Try OUT 2

Soal 1
Soal 2
Soal 3
Soal 4
Soal 5
Soal 6
Soal 7
Soal 8
Soal 9
Soal 10
Soal 11
Soal 12
Soal 13
Soal 14
Soal 15
Soal 16
Soal 17
Soal 18
Soal 19
Soal 20
Soal 21
Soal 22
Soal 23
Soal 24
Soal 25
Soal 26
Jawabaaaaan
 Waters Position
Soal 1 Sinus Frontalis D/S : Normal
Sinus Ethmoidalis D/S: Normal
Sinus Maxillaris D : Thickening of mucose
Sinus Maxillaris S : Cover by
radiopaque shadow, Thickening of mucose
Sinus Sphenoidalis : Normal
Cavum Nasi : Thickening of
mucose
Septum Nasi : in the middle
Fascia Bone : Normal
Conslusion :
Chronic sinusitis maxillaris D
Acute on chronic sinusitis maxilaris S
Rhinosinusitis
Soal 2 Schuller D/S
Air cell mastoid D : normal
S:
decreased
Sclerotic perianthral triangle D : normal

S:+
Cholesteatoma D/S : - / -
Meatus acusticus externus D/S : normal

Conclusion : Chronic Mastoiditis

Sinistra
Soal 3 Soft Tissue
: Swelling (+) at left mandible
Tabula externa, diploe, and tabula interna : Normal
Sella Tursica
: Normal
Vascular Groove : Normal
Name Suture Coronaria : Normal
: Mrs. Sagitalis : Normal
MM Lamboidea : Normal
Age Temporoparietalis : Normal
: 20 yo Paransal Sinus
: Normal
Photo Bone : Lytic
: Skull lesion at left mandible with flattening and destruction of
cortex
AP/Lat floating
Indication teeth appearance, well defined margin
: Mandible Tumor with narrow
Contraindication transitional zone
:- Air Cell Mastoid : normal

Conclusion :
Destructive Lytic Lesion at left mandible suspect
Ameloblastoma
 Soft tissue: Normal
Soal 4 Bone: Normal, no visible osteolitic, osteoblastic and fracture.
Trachea: in the middle
Costophrenicus angle (D/S) : sharp
Hemidiaphragm (D/S) : Dome shaped
Cor: size and position normal, and slim cardiac waist
Aorta : elongation (-), aorta sclerotic (-)
Pulmo : clear space in hemithorax D with pleural visceral line, lung
collapsed D, multiple cavities in apex of the lung D/S, fibroinfiltrat in
both lung, vascular hard to evaluate
Hilus D/S: hard to evaluate
Chest tube attached on ICS VII D
Conclusion : - Pneumothorax D
- Lung TB active with far advance lesion
 Alignment: vertebrae L III shifts to
Soal 5
lateral dextra towards vertebrae L IV
Trabeculation: normal
Corpus: osteophytes at corpus
vertebrae L IV & L V, endplate sclerosis
vertebrae L II-III, L IV-V
Curve: scoliosis with convexity to the
right
Intervertebral space: lucent at
vertebrae L III-IV & L IV-V
Pedicle: intact
Processus spinosus: normal
Soft tissue: normal
Conclusion:
- spondylolisthesis lumbal III-IV
grade I -spondylosis lumbalis
- scoliosis lumbalis
- suspect HNP lumbal III-IV & lumbal
IV-V
Soal 6 Preperitoneal fat line D/S : normal
Psoas line : normal simetric
Bone : osteofit appearance on
lumbalis vertebreae (I-V)
Bowel air distribrution : normal until
cavum pelvis
Hepatic contour : normal, no
enlargement
Splenic contour : normal, no
enlargement
Kidney contour : site,size and shape
is normal
There is radioopacity shadow at left
hemiabdomen as high as left
paravertebrae lumbalis I
 Soal 7
BNO
Pre peritoneal fat line : Normal
Psos line D/S :Normal
Hepar contour:Normal
Lien countour: Normal
Air bowel Distribution: Normal
Kidney countour D/S :Normal
Skeleton : Normal
There is no radiopaque shadow in urinary
system
IVU
Water soluble contrast injected iv, allergic
reaction(-)
Secretion function ren D/S: normal,
nephrogram can be seen in minutes 5
Excretion and drainage function ren D/S
:normal, can be seen in minutes 5
Pelviocalyceal system :
D: cupping calyx, there is kinking in pelvis renalis
S: Normal, cupping calyx
Ureter :
S: Normal caliber, reguler mucosa
D: Regular mucosa, dilatation in 1/3 distal ureter
Vesica Urinaria : Regular mucosa, filling
defect(-)additional shadow (-)
Post micturition presents minimal residual
urine
Conclusion:
Urinary tract function normal
Kinking pelvis renalis dextra
Dilatation of 1/3 dextra ureter ec radiopaque
stone in UVJ D ukuran 1x1,5cm
Soal 8 Soft Tissue : swelling (+)
Alignment : disalignment of tibia and fibula
Bone :
Tibia : multiple fracture 1/3 proximal os
Tibia D, angulasi (-) ?, shortening (+)
Name Fibula : simple fracture 1/3 proximal os

