Case: Paediatric radiograph #80900494
Paediatric Advanced
Read this radiograph systematically before revealing the answer. What is the main abnormality?

Tip: scroll or pinch to zoom, drag to pan, and try Invert.
Answer: Osteogenesis imperfecta
What to look for in osteogenesis imperfecta
- Osteopenia, multiple fractures, Wormian bones.
Description by the image author (may be in another language): edit X-rays of a full term neonate boy who was found to have crackles from the chest. Later genetic testing revealed osteogenesis imperfecta type 5. Vertebrae and ribs... ...with multiple rib fractures Right leg, with somewhat deformed long bones (mainly the femur ) with widened metaphyses There is also a cortical fracture on the fibula Left leg. Left arm... ...with a periosteal reaction indicatin
Educational case. The diagnosis comes from the image's documented source; the "what to look for" list describes the condition in general and is not a report of this individual image.





