Radiology review

Radiology review

Nandan R. Hichkad

Test your radiologic acumen against both routine presentations and extraordinary circumstances from actual case presentations.

A 21-year-old man is admitted after being involved in a motor vehicle crash. The patient was riding a motorcycle when he was hit, then run over, by a car. He had a brief loss of consciousness at the scene, but upon arrival at the emergency department, he is awake and alert, complaining of hurting “all over,” especially his back and hip. His medical history is unremarkable. Primary survey does not demonstrate any acute problems, and the patient’s vital signs are normal. While waiting for his lab work, you review his portable pelvis radiograph, which is shown.

Answer

The radiograph demonstrates fractures of the superior and inferior rami on the right, both slightly displaced. Also, there is a questionable disruption of the right sacral foramina, suggesting possible fracture (see arrow).

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Nandan R. Hichkad works in general surgery and emergency medicine in Macon, Georgia.

COPYRIGHT 2004 Clinicians Publishing Group

COPYRIGHT 2004 Gale Group