Magnetic resonance (MR) imaging of the knee has developed into one of the most frequently requested exams in radiology. This is not just because many people injure their knees, but because of its high accuracy in depicting internal derangements. Accuracy…
There are a host of bony conditions, diseases, and syndromes that do not fit conveniently into any of the preceding chapters yet should be given some mention in an attempted overview of musculoskeletal radiology. Many of these are simply “Aunt…
Most of the literature on metabolic bone disease is steeped in biochemistry, physiology, histology, internal medicine, and other arcane pursuits that can be quite confusing for a poor radiology resident who just wants a few pearls and illustrations. Frankly, it’s…
The radiologic study of arthritis can be extremely difficult for the inexperienced because of the wide variety of patterns of disease, which produces a tremendous amount of overlap among the various diseases. What at first seems to be simple characterization…
Radiology of trauma to the skeletal system is such a large topic that entire volumes have been devoted to it. Lee Rogers has written the definitive work in his excellent book entitled Radiology of Skeletal Trauma , and Jack and…
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…
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…
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…
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…
Pediatric neuroimaging is a distinct subspecialty. Anatomic areas in neuroimaging include the skull, brain, orbits, face and sinuses, neck, and spine. At many children’s hospitals, dedicated neuroradiologists perform and interpret all of the neuroimaging. The large amount of information included…