45 Annotated X-Ray Cases. Systematic Reporting.
45 Annotated X-Ray Cases. Systematic Reporting.
Every case includes a structured reporting framework, annotated findings, and pattern-based teaching. Build the systematic approach examiners expect, across chest, abdomen, and orthopaedic presentations.
Each region is structured around high-yield pattern recognition, the presentations that appear most frequently in clinical exams.
The Atlas at a Glance
- Cases
- 45
- Pattern Guides
- 16
- Body Regions
- 3
- Reporting
- Structured
3 Body Regions. 45 Cases.
Chest (15 cases, 8 pattern guides)
- Pneumothorax
- Pleural Effusion
- Consolidation
- Lobar Collapse
- Cardiomegaly
- Widened Mediastinum
- Hilar Lymphadenopathy
- Pulmonary Oedema
Abdomen (10 cases, 4 pattern guides)
- Pneumoperitoneum
- NG Tube Position
- IUCD
- Toxic Megacolon
Orthopaedic (20 cases, 4 pattern guides)
- Fracture Patterns
- SUFE
- Paget's Disease
- Rheumatoid Arthritis
Try a Sample Case
Every case follows the same systematic approach: presentation, findings, diagnosis, reporting template.
Presentation: A 65-year-old smoker presents with acute dyspnoea. Chest X-ray shows a visible pleural line with absent lung markings laterally.
Question: What is the diagnosis?
Diagnosis: Right-sided pneumothorax.
The full library continues with cases such as bilateral pleural effusion in a 72-year-old with cardiac failure, right lower lobe consolidation in a 58-year-old with a productive cough, and a widened mediastinum in a 45-year-old with tearing chest pain.
Classic X-ray sign teasers
A taste of the pattern guides inside the atlas. Learn the sign, then you will recognise the diagnosis on any film.
Pneumoperitoneum. Free gas under the diaphragm on an erect chest X-ray, seen as a lucent crescent between the diaphragm and the liver or stomach. On a supine abdominal film look for Rigler's sign, where both sides of the bowel wall become visible because gas outlines it inside and out. It signals a perforated viscus and needs urgent surgical review.
Tension pneumothorax. A large lucent hemithorax with absent lung markings, plus mediastinal shift away from the affected side and flattening or inversion of the hemidiaphragm. The teaching point is that tension pneumothorax is a clinical diagnosis treated immediately with decompression; you should not wait for the film if the patient is compromised.
Boot-shaped heart. An upturned cardiac apex with a concave pulmonary artery segment, classically described in Tetralogy of Fallot. Recognising the silhouette links the chest film to the underlying congenital lesion.
Colles fracture. A distal radius fracture with dorsal angulation and displacement of the distal fragment, producing the dinner-fork deformity, typically after a fall onto an outstretched hand. Check for involvement of the ulnar styloid and the joint surface.
These signs are a taste of what is inside; the full interactive X-ray atlas is in the MedNext app.
Build Your Radiological Eye
45 annotated X-ray cases across chest, abdomen, and orthopaedic regions, with structured reporting frameworks and pattern guides built for exams.
Practise With All 45 Cases