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Bilateral Facet Dislocation at C7-T1
A 70-year-old female fell off her bed while changing a light bulb and complains of left shoulder pain. What is the diagnosis? • Xray of the Week Figure 1. Non-contrast CT of the cervical spine. What is the diagnosis? Figure 2. Non-contrast CT of the cervical spine (sagittal reconstructions): Bilateral facet dislocation at C7-T1 with anterior subluxation of C7 on T1. The inferior facets of C7 are locked anterior to the superior facets of T1 (yellow and green arrows), with ante


Bilateral HeRO Grafts
52 year old Male on dialysis. What are the devices? • Xray of the Week Figure 2: Frontal chest radiograph in a dialysis patient . What are the devices? Figure 2: Frontal chest radiograph in a dialysis patient with bilateral HeRO grafts. The green arrow indicates the proximal aspect of the right-sided nitinol-reinforced venous component entering the central circulation via the internal jugular vein. The red arrow highlights the left-sided system entering via the subclavian v


Brachydactyly Type A3
50-year-old female presenting with short 5th finger . What is the diagnosis? • Xray of the Week Figure 1. Frontal bilateral hand X-ray. What is the diagnosis? Figure 2. Frontal bilateral hand X-ray: Severe shortening of the middle phalanx of the fifth digit (red arrows). The phalanx measures less than 50% of the length of the adjacent fourth middle phalanx, satisfying the Hertzog criteria for Brachydactyly Type A3. A mild radial clinodactyly is present, secondary to the wedg


Fracture of the Right Cervical Rib
Cervical ribs are supernumerary ribs arising from C7 and are more frequent than commonly appreciated on CT, where they may be overlooked without deliberate scrutiny of the thoracic inlet. Recognition matters because their morphology, length, and articulation vary and can predispose to local compressive phenomena.


Hyphema with Vitreous Hemorrhage
Hyphema refers to hemorrhage into the anterior chamber of the eye, most often secondary to blunt or penetrating trauma. On non-contrast orbital CT, hyphema appears as a hyperdense collection filling or layering in the anterior chamber, anterior to the lens.


Scimitar Syndrome on Chest X-Ray
Scimitar Syndrome is a rare congenital condition characterized by partial anomalous pulmonary venous return (PAPVR), where pulmonary veins from the right lung drain into systemic veins—most commonly the inferior vena cava—creating a curvilinear “scimitar” appearance on chest radiographs.


Lateral Subtalar Joint Dislocation
26 M jumped to catch a baseball and landed while rotating to the right. Diagnosis? • Xray of the Week


Percutaneous Cholecystostomy in Pregnancy
Right upper quadrant pain in unstable patient. What procedure is indicated? • Xray of the Week Figure 1. What action should be taken for this patient with right upper quadrant pain who is also hemodynamically unstable? Figure 2. A. MRI of abdomen. The patient is pregnant (orange arrows), therefore ionizing radiation with CT scan or fluoroscopy can not be used for imaging guidance. Gallbladder with wall thickening (green arrow) and adjacent fluid (yellow arrow) indicate acute


Lisfranc Fracture Dislocation
34 M. Trauma due to falling off a roof . Diagnosis? • Xray of the Week Figure 1. Trauma due to falling off a roof . Diagnosis? Figure 2. Type B2 Lisfranc injury. (A) AP radiograph demonstrates the circled “fleck sign” or Lisfranc ligament avulsion fracture fragment. (B) Arrow demonstrates the increase in distance between the first and second metatarsals. The red lines show the misalignment or lateral displacement of the 2nd metatarsal bone over the second cuneiform bone and


Acute Infective Vasitis
36 M with RLQ pain, R inguinal swelling and fever. What is the diagnosis? • Xray of the Week Figure 1. CT scan of the pelvis on 36 year...





















