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Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and continuously improved upon by countless contributing members. Our dedicated editors oversee each edit for accuracy and style. Find out more about articles.

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Erectile dysfunction

Erectile dysfunction is a common condition. Doppler ultrasound is a highly accurate means of assessing patients with erectile dysfunction. Pathology Psychological factors (mental impulse) cause the transmission of parasympathetic impulses to the penis. This causes relaxation of arterioles and...

Umbilical cord abnormalities

Abnormalities of the umbilical cord can be classified into 1: Morphologic abnormalities umbilical cord coiling hypocoiled umbilical cord hypercoiled umbilical cord straight umbilical cord umbilical cord length abnormalities long umbilical cord short umbilical cord umbilical cord thickne...

Gynecological ultrasound set-pieces

The clinical history will nearly always lead to a short differential or the answer. Show off to the examiner that you have a structured approach to reporting and managing the patient. Structured approach uterus: size, version and shape (normal or variant which you should elaborate on and say w...

Hyperechoic liver lesions

A hyperechoic liver lesion on ultrasound can arise from a number of entities, both benign and malignant. A benign hepatic hemangioma is the most common entity encountered, but in patients with atypical findings or risk for malignancy, other entities must be considered. Benign hepatic hemangiom...

Reticular and linear pulmonary opacification

In chest radiology, reticular and linear opacification refers to a broad subgroup of pulmonary opacification caused by a decrease in the gas to soft tissue ratio due to a pathological process centered in or around the pulmonary interstitium. This includes thickening of any of the interstitial co...

Gastrointestinal bleeding

Gastrointestinal (GI) bleeding refers to hemorrhage into the lumen of the gastrointestinal tract; it is commonly clinically subdivided into whether it occurs into the upper (proximal) or lower (distal) GI tract: upper GI bleeding bleeding proximal to the ligament of Treitz, i.e. proximal to t...

Point-of-care ultrasound (curriculum)

The point-of-care ultrasound (PoCUS) curriculum is one of our curriculum articles and aims to be a collection of articles that represent the core applications of ultrasonography in a point-of-care setting. Point-of-care ultrasound refers to ultrasonography which may be simultaneously performed,...

Neonatal pneumothorax

Neonatal pneumothorax describes pneumothoraces occurring in neonates. It is a life-threatening condition, associated with high morbidity and mortality. The diagnosis is a challenge especially when the amount of air is small and may accumulate along the anterior or medial pleural space. Epidemio...

Global cortical atrophy scale

The global cortical atrophy (GCA) scale, also known as the Pasquier scale, is a qualitative rating system developed to assess cerebral atrophy, especially in the context of neurodegenerative diseases. It evaluates atrophy in 13 brain regions assessed separately in each hemisphere and resulting i...

Screening for breast cancer

Screening for breast cancer includes activities which test members of asymptomatic populations for breast cancer. Many advanced countries have breast screening programs. The most widely adopted method for breast cancer screening is mammography. There are few areas in imaging fraught with more c...

Coronal balance

Coronal balance is one of the features that needs to be assessed on long spine radiographs obtained for spinal deformity, particularly scoliosis. It measures whether or not the upper spine is located over the midline (normal) or off to one side. Measurement To assess coronal balance, a vertic...

Digastric line

The digastric line, also known as the biventer line, has been described and used to evaluate basilar invagination on frontal skull plain film and coronal CT images. The digastric line is drawn between right and left digastric grooves, which are located medial to the mastoid apices. These are co...

Approach to shock (echocardiography)

An organized approach to shock is critical in the management of these often very sick patients. Shock - of any form - manifests as inadequate tissue perfusion, the end-point of which is multisystem organ failure and death. Echocardiography at the point-of-care is fast, non-invasive, and often p...

Giant breast mass

Giant breast masses are defined as breast masses >5 cm and may represent a late presentation of breast pathology, particularly in developing countries. They may be single or multiple and either benign or malignant. Many of the underlying etiologies for giant breast masses are indistinguishable o...

Adult chest radiograph common exam pathology

Adult chest radiograph common exam pathology is essential to consider in the build up to radiology exams. The list of potential diagnoses is apparently endless, but there are some favorites that seem to appear with more frequency. When dealing with the adult chest radiograph in the exam setting...

Assessment of bones and soft tissue on chest x-ray

Described below are points to consider on assessment of bones and soft tissue on chest x-ray. ribs rib fractures lesions (most commonly metastases): may appear as lucent and/or sclerotic; inverting contrast may help in identification previous surgery, e.g. thoracotomy with rib resection ve...

Neurodegenerative MRI brain (an approach)

Imaging of the brain in patients with suspected neurodegenerative conditions is common and challenging, as in patients with subtle and equivocal signs and symptoms, the imaging findings are also often subtle and equivocal. In many instances, by the time imaging findings are clear cut, then the p...

Intercaudate distance to inner table width ratio

Intercaudate distance to inner table width ratio (CC/IT) is used in assessing patients with neurodegenerative diseases that affect the caudate nuclei. It is best known for assessing individuals with suspected Huntington disease but is in no way specific for the diagnosis, also seen in other less...

Reporting tips for aortic aneurysms

When issuing an MRI or CT report on a patient with an aortic aneurysm, whether it be thoracic or abdominal, a number of features should be mentioned to aid the referring clinician in managing the patient. Reporting tips for aortic aneurysms include 1,2: size and shape sac dimensions (outer su...

Optic nerve sheath diameter

Optic nerve sheath diameter has significance in the assessment of papilledema in cases of elevated intracranial pressure. Pathology The optic nerve sheath demonstrates changes in diameter with CSF pressure changes as there is a layer of subarachnoid space between the nerve and its sheath, whic...

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