Encyclopedia of imaging and clinical diagnosis.

Structured, referenced entries on 21 conditions, signs and techniques — each linked to real cases you can scroll through.


A

Acute appendicitis

Appendicitis

Acute inflammation of the vermiform appendix and the commonest cause of emergency abdominal surgery.

GastrointestinalPediatrics

Aortic dissection

Dissecting aorta

A tear in the aortic intima that lets blood split the media, creating true and false lumens separated by an intimal flap.

VascularCardiac

C

Cardiothoracic ratio

CTR, Cardiac size on chest radiograph

The maximum horizontal width of the heart divided by the maximum internal width of the thorax on a PA chest radiograph.

CardiacChest

Chest radiograph: systematic review

CXR review, ABCDE chest film

A structured way to read every chest radiograph, from technical quality to review areas, so that subtle findings are not missed.

Chest

Cholelithiasis

Gallstones, Gallbladder calculi

Stones within the gallbladder: very common, usually asymptomatic, and best shown by ultrasound.

Hepatobiliary

Croup

Laryngotracheobronchitis, Steeple sign

A viral infection of the upper airway in young children causing subglottic narrowing, a barking cough and stridor.

PediatricsHead & neck

D

Distal radius fracture

Colles fracture, Wrist fracture

A fracture of the distal radius, usually from a fall on an outstretched hand; the dorsally angulated Colles type is the most common.

MusculoskeletalTrauma

E

Extradural hematoma

Epidural hematoma, EDH

Arterial bleeding between the skull and the dura, typically after a temporal bone fracture, forming a biconvex collection that does not cross sutures.

Central nervous systemTrauma

I

Intussusception

Ileocolic intussusception

Telescoping of one segment of bowel into the next, most often ileocolic in infants, causing obstruction and risk of ischaemia.

PediatricsGastrointestinal

L

Lobar pneumonia

Lobar consolidation, Pneumococcal pneumonia

Infection filling the alveoli of an entire lobe or segment, producing homogeneous consolidation with air bronchograms.

Chest

N

Neck of femur fracture

Hip fracture, Femoral neck fracture, Intracapsular hip fracture

A fracture of the proximal femur, common in older people after low-energy falls and associated with significant morbidity and mortality.

MusculoskeletalTrauma

P

Pleural effusion

Hydrothorax, Fluid in the pleural space

An abnormal collection of fluid in the pleural space, from transudative causes such as heart failure or exudative causes such as infection and malignancy.

Chest

Pneumoperitoneum

Free intraperitoneal gas, Free air

Gas within the peritoneal cavity, most often from a perforated hollow viscus, and a surgical emergency unless explained by recent surgery.

Gastrointestinal

Pneumothorax

Collapsed lung, PTX

Air in the pleural space, separating the visceral and parietal pleura and allowing the lung to collapse away from the chest wall.

ChestTrauma

Pulmonary edema

Pulmonary oedema, Cardiogenic pulmonary edema, Heart failure on chest radiograph

Fluid in the lung interstitium and alveoli, most often from raised left heart pressures, with a recognisable sequence of chest radiograph signs.

CardiacChest

Pulmonary embolism

PE, Pulmonary thromboembolism

Obstruction of the pulmonary arteries by thrombus, usually from the deep veins of the legs, diagnosed with CT pulmonary angiography.

ChestVascular

S

Sigmoid volvulus

Colonic volvulus, Coffee bean sign

Twisting of a redundant sigmoid colon around its mesentery, causing a closed-loop large bowel obstruction.

Gastrointestinal

Silhouette sign

Loss of silhouette

Loss of a normal border between soft tissue and air when an adjacent structure fills with fluid or tissue, used to localise chest disease.

Chest

Small bowel obstruction

SBO, Mechanical small bowel obstruction

Mechanical blockage of the small intestine, most often from adhesions or hernias, producing dilated fluid-filled loops proximal to a transition point.

Gastrointestinal

Subarachnoid hemorrhage

SAH, Subarachnoid haemorrhage

Bleeding into the subarachnoid space, most often from trauma or, in spontaneous cases, a ruptured intracranial aneurysm.

Central nervous systemVascular

U

Urolithiasis

Kidney stones, Renal calculi, Nephrolithiasis, Staghorn calculus

Stones in the urinary tract, from small ureteric calculi causing colic to staghorn stones filling the renal collecting system.

Urogenital