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