: Mr. R Fibula D, angulasi (-)? , shortening (+)

Age Joint space : normal
: 18 yo
Photo
:
Cruris AP/Lat
Indication Conclusion : multiple fracture 1/3
:
Multiple Trauma proximal os Tibia D and simple fracture
Contraindication
:- 1/3 proximal os Fibula D
Soal 9
Soft tissue: Normal
Allignment : abnormal
Forearm ap Trabeculation : normal osteolitic (-) osteoblastic (-)

lateral Fracture complete oblique right radius (+) 1/3 distal, displaced to posterior,
angulation to anterior, rotation (-), shortening cm
Cortex and medulla : normal
Joint space : normal
Conclusion :
Fracture right radius 1/3 distal
 Soal 10 Genu D/s ap lateral
Soft tissue : Normal
Alignment : Normal
Bone :
Dextra:
Osteophyte in condylus medialis lateralis Os. Femur
Ostrophyte in condylus medialis lateralis Os. Tibia
Osteophyte in eminentia intercondyloidea medialis Os. Tibia
Osteophyte in margo supero posterior and inferoposterios os patela
Porotic lesion in Metaphyse Os. Femur and Tibia
Sinistra:
Osteophyte in condylus medialis lateralis Os. Femur
Osteophyte in eminentia intercondyloidea medialis lateralis Os. Tibia
Osteophyte in margo supero posterior and inferoposterios os patela
Porotic lesion in Metaphyse Os. Femur and Tibia
Osteolytic and Osteblastic -
Joint Space : Narrowing in Condylus Medialis D / S

Conclusion :
Osteoarthritis Femorotibial grade III D/S
Osteoarthritis Femoropatelar grade II D/S
 Soft Tissue: normal
Alignment: Normal
Soal 11 Curve : straight
Bone: fracture (-), osteolitic (-),
osteoblastic (-)
Servical ap lateral D corpus : there are compresion in
corpus vertebrae cervicalis IV-V
there are osteofit in anterior
intervertebral space corpus
vertebrae cervicalis III, IV, V
Pedicle : intak
Proc. Spinosus : normal
Proc. Transversalis : normal
Joint Space: narrowing in
intervertebral space cervical V-VI
Conclusion:
-Compresion corpus vertebrae
cervicalis IV-V,
-Spondilosis cervicalis
 Alignment: listhesis (+) L4
anterior to L5 mild
Soal 12 Trabeculation: normal
Curvature: Straight Lumbal
Corpus: there were
osteophytes present at L2 L5
corpus anterior, and
posterosuperior corpus L1-L5,
and sclerotic end plate L1,L3,L5
Intervertebral space: normal
Spinous & Transverse
Processes: normal
Pedicles: intact
Soft Tissue: normal
Conclusion: Spondylisthesis
gr I L4-L5,Spondylosis
lumbalis, straight lumbal
 Soft tissue: Normal, no swelling, no subcutis emphysema
Bone: No visible fracture, no visible osteolytic and

