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Radiologic Pathology Correlation

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Bone fracture

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Discontinuity in bony cortex, abnormal angulation, soft tissue swelling.

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Abdominal aortic aneurysm

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Focal dilation of the abdominal aorta, possible calcification of the aneurysm wall, retroperitoneal hematoma in rupture.

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Chronic obstructive pulmonary disease (COPD)

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Hyperinflated lungs, flattened diaphragm, increased retrosternal airspace, bullae.

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Meningioma

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Extra-axial mass, dural tail sign, broad-based attachment to dura.

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Cerebral hemorrhage

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Hyperdense area on CT, surrounding edema, mass effect with possible midline shift.

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Hydrocephalus

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Ventricular enlargement, transependymal flow of CSF, 'sunset eyes' sign.

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Cervical spine injury

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Fracture or misalignment of cervical vertebrae, prevertebral soft tissue swelling, widening of interspinous space.

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Spondylolisthesis

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Anterior displacement of a vertebra, widening of the intervertebral disc space, possible neural foraminal narrowing.

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Lung cancer

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Solitary pulmonary nodule or mass with or without spiculation, hilar enlargement, mediastinal lymphadenopathy.

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Pulmonary embolism

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Westermark sign, Hampton's hump, Fleischner sign, may be normal.

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Pancreatitis

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Pancreatic enlargement, peripancreatic stranding, pancreatic calcifications.

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Aortic aneurysm

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Widened mediastinum, abnormal aortic contour, possible calcifications.

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Multiple myeloma

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Punched-out lytic lesions, diffuse osteopenia, pathological fractures.

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Hepatomegaly

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Enlarged liver silhouette on abdominal radiographs, displacement of adjacent organs.

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Appendicitis

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Appendix diameter > 6mm on ultrasound, periappendiceal fat stranding on CT, appendicolith.

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Gastroesophageal reflux disease (GERD)

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Esophageal thickening on CT, stricture, hiatal hernia.

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Pneumothorax

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Presence of air in the pleural space; seen as a line of increased lucency; lung margin is visible distinct from the chest wall.

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Tuberculosis

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Cavitary lesions, Ghon complexes, miliary pattern on chest radiograph.

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Renal calculi (Kidney stones)

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Radiopaque stones on X-ray or CT, hydronephrosis, ureteral dilation.

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Acute sinusitis

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Opacification of affected sinus, mucosal thickening, air-fluid level.

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Osteomyelitis

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Periosteal reaction, bone destruction, sequestrum and involucrum formation.

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Interstitial lung disease

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Reticular or nodular pattern, honeycombing, ground-glass opacities.

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Inflammatory bowel disease

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Bowel wall thickening, 'string sign' in Crohn's, 'lead pipe' appearance in ulcerative colitis.

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Osteoporosis

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Reduced bone density, vertebral compression fractures, cortical thinning.

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Small bowel obstruction

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Dilated loops of small bowel, air-fluid levels, stack of coins or string of pearls sign on X-ray.

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Pneumonia

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Consolidation, air bronchograms, increased opacity.

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Pleural effusion

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Blunting of costophrenic angle, meniscus sign, homogeneous opacity.

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Pulmonary edema

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Interstitial and alveolar infiltrates, Kerley B lines, Bat wing or butterfly pattern of opacities.

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Fibroadenoma

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Well-defined, round or oval breast mass, may be multiple, homogeneous density.

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Cholelithiasis (Gallstones)

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Echogenic foci with posterior acoustic shadowing on ultrasound, may have calcified gallstones on X-ray.

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Pulmonary nodules

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Rounded opacities, can be solitary or multiple, size varies, may have calcifications.

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Congestive heart failure (CHF)

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Cardiomegaly, interstitial edema, pleural effusion, Kerley B lines.

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Osteoarthritis

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Joint space narrowing, osteophytes, subchondral sclerosis, subchondral cysts.

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Breast cancer

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Mass with spiculated margins, microcalcifications, architectural distortion.

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Brain tumor (glioma)

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Mass effect, contrast enhancement, surrounding edema.

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