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Radiologic Pathology Correlation
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Bone fracture
Discontinuity in bony cortex, abnormal angulation, soft tissue swelling.
Abdominal aortic aneurysm
Focal dilation of the abdominal aorta, possible calcification of the aneurysm wall, retroperitoneal hematoma in rupture.
Chronic obstructive pulmonary disease (COPD)
Hyperinflated lungs, flattened diaphragm, increased retrosternal airspace, bullae.
Meningioma
Extra-axial mass, dural tail sign, broad-based attachment to dura.
Cerebral hemorrhage
Hyperdense area on CT, surrounding edema, mass effect with possible midline shift.
Hydrocephalus
Ventricular enlargement, transependymal flow of CSF, 'sunset eyes' sign.
Cervical spine injury
Fracture or misalignment of cervical vertebrae, prevertebral soft tissue swelling, widening of interspinous space.
Spondylolisthesis
Anterior displacement of a vertebra, widening of the intervertebral disc space, possible neural foraminal narrowing.
Lung cancer
Solitary pulmonary nodule or mass with or without spiculation, hilar enlargement, mediastinal lymphadenopathy.
Pulmonary embolism
Westermark sign, Hampton's hump, Fleischner sign, may be normal.
Pancreatitis
Pancreatic enlargement, peripancreatic stranding, pancreatic calcifications.
Aortic aneurysm
Widened mediastinum, abnormal aortic contour, possible calcifications.
Multiple myeloma
Punched-out lytic lesions, diffuse osteopenia, pathological fractures.
Hepatomegaly
Enlarged liver silhouette on abdominal radiographs, displacement of adjacent organs.
Appendicitis
Appendix diameter > 6mm on ultrasound, periappendiceal fat stranding on CT, appendicolith.
Gastroesophageal reflux disease (GERD)
Esophageal thickening on CT, stricture, hiatal hernia.
Pneumothorax
Presence of air in the pleural space; seen as a line of increased lucency; lung margin is visible distinct from the chest wall.
Tuberculosis
Cavitary lesions, Ghon complexes, miliary pattern on chest radiograph.
Renal calculi (Kidney stones)
Radiopaque stones on X-ray or CT, hydronephrosis, ureteral dilation.
Acute sinusitis
Opacification of affected sinus, mucosal thickening, air-fluid level.
Osteomyelitis
Periosteal reaction, bone destruction, sequestrum and involucrum formation.
Interstitial lung disease
Reticular or nodular pattern, honeycombing, ground-glass opacities.
Inflammatory bowel disease
Bowel wall thickening, 'string sign' in Crohn's, 'lead pipe' appearance in ulcerative colitis.
Osteoporosis
Reduced bone density, vertebral compression fractures, cortical thinning.
Small bowel obstruction
Dilated loops of small bowel, air-fluid levels, stack of coins or string of pearls sign on X-ray.
Pneumonia
Consolidation, air bronchograms, increased opacity.
Pleural effusion
Blunting of costophrenic angle, meniscus sign, homogeneous opacity.
Pulmonary edema
Interstitial and alveolar infiltrates, Kerley B lines, Bat wing or butterfly pattern of opacities.
Fibroadenoma
Well-defined, round or oval breast mass, may be multiple, homogeneous density.
Cholelithiasis (Gallstones)
Echogenic foci with posterior acoustic shadowing on ultrasound, may have calcified gallstones on X-ray.
Pulmonary nodules
Rounded opacities, can be solitary or multiple, size varies, may have calcifications.
Congestive heart failure (CHF)
Cardiomegaly, interstitial edema, pleural effusion, Kerley B lines.
Osteoarthritis
Joint space narrowing, osteophytes, subchondral sclerosis, subchondral cysts.
Breast cancer
Mass with spiculated margins, microcalcifications, architectural distortion.
Brain tumor (glioma)
Mass effect, contrast enhancement, surrounding edema.
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