Limbus Vertebra (L4) not to be mistaken as fracture in lumbar spine

Calcified splenic granulomas in a patient treated for abdominal Tb

Terminal ileal obstruction and  perforation.

A 45 yrs male vomitting and abdominal distension-

Air fluid levels ++
Many areas of pneumoperitoneum.


Ct scan revealed terminal ileal stricture

Chemical Pneumonitis

A young male in an suicidal attempt drank 4 litres of kerosene.

Kerosene Pneumonitis in bilateral lower zones. He was on positive pressure ventilation and developed pneumothorax as the lung is very friable due to kerosene induced damage.

Elbow joint- Watch out for the fat pads!!

1 )35 yrs male with history of trauma

Sail sign- Anterior displacement of anterior coronoid fossa fat pad due to joint effusion.
Posterior fat pad is displaced out from the olecranon fossa.

These features favour joint effusion. In adults the commonest site of intra-articular fracture producing these signs is the radial head. The subtle radial head fracture is also seen in above images.

In children its the supra-condylar fracture which produces these signs.


2) Radius neck fracture with fat pad sign-