Rapid reporting checklist

This is the check list that i used:  Make a list of things you frequently miss and in the exam, look for those things first.

RR checklist

  • craniofacial
    • skull radiograph checklist
      • Fracture – depressed
      • Sphenoid air-fluid
      • Air in orbit and skull
      • Sella
      • FB in the eye
      • Lytic lesions in the skull
      • Upper C spine – dens
    • facial bones radiograph checklist
      • Fluid in maxillary sinus
      • Don’t call blow out – say orbit floor #
      • Tripod
  • c-spine radiograph checklist
    • AA distance
    • Harris ring
    • Prevertebral soft tissue
    • 3 lines
    • fracture – chance, peg, hang man
    • facet – perched
  • l&t-spine radiograph checklist
    • Collapse
    • Lung mass / lobar collapse
    • paraspinal soft tissue
    • Empty VB sign – each VB should have accompanying posterior elements – vertebra plana
    • pedicles – mets
    • SI joint
    • Calcified aortic aneurysm
  • chest radiograph checklist
    • Situs
    • Air: Pneumothorax, pneumomediastinum, pneumoperitoneum, surgical emphysema
    • Apices – nodule or pneumothorax
    • Bones: shoulder dislocation, clavicle fracture, humerus fracture, missing pedicle, check ribs last (missing rib, lytic area, notching, fractures)
    • Cardia: heart chamber enlargement, pericardial effusion, retrocardiac region
    • Mediastinum – tracheal deviation, paratracheal stripe
    • Collapse: veil, retrocardiac triangle, RML, RUL
    • Diaphragm: lesion behind the diaphragm
    • Hila, mediastinum – esophagus
    • Lungs – call it NODULE or consolidation – not mass or pneumonia
    • Pleura – CP and cardiophrenic recess
    • Soft tissue – Breast shadow, neck mass, axilla (look for clips etc.)
  • upper limb
    • shoulder radiograph checklist
      • dislocation or #
      • AC joint
      • Bankart lesion
      • AVN
      • Lung – mass, PTX
      • Ribs – # or lytic lesion
    • elbow radiograph checklist
    • wrist radiograph checklist
      • Triquetral fracture on lateral
      • Scaphoid fracture will have 4 views
      • Hamate hook # on lateral and AP
      • Scapho-lunate dissociation
      • Distal radius # – impacted fracture
      • Buckle, torus, SH #
      • AVN of lunate and scaphoid 
    • hand radiograph checklist
      • MC or phalange #
      • Acro-osteolysis
      • Foreign body
  • abdomen radiograph checklist: bones, stones, solid (organs), liquids (bile, urine), gas (extraluminal, mural, intraluminal)
    • Bowel – obstruction, hernial orifice
    • Foreign body
    • Colitis – thumb printing, toxic megacolon
    • Pneumo – look if the gas takes the shape of the kidney, rigler, PV gas or pneumobilia, retroperitoneal gas, GB or urinary bladder air
    • Soft tissue – hepatosplenomegaly, psoas outline, kidneys, pelvic mass, missing spleen
    • Calcification – aortic aneurysm, appendicolith, gall stone, renal stone, uterine fibroid, dermoid, pancreatic, hydatid
    • Bones – sacroilitis, ivory vertebra, missing pedicle, missing VB (collapse), lytic lesion in pelvis, AVN, Lower ribs
    • Lung base– bronchiectasis
  • Pelvis:
    • SI joint
    • Avulsions – AIIS, pubic tubercle
    • Looser zones
    • Iliac wing #
    • SUFE, Perthe
    • Impacted NOF fracture
    • Hernial orifices
  • lower limb
    • knee radiograph checklist
      • lipohemarthrosis
      • tibial plateau
      • SONK in femur
      • OCD
      • Segond and Pelligreni Steida lesion
      • Patella alta and baja
    • ankle radiograph checklist
      • Tibial, fibular #
      • Lateral talar #
      • Talar dome – OCD: look carefully in the part overlapping the fibula
      • Calcaneal
      • Base of 5th
      • Tarsal coalition
    • foot radiograph checklist
      • Base of 5th vs apophysis
      • Lis franc – alignment
      • Stress # – periosteal rxn only
      • AVN – freiberg
      • Malleolar #
      • Lateral talar #, anterior calcaneal #

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