By Stephen G. Davies MA MB BChir MRCP FRCR

Chapman and Nakielny’s Aids to Radiological Differential analysis has develop into a vintage source for trainees and practitioners all over the world, to hone their wisdom of radiological differential analysis for the main often encountered stipulations through the physique. it really is a useful quick-reference better half in daily perform, in addition to an important learn device whilst getting ready for the FRCR or related examinations.

This re-creation is punctiliously revised and up to date based on most up-to-date medical perform, wisdom and instructions. the 1st part offers lists of differential diagnoses, supplemented by way of notes on worthwhile evidence and discriminating elements. those help with the systematic evaluation of radiographs and pictures from different modalities. the second one part bargains precise summaries of the attribute radiological visual appeal of a variety of scientific conditions.

New to this version is complementary entry to the entire, totally searchable publication, making it much more useful to take advantage of than ever sooner than, each time, wherever!

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3. Ewing’s sarcoma*. 4. Haemangioma*. 5. Meningioma. 6. Tuberculosis. 7. Tropical ulcer. Codman angle (single lamina or lamellated) 1. Aggressive malignant tissue extending into soft tissue. 2. Infection – occasionally. , 1981. Radiologic and pathologic analysis of solitary bone lesions. Part II: Periosteal reactions. Radiol Clin North Am 19, 749–783. 24 PERIOSTEAL REACTIONS – SOLITARY AND LOCALIZED 1. Traumatic. 2. Inflammatory. 3. Neoplastic (a) Malignant. (i) Primary. (ii) Secondary. 22 Bones (b) Benign – an expanding shell or complicated by a fracture.

2. Arteritis. 31 EROSIONS OF THE MEDIAL METAPHYSIS OF THE PROXIMAL HUMERUS 1 1. Normal variant. 2. Leukaemia. 3. Metastatic neuroblastoma. 4. Gaucher’s disease. 5. Hurler’s syndrome*. 6. Glycogen storage disease. 7. Niemann–Pick disease. 8. Hyperparathyroidism. 9. Rheumatoid arthritis. 32 EROSION OR ABSENCE OF THE OUTER END OF THE CLAVICLE 1. Rheumatoid arthritis*. 2. Post-traumatic osteolysis. 3. Multiple myeloma*. 4. Metastasis. 5. Hyperparathyroidism*. 6. Cleidocranial dysplasia*. 7. Pyknodysostosis.

Hyperparathyroidism*. 4. Thermal injuries. 5. Scleroderma*. 6. Multicentric reticulohistiocytosis. Poorly defined lytic lesions 1. Osteomyelitis – mostly staphylococcal with diabetics at particular risk. Periosteal reaction is infrequent. 2. Metastases – bronchus is the most common primary site. Bone metastases to the hand are commonest in the terminal phalanx and may be the only metastasis to bone. The subarticular cortex is usually the last to be destroyed. 32 Bones 3. Multiple myeloma*. 4. Aneurysmal bone cyst* – rare at this site.

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