Imaging Case of the Week 47

This is the facial x-ray of a 25 year old man who has been punched in the face. What interesting radiological sign can you see?

facial x-ray

click to enlarge

Answer
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3 thoughts on “Imaging Case of the Week 47

  1. Great sign, thank you! I initially thought there is also a irregularity over the orbital margin of the frontal process of right zygomatic bone. obviously clinical correlation would be necessary.

    I recommend this site for all my colleagues who also struggle with all overlapping bones and shadows on facial xrays.: :))
    http://www.imageinterpretation.co.uk/face.html

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    • Thanks Raf. Facial x-rays can be tricky to interpret. It is important to compare the injured with the normal side. Following the 3 Mcgrigor’s lines diligently is a great way to spot abnormality. The website that you have mentioned has further details on the Mcgrigor’s lines.

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  2. Great X-ray! Thanks for the excellent link Rafal

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