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Home Mnemonics

Radiology Mnemonics

Dr.NM Tamilmani by Dr.NM Tamilmani
August 10, 2024
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Radiology Mnemonics: Unlocking Imaging Interpretation Made Easy

A

Anterior mediastinal masses: 4 T’s:

  • Teratoma
  • Thymoma
  • Testicular-type
  • T-cell / Hodgkin’s lymphoma
    • Reference: http://medicalmnemonics.com/

C

Chest radiograph: checklist to examine: “Pamela Found Our Rotation Particularly Exciting; Very Highly Commended Mainly ‘Cus She Arouses”:

  • Patient details
  • Film details
  • Objects (eg. lines, electrodes)
  • Rotation
  • Penetration
  • Expansion
  • Vessels
  • Hila
  • Costophrenic angles
  • Mediastinum
  • Cardiothoracic Ratio
  • Soft tissues and bones
  • Air (diaphragm, pneumothorax, subcut. emphysema)
    • Author: Andrew Booshan

 

Chest X-ray interpretation: ­ Preliminary is ABCDEF:

  • AP or PA
  • Body position
  • Confirm name
  • Date
  • Exposure
  • Films for comparison

­ Analysis is ABCDEF:

  • Airways (hilar adenopathy or enlargement)
  • Breast shadows/ Bones (rib fractures, lytic bone lesions)
  • Cardiac silhoutte (cardiac enlargement)/ Costophrenic angles (pleural effusions)
  • Diaphragm (evidence of free air)/ Digestive tract
  • Edges (apices for fibrosis, pneumothorax, pleural thickening or plaques)/ Extrathoracic tissues
  • Fields (evidence of alveolar filling)/ Failure (alveolar air space disease with prominent vascularity with or without pleural effusions)
    • Author: Fahed Al-Daour

 

Chest X-ray: cavitating lesions differential: “If you see HOLES on chest X-ray, they are WEIRD“:

  • Wegener’s syndrome
  • Embolic (pulmonary, septic)
  • Infection (anaerobes, pneumocystis, TB)
  • Rheumatoid (necrobiotic nodules)
  • Developmental cysts (sequestration)
  • Histiocytosis
  • Oncological
  • Lymphangioleiomyomatosis
  • Environmental, occupational
  • Sarcoid
  • ­ Alternatively: L=Left atrial myxoma
    • Author: LW Mason, and Anonymous Contributor 4th Year Medical Student and Not Specified

D

Dermatomyositis or polymyositis: risk of underlying malignancy

  • Risk is 30% at age 30.
  • Risk is 40% at age 40, and so on.
    • Reference: http://medicalmnemonics.com/

E

Esophageal cancer: risk factors: ABCDEF:

  • Achalasia
  • Barret’s esophagus
  • Corrosive esophagitis
  • Diverticuliis
  • Esophageal web
  • Familial
    • Author: Lau Yue Young Geoffrey HKU

 

Elbow ossification centers, in sequence: CRITOE:

  • Capitellum
  • Radial head
  • Internal epicondyle
  • Trochlea
  • Olecranon
  • External epicondyle
  • ­ In order: appear at 1, 3, 5, 7, 9, 11 years; each closes 2 years later.
    • Author: Vince Yamashiroya

H

Head CT scan: evaluation checklist: “Blood Can Be Very Bad”:

  • Blood
  • Cistern
  • Brain
  • Ventricles
  • Bone
    • Reference: http://medicalmnemonics.com/

L

Lung cancer: main sites for distant metastases: BLAB:

  • Bone
  • Liver
  • Adrenals
  • Brain
    • Author: Ian Silver Queen’s University School of Medicine, Kingston, ON, Canada

 

Lung cancer: notorious consequences: SPEECH:

  • Superior vena cava syndrome
  • Paralysis of diaphragm (Phrenic nerve)
  • Ectopic hormones
  • Eaton-Lambert syndrome
  • Clubbing
  • Horner syndrome/ Hoarseness
    • Author: Rinku Uberoi

M

Mole: signs of trouble: ABCDE:

  • Asymmetry
  • Border irregular
  • Colour irregular
  • Diameter usually > 0.5cm
  • Elevation irregular
    • Author: Oisin University College Cork

N

Neck sagittal x-ray: examination checklist: ABCD:

  • Anterior: look for swelling
  • Bones: examine each bone for fractures
  • Cartilage: look for slipped discs
  • Dark spots: ensure not abnormally big, or could mean excess blood
    • Author: Robert O’Connor University College Dublin

O

Osteoarthritis: x-ray signs: LOSS:

  • Loss of joint space
  • Osteopyhtes
  • Subcondral sclerosis
  • Subchondral cysts
    • Author: Gajan Rajeswaran Final Year Medical Student, Imperial College School Of Medicine, London

P

Pituitary endocrine functions often affected by pituitary-associated tumor: “Go Look For the Adenoma Please”:

  • ­ Tropic hormones affected by growth tumor are:
  • GnRH
  • LSH
  • FSH
  • ACTH
  • Prolactin function
    • Reference: http://medicalmnemonics.com/

 

Prognotic factors for cancer: general: PROGNOSIS:

  • Presentation (time & course)
  • Response to treatment
  • Old (bad prog.)
  • Good intervention (i.e. early)
  • Non-compliance with treatment
  • Order of differentiation (>1 cell type)
  • Stage of disease
  • Ill health
  • Spread (diffuse)
    • Author: Cashman, Reidy, Motty, BB University of Queensland, Australia

T

“WW 2” (World War II):

  • ­ Water is White in a T2
  • ­ Conversely, a T1 scan shows fat as being whiter.
    • Author: Jason Galarneau Flinders University School of Medicine, South Australia

U

Upper lobe shadowing: causes: BREASTS:

  • Beryllium
  • Radiation
  • Extrinsic allergic alveolitis
  • Ankylosing spondylitis
  • Sarcoidosis
  • TB
  • Siliconiosis
    • Author: A Bywaters
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