() | Young adult after a fall. | |
![]() | Adult male with an inherited condition. | |
![]() | 29 year old female, from India, vegitarian. Back and hip pain, muscle weakness. | |
![]() | 19 year old female with pain and swelling of the left leg. | |
![]() | 15 year old West-Indian male with an inherited condition and episodes of bone pain. | |
![]() | Post-natal assessment. | |
![]() | 7 year old after a fall onto the right hand. | |
![]() | Thin adult male with steatorrhea, high stool fat excretion. | |
![]() | 30 year old man with a history of pain in the left middle finger, relieved by aspirin. | |
![]() | Very unwell child with fever. | |
![]() | 24 year old woman from Nigeria with back pain. | |
![]() | 19 year old male with a limp. | |
![]() | 62 year old woman, former smoker, with cough, finger clubbing and non-specific joint pains | |
![]() | Incidental finding in an immigrant now in the UK. | |
![]() | 40 year old female, originally from the West Indies, with episodic bone pain. | |
![]() | 54 year old man with pain in the left hip. | |
![]() | Female patient aged 50 years with backache and proteinuria. Recent pain in right humerus after a fall. | |
![]() | 9 year old boy with feet turned-in (varus deformity) and no pain. | |
![]() | 26 year old lady with bone pain, immigrant originally from India. | |
![]() | Adult female with recent trauma. | |
![]() | Adult male with difficulty passing urine and burning chest pain. | |
![]() | 15 year old girl with abnormal gait and a recent enema. | |
![]() | young teenager after a fall. | |
![]() | Female patient, 18 years old with discomfort in the left shoulder. | |
![]() | 35 year old male with wrist pain. | |
![]() | 38 year old woman with a history of Raynaud phenomenon, extreme vasoconstriction when cold, and some thickening of the soft tissue of the fingers. | |
![]() | 7 year old boy fell from bicycle. | |
![]() | 17 year old Jamaican girl with inherited anaemia. | |
![]() | 26 year old woman, trauma case. | |
![]() | Mature adult male with reduced mobility. | |
![]() | A 13 year old boy with anaemia. | |
![]() | 5 year old child from Lebanon with normal mental development. | |
![]() | Woman aged 50 years with swelling of the left hand. | |
![]() | 4 year old Jamaican girl being treated for pain in the right arm. | |
![]() | 19 year old male with pain in the knee. | |
![]() | Man aged 47yr with back pain and night sweats. | |
![]() | Two and a half year old asian child, failure to walk and thrive. | |
![]() | Adult female with bone pain, no other detail. | |
![]() | Trauma case, adult female, known heart abnormality. | |
![]() | 24 year old male with Trisomy 21, Mongolism. | |
![]() | 21 year old male post-trauma assessment. | |
![]() | 2 year old girl with an inherited condition. Anaemia, low white-cell count, low platelet count. | |
![]() | Adult male with pain in the left leg and no history of trauma. | |
![]() | Adult female with dissociated sensory loss and depressed upper limb reflexes. | |
![]() | 18 year old with knee symptoms. | |
![]() | 78 year old man with breathlessness and abnormal gait. | |
![]() | 25 year old man who has pain in both feet, after jumping from 10ft up onto a hard surface. | |
![]() | A 45 year old man with anaemia. | |
![]() | Incidental finding in an 80 year old woman. | |
![]() | Old woman with chronic pain in the right wrist, after a previous fall. | |
![]() | 56 year old woman with a long history of varicous veins in both legs. | |
![]() | 70 year old woman with known carcinoma of breast. | |
![]() | Adult male with long history of type I diabetes mellitus. | |
![]() | Follow up view after a previous fracture in a 16 year old male. | |
![]() | 31 year old man with pain in both hips and inability to walk, originally from India. | |
![]() | 46 year old Jewish Iraqi with an inherited condition. | |
![]() | Two views of the hand of a boy. | |
![]() | 33 year old woman, training and determined to run in the London Marathon, but with pain in her legs. | |
![]() | A 25 year old male recipient of a 'sliding tackle', while playing English football. | |
![]() | A young adult male with night fevers and lymphadenopathy. | |
![]() | 7 year old boy with pain in the knee. | |
![]() | Young adult, trauma case. Some dysaesthesia in fingers. | |
![]() | 9 year old boy with varus deformity of feet. | |
![]() | Non-specific 'aches and pains' and recent passage of a kidney stone. | |
![]() | 29 year old woman with previous mastectomy and recent injury. | |
![]() | 31 year old female, with a history of pain in the right arm. | |
![]() | 14 year old boy with pain in the left hip. | |
![]() | Gradual onset of pain and swelling in the left knee in a 30 year old man, originally from India. | |
![]() | Male in his late teens with a chronic condition and recent painful joints. | |
![]() | 22 year old female with pain in the left knee. | |
![]() | Adult female with stiff painful joints. No other detail. | |
![]() | 77 year old woman with hip pain. | |
![]() | 64 year old man with poor urine stream and back pain. | |
