Companion shadows

Changed by Travis Fahrenhorst-Jones, 6 May 2023
Disclosures - updated 19 Jun 2022: Nothing to disclose

Updates to Article Attributes

Body was changed:

Companion shadows are smooth, homogeneous, radiopaque shadows running parallel along the bones. In a study of 700 chest radiographsBen Felson found that 75% had companion shadows on the lower ribs 3.

Radiographic features

They appear secondary to soft tissues and intercostal muscles running along 3:

Practical points

Companion shadows need to be differentiated from periosteal reactions secondary to adjacent bony or soft tissue pathology.

  • -<p><strong>Companion shadows</strong> are smooth, homogeneous, radiopaque shadows running parallel along the bones. In a study of 700 <a href="/articles/chest-radiograph">chest radiographs</a>, <a href="/articles/benjamin-felson">Ben Felson</a> found that 75% had companion shadows on the lower <a href="/articles/ribs">ribs</a> <sup>3</sup>.</p><h4>Radiographic features</h4><p>They appear secondary to soft tissues and intercostal muscles running along <sup>3</sup>:</p><ul>
  • -<li>inferior border of lower <a href="/articles/ribs">ribs</a>
  • -</li>
  • -<li>upper borders of <a href="/articles/clavicle">clavicles</a>
  • -</li>
  • -<li><a href="/articles/scapula">scapula</a></li>
  • +<p><strong>Companion shadows</strong> are smooth, homogeneous, radiopaque shadows running parallel along the bones. In a study of 700 <a href="/articles/chest-radiograph">chest radiographs</a>, <a href="/articles/benjamin-felson">Ben Felson</a> found that 75% had companion shadows on the lower <a href="/articles/ribs">ribs</a> <sup>3</sup>.</p><h4>Radiographic features</h4><p>They appear secondary to soft tissues and intercostal muscles running along <sup>3</sup>:</p><ul>
  • +<li>inferior border of lower <a href="/articles/ribs">ribs</a>
  • +</li>
  • +<li>upper borders of <a href="/articles/clavicle">clavicles</a>
  • +</li>
  • +<li><a href="/articles/scapula">scapula</a></li>

References changed:

  • 3. Felson B. Chest roentgenology. AITBS Publishers. (2018) ISBN 978-9374734872. <a href="http://books.google.com/books?vid=ISBN9789374734872">Google Books</a>
  • 3. Felson B. Chest roentgenology. AITBS Publishers. (2018) ISBN 978-9374734872. https://www.amazon.co.uk/Chest-Roentgenology-Benjamin-Felson/dp/9374734877

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