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