Pathological Fracture

Fracture of left clavicle on trivial trauma-

Lytic lesions in left scapula, left upper ribs and head of humerus are metastatic deposits.

She is a known case of Ca breast.

ASD

51 yrs female-

Small aortic knuckle( yellow) and large pulmonary conus(red)

Plain film (CXR) findings in ASD

can be normal in early stages +/- when the ASD is small
signs of increased pulmonary flow (shunt vascularity)
enlarged pulmonary vessels
upper zone vascular prominence
vessels visible to the periphery of the film
eventual signs of pulmonary arterial hypertension

chamber enlargement 
right atrium
right ventricle
note: left atrium is normal in size
note: aortic arch is small to normal

Ventral Lunate bone dislocation with fracture of proximal pole of scaphoid

Gastric Outlet obstruction

24 hrs film shows retained barium in dialated stomach s/o GOO
CT scan reveal metastatic deposit in wall of pyloric canal from Ca pancreas. Multiple serosal mets were seen.

Scaphoid waist fracture on Scaphoid View-

Os Subfibulare Vs Lateral malleolus Avulsion

A 20 yrs female with history of fall-

Os -Subfibulare

Os Subfibulare is just inferior and medial to the tip of lateral malleolus and round/oval well corticated.

while the Lateral malleolus avulsion fragments are inferior and lateral and are C shaped non-corticated.

Loose bodies in Baker's cyst mimic bone lesion on AP view so both views are must

Post Sleeve gastrectomy 

The lateral pointed appearance of the proximal portion of stomach may mimic leak due to its angular margins, however it is the residual part of non-resected fundus.

Diagnosed case of Swine flu( H1N1). Came with complains of breathlessness and fever-

Ankle joint

1) History of fall-

A c shaped fragment just inferior to the medial malleolus favours Deltoid avulsion. However there is no obvious widening of the lateral space between the talar dome and medial malleolus.

Enlarged Cardiac shadow on Chest X ray

Pericardial effusion and not cardiomegaly. It was drained by pig tail insertion via epigastric region.

what is cardiac tamponade?

Pericatheterogram Post Urethroplasty

Urethroplasty is performed using buccal mucosa for treating urethral stricture. A cathter is placed into the urethra postoperatively for few days.

In pericathterogram contrast is injected through this urethral catheter and any contrast leak is to be seen. Most of the times these leaks resolve on their own.

One such case of Post urethroplasty leak-