MSK Radiology

Question 1

T1 vs T2 difference in MRI (2)

Answer 1

• On T2=bright H2O e.g CSF

- Includes oedema

Question 2

First ways to check MSK radiograph

Answer 2

• Patient detail
• Previous films
• AP and lateral
• Radiograph detail
• Interpretation (ABSCS)

Question 3

Radiograph detail (6)

Answer 3

• Date
• Type
• Area of body
• Adequacy: joint above/below
• Rotation
• Penetration (exposure)

Question 4

Interpretation of MSK radiograph (4) ABCS

Answer 4

A - alignment
B - bone fragments? fractures?
C - cartilage - joint spaces? OA?RA/gout/puesdogout?
S - soft tissue - swelling? foreign bodies? calcification?

Question 5

Normal lumbar spine CT lateral (ABCS)

Answer 5

A - anterior vertebral and posterior vertebral column
- Capacius spinal canal + IV foramina capacious
B - Loss of vertebral height? wedge fracture? Fractures? Normal alignment and height vertebral bodies
C - cartilage:
- preserved facet joints.
- disc spaces between vertebral bodies gradually increase
- Discs preserved/no herniation or bulge
S - pre + paravertebral soft tissues normal, cauda equina and conus medullaris normal

Question 6

Normal lumbar spine X-ray frontal (5)

Answer 6

• Sarcoiliac joints normal
• Lumbosacral spine in anatomical aligment
• Preserved disc and vertebral height
• No anterior wedging of vertebral bodies
• No splaying of posterior elements for fracture