X rays

1. X ray
Chaithra.M

2. RICKETS

3. RICKETS
Widened metaphysis
Increased epiphyseal and metaphyseal
distance
Cupping
Fraying
Splaying

6. Scurvy
SHAFT
Generalised osteoporosis- ground glass
appearance
Cortex thinning- pencil point thinness

7. METAPHYSIS
White line of FRANKEL-
–Zone of well calcified cartilage in provisional zone of
calcification
Corner sign-
TRUMMERFELD ZONE-
–fragmentation above the calcified cartilage
Pelke’s sign-epiphyseal spur
Epiphyseal #

8. EPIPHYSIS
Signet ring sign
CENTRAL RAEFACTION
WIMBERGER’S LINE
–Sharply outlined epiphysis-thick cortex

9. METAPHYSIS

11. Tetrology of fallot

12. Tetrology of fallot
BOOT SHAPED HEART
–Concavity is due to pulmonary oligemia due to
pulmonary artery underdevelopment.
–Apex is elevated-
RVH-displaces LV up and out
–Right sided aortic arch-30%

13. Tetrology of fallot

14. Diaphragmatic hernia
Gross mediastinal shift
Diaphragm not seen
Bubbly shadow in the lung area
Continuity in the bowel gas shadows from
abdomen to chest

16. Duodenal atresia
Doubble bubble apparance
Absence of
gas shadow distal
to it

17. Jejunal obstruction

18. Intestinal obstruction
Multiple air fluid level
No gas shadow beyond obstructuon

20. Thymus shadow
Location- anterior mediastinum Overlies
precordium, aortic arch, trachea
Chest x ray-difficult to discriminate from
cardiac shadow.

21. Thymic wave sign- scalloped or wave
contour of the organ due to impression of the
anterior reflection of the ribs
SAIL SIGN- triangular, slightly convex right
lobe with sharply demarkated base caused
by the minor fissure.

23. THANK YOU