Fundamentals of Skeletal Radiology

“Don’t Touch” Lesions

Skeletal “don’t touch” lesions are those processes that are so radiographically characteristic that a biopsy or additional diagnostic tests are unnecessary. Not only does the biopsy result in unnecessary morbidity and cost, but in some instances a biopsy also can…

Malignant Tumors

Radiology residents have difficulty dealing with malignant bone tumors, and the difficulty gets worse in the years after residency. This is simply because malignant bone tumors, thankfully, are not very common. Nevertheless, every radiologist will encounter one or two a…

Benign Lytic Lesions

A benign, bubbly lytic lesion of bone is probably one of the most common skeletal findings a radiologist encounters. The differential diagnosis can be quite lengthy and is usually given on an “Aunt Minnie” basis (I know that’s Aunt Minnie…

Unnecessary Examinations

Before beginning to learn how to interpret pathologic skeletal films, it is important to briefly consider unnecessary skeletal radiographic examinations. Dr. Ferris Hall from Boston first brought to my attention the idea that just because we could x-ray something didn’t…