Soal 13 osteoblastic lesion, normal trabeculation, no calcification

visible
Trachea: In the middle
Costophrenicus angle:
D: Sharp
S: Sharp
Hemidiafragma:
D: Dome-shaped
S: Dome-shaped
Hillus D: thickening
S: Normal
Pulmo D: Normal bronchovascular pattern, no cavity, no
infiltrate, no nodule, no fibrosis
Pulmo S: Normal bronchovascular pattern, no cavity, no
infiltrate, no nodule, no fibrosis
Cor: size CTR 65%, boot shape, position normal
Aorta: Calcification (-), elongation (-), dilatation (-)
Conclusion :
Cardiomegaly
 Soal 14
Soft Tissue: swelling (+)
Name : Child MH Alignment: disalignment (+)
Bone:
Age : 11 yo Linear discontinuity at metaphyse of
Photo : Cruris S proximal os tibia S, complete,
displacement of proximal segment to
AP/Lateral posterolateral side, shortening (+).
Linear discontinuity at 1/3 proximal os
Indication : Close fibula S, complete, displacement of
fracture of left leg due to proximal segment to posterolateral side,
motorbike shortening (+), angulation (+).
Joint space: normal
accident
Conclusion:
Contraindication : - Linear fracture at metaphyse of
proximal os tibia sinistra with
displacement of proximal segment
to posterolateral side.
Linear fracture of 1/3 proximal os
fibula sinistra with displacement of
proximal segment to posterolateral
side.
 Soal 15 Cervical AP/ Lateral
Soft tissue : Normal
Curve : Straight
Name : Mrs. L
Corpus : Normal
Age : 54 y.o
Alignment : Listhesis at V.C V
Photo : Cervical AP/ towards C. VI posteriorly < 25 %, C VII
Lateral X ray towards T1 anteriorly < 25 %
Indication : chronic Trabeculation : Normal
progressive tetraparesis Proc Spinosus : Normal
UMN type Proc Transversus : Normal
Contraindication : -
Conclusion

Postero spondylolisthesis of V. C V
towards C VI grade I
Spondylolithesis V. C VII towards T1
grade I
Straight cervicalis
 Soft tissue : mass seen at the projection of left mammae

Soal 16

Bone : vertebrae thoracal deviation with convexity to the right
Trachea : relative in the middle
Costophrenicus angle
Name : Mrs. S D: sharp
Age : 39 S: covered by radiopaque shadow
yo Hemidiafragma
Photo : Thorax D: dome shape
AP S: covered by radiopaque shadow
Indication : Ca Pulmo : vascular pattern D/S normal, infiltrate (-), nodul (-), mass (-),
Mammae D/S T4c N1 Mx cavity (-)
there are homogeny opacity at the laterobasal of left hemithorax that
evaluation of metastatic to covered left cardiac border, left costophrenicus angle and left
hemidiaphargma with narrowed left intercostal space
Aorta : calcification (-), dilatation (-), elongation
Lung
(-)
Contraindication : -
Cor : size, shape cannot be evaluated, position normal
Hilus D/S :
D: normal
S: normal
Conclusion :
- left pleural effusion with partially organized, there is possibility of
metastatic process
- Soft tissue mass at the projection of left mammae
- Scoliosis of vertebrae thoracal with convexity to the right
 Soal 17
Name Air cell mastoid D : normal
: Mr.D
S : decreased
Age
Sclerotic perianthral triangle D :
: 29 yo normal
Photo
: S
Schuller D/S :+
Cholesteatoma D/S : - / -
Indication
Meatus acusticus externus D/S :
: OMSK normal
Contraindication :-
Conclusion : Chronic
Mastoiditis Sinistra
 Soft tissue : Normal
Bone : Normal, no visible osteolitic,
Soal 18 osteoblastic and fracture.
Trachea : In the middle
Costophrenicus angle (D/S) : sharp
Hemidiaphragm (D/S) : Dome shape
Cor: Shape, size, and position normal
Aorta : Normal, elongation (-), aorta
sclerotic (-)
Pulmonal :
Hilus D : normal / S : Hard to evaluate
D/S : fibroinfiltrate, consolidation, and
multiple cavitas in the upper and middle
area. (diameters 0,2-1,0 cm, with thin wall of
cavities)
Conclusion :
Active Lung TB Far Advance
 Thorax PA
Soal 19

