Echocardiogram,
skeletal survey, head ultrasound, hearing, and eye exams were normal.
The rest of
skeletal survey including pelvis and skull was normal.
Bone scan or full
skeletal survey is performed to stage LCH.
Hip radiographs were not consistent with congenital hip dysplasia but were interpreted as demonstrating "abnormal appearance of the proximal femurs concerning for nonaccidental trauma," and a follow-up complete
skeletal survey was recommended.
But, perhaps more ominously for Willett, a
skeletal survey revealed that Cassidy had a fractured wrist, which had never been treated despite being between one and six months old.
Consultant paediatric radiologist Dr Sarah Harrison was asked to look at X-rays of Elsie's chest and abdomen after she was hospitalised on May 25 and examined a full
skeletal survey carried out after she died.
The diagnosis of the EVC syndrome is done based on the history, clinical examination, and
skeletal survey of the individual.
Radiographic
skeletal survey and radionuclide images are complementary procedures for diagnosis and documenting this type of injury [7].
The X-ray
skeletal survey was negative for lytic lesions.
"Tests, including X-rays and a full
skeletal survey later showed the infant had fractures in his right arm and wrist as well as a further two groups of healing injuries, including fractures to his left arm.
Skeletal survey showed unilateral monomelic similar like lesions involving right lower limb and right iliac bone, right humerus and radius.
40 (91%) had radiologically detectable abnormalities; 35 (80%) had lytic lesions, 17 (39%) had pathological fractures, 21 (48%) had generalized osteoporosis and only 4 (9%) had normal
skeletal survey. Out of 35 cases of lytic lesions, most frequent area was spine in 25 (71%) followed by skull in 23 (66%), ribs in 15 (43%), long bones in 12 (34%), pelvis in 8 (23%), clavicle in 4 (11%) and scapula in 3 (8.5%) cases.