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
 CENTRALRAEFACTION
 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
 Doubblebubble apparance
 Absence of
gas shadow distal
to it

17. Jejunal obstruction

18. Intestinal obstruction
 Multipleair 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
 SAILSIGN- triangular, slightly convex right
lobe with sharply demarkated base caused
by the minor fissure.

23. THANK YOU