![]() | Mature female with background of deprived childhood, now has renal colic. | |
![]() | 3 year old child of recent immigrants from India, not walking properly. | |
![]() | X-rayed for trauma. | |
![]() | 50 year old woman with surgery for a hormonal disorder 5 years earlier. | |
![]() | Two and a half year old boy with an abdominal tumour. | |
![]() | Young adult female with pain in her right foot. No clinical detail, but gymastics and high-heels often get blamed. | |
![]() | 72 year old man with pain on walking. | |
![]() | 8 year old boy with some pain in the left hip for several months. He has minimal limitation of abduction and external rotation of the right hip. | |
![]() | Young male adult with anaemia, whose family came from Greece. | |
![]() | Adult female with nausia and recent renal colic. | |
![]() | Mature adult male with pain in the left knee. | |
![]() | 10 year old boy for assessment of an inherited condition. | |
![]() | Young patient, no detail. | |
![]() | 50 year old male with pain in the right hip, on movement. | |
![]() | Female aged 49 years, sudden onset of pain in the left elbow, after a fall. | |
![]() | 4 year old boy, complaining of pain in the left hip. | |
![]() | Young adult woman with tender swelling of her elbow. | |
![]() | Female aged 1.5 years, delayed walking. | |
![]() | 40 year old, painful shoulder with axillary swelling. | |
![]() | Adult female after a fall onto her hand. | |
![]() | Short lady for obstetric assessment in the 'bad old days'. No detail. | |
![]() | 24 year old male from the West Indies with a skin ulcer behind his left ankle. | |
![]() | 39 year old female with an inherited anaemia, during the most recent of many hospital admissions. | |
![]() | Follow-up in a patient with hand pain. | |
![]() | Mature adult male, having immature red-cells in his blood. | |
![]() | 67 year old man with a history of a direct blow to the shoulder 5 years earlier. | |
![]() | Routine chest in a 27 year old male with long standing abnormality. | |
![]() | Swelling and discomfort in the left ankle in an adult male from India. | |
![]() | 6 year old girl with leg deformity. | |
![]() | Mature adult female, no oither clinical detail. | |
![]() | Abnormal gait. No pain, historical case. | |
![]() | Middle aged male with sudden onset of inability to stand from pain in the left hip. | |
![]() | Mature adult male, trauma case. | |
![]() | Woman with a 10 year history of poor peripheral circulation and hands blanching with the cold. | |
![]() | 9 year old girl from the West-Indies with a history of muscle disease, treated with steroids, and a recent 3 month history of lumps on her right leg. | |
![]() | Middle-aged woman with a plaque-like skin condition. | |
![]() | 5 year old west-indian girl with pain in the arm. | |
![]() | 83 year old man with pain in his left hip. | |
![]() | Adult jamaican female with systemic condition and recent onset of a painful middle finger. | |
![]() | Girl with acute onset of pain in left hip. | |
![]() | Mature adult male with painful hands. | |
![]() | Girl of 7 years with a limp. | |
![]() | Mature adult female with previous treatment, including surgery, on follow-up. | |
![]() | Adult male with anaemia. | |
![]() | Young adult female arrived with swelling of her hand. She came from a community, who were originally from the Indian sub-continent. | |
![]() | 18 year old male with left hand deformity. | |
![]() | 30 year old woman, incidental finding. | |
![]() | Incidental finding in a 15 year old boy, trauma case. | |
![]() | Teenager with houlder pain. | |
![]() | Mature adult female with pain in the left hip and recent steroid treatment. | |
![]() | 27 year old male with pain and swelling of the left knee after falling and hitting his knee. | |
![]() | 5 year old boy with with swelling of the right thigh. | |
![]() | A Middle-aged woman with chest discomfort and previous treatment for Ca Breast. | |
![]() | 8 year old girl with a cerebellar tumour. | |
![]() | Adult male with chronic shoulder problem. | |
![]() | 68 year old woman with ulcerating nodules on her left ring and little fingers and a long history of 'poor circulation'. She has a positive test for centromere antibody | |
![]() | Recent fall with wrist injury. | |
![]() | 35 year old male with an inherited condition. | |
![]() | 38 year old woman from the West Indies with an inherited condition and episodic bouts of bone pain. | |
![]() | Jewish woman with a limp and an inherited condition. | |
![]() | Male 23 years old, with a history of increasing pain in the left shoulder, relieved by aspirin. | |
![]() | 18 month old child, failure to thrive. | |
![]() | Teenage girl with pain in the leg. | |
![]() | 60 year old woman who previously had had an anterior resection for carcinoma of the rectum and subsequently developed pain in the right knee. | |
![]() | Adult male with painful swellings in his hands. | |
![]() | Adult female, pedestrian, follow-up after a road accident. | |
IDM July 2007