Soft tissue: normal
Bone : osteolitic (-),
Osteoblastic (-), Fracture (-)
Trachea : in the middle
Costophrenicus angle D : sharp
Costophrenicus angle S : covered
by radiopaque shadow
Hemidiapragma D : domeshaped
Hemidiapragma S : covered by
radiopaque shadow
Aorta : elongation (-)
dilatation (-) calcification (+)
Cor: left heart margin covered by
radioopaque shadow
Hillus D/S : Normal
Pulmo D/S : Normal
Conclusion:
Aorta sclerotic
Left Pleural effusion suspect metastatic
process
 Soft tissue: Normal
Bone: Normal, no visible osteolitic, osteoblastic and
Soal 20 fracture.
Trachea: in the middle
Costophrenicus angle : D : sharp S : cant be evaluated;
covered by radioopaque shadow
Hemidiaphragm (D) : Dome shape S : cant be
evaluated; covered by radioopaque shadow
Cor: size CTR 62% , position cant be evaluated , and
cardiac waist normal
Aorta : elongation (- ), dilatation (+), aorta sclerotic
(+)
Pulmonal :
Hilus D/S increased vascular pattern
D : normal
S : normal
Conclusion :
-Cardiomegaly
-Aorta dilatation
-Aortic sclerosis
Soal 21 Thorax AP/LAT (S)
Soft tissue : normal
Bone : normal, osteolitic (-),
osteoblastic (-)
Trachea : in the middle
Costophrenicus angle D/S : sharp
Hemidiafragm D/S : domeshape
Cor : size is normal, bulging of
heart waist, increased vascular pattern.
Aorta : normal, sclerosis (-)
Pulmo D/S : infiltrate paracardial dextra
Hilus D/S : normal
-LAH, RVH with increased vascular pattern
-pneumonia
 Soft tissue : normal
Bone :No visible fracture, osteolytic and osteoblastic lesion, normal
trabeculation, no calcification visible
Soal 22

Trachea: in the middle
Costophrenicus angle
D: sharp
S: hard to evaluate, covered by radioopaque shadow
Hemidiafragma
D: dome-shaped
S: hard to evaluate, covered by radioopaque shadow
Pulmo : Normal vascular pattern,
Consolidation at pulmo dextra, pulmo sinistra covered by
radiopaque shadow
Aorta : calcification (+)
Cor : size, shape hard to evaluate, covered by radioopaque shadow.
Position looks shifting to the left
Hillus D/S :
D: normal
S: hard to evaluate, covered by radioopaque shadow
Conclusion :
- Tb pulmonary far-advanced
- Aorta sclerosis
- Pleural effusion sinistra
 Desription :
Soft tissue : normal
Soal 23 Bone : Normal, no visible of
osteolytic, osteolastic, and
fracture
Trache in the middle
Costophrenicus angle D/S :sharp
Hemidiaphragma : D/S
Domeshape
Cor : size CTR 52%, enlargement
to the left, apex embedded,
Aorta : elongation (+),
dilatation(-), aorta sclerotic (-)
Pulmonal : vascular pattern
normal, nodule in middle area
hemithoraks dekstra and lower
area in hemithoraks sinistra,
nodule in perivertebrae thorakal
6 and 10 dekstra
Conclusion :
-Multiple lung nodules match
metastatic process
 Torax AP

Soal 24 Desription :
Soft tissue : normal
Bone : Normal, no visible of osteolytic,
osteolastic, and fracture
Trache in the middle
Costophrenicus angle :
D : cant be evaluated ; covered by radiopaque
shadow
S : sharp
Hemidiaphragma : D/S Domeshape
Cor : size CTR 70%, there are enlargement to the
left and right , cardiac waist (-)
Aorta : elongation (-), dilatation(-), aorta sclerotic
(-)
Pulmonal : there are perivascular infiltrate in
pulmo D/S, simetris, escpecially in the central of
the lungs

Conclusion :
Cardiomegaly
Effusion pleura Dextra
Pulmonary edema, alveolar stage
 Soft Tissue:
Soal 25 normal
Bone: No visible
fracture,
osteolytic and
osteoblastic
lesion, normal
trabeculation, no
calcification
visible
Trachea: located
 Soft Tissue: normal
Soal 26 Bone: No visible fracture, osteolytic
and osteoblastic lesion, normal
trabeculation, no calcification visible
Trachea: located in the middle
Hemithorax : normal
Costophrenicus Angle: D sharp ,
costophrenicus angle S sharp
Hemidiaphragm: right and left
hemidiaphragm dome shape, normal
Cor: Size increase with CTR 67%,
site look shift to the right, shape
normal.
Lung: bronchovascular pattern D/S
increase , there are infiltrate on
pulmo D, bronchovascular pattern S
normal
Hilus: D and S normal
Conclusion:
- Cardiomegaly
- Pneumonia dd oedema
pulmonum