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Radiology Quiz
This 65 year old farmer complained of
increasing pain and stiffness in his
right hip on walking, with the pain
now interfering with his sleep. His wife also
mentioned that he now seems to limp on the
right hand side. He also complained of
restricted movement in the right leg that was
confirmed on examination of the hip.
Questions
(1) What abnormalities does this radiograph show?
(2) What further questions would you like to ask or what examinations would you like to do?
(3) Indicate exactly where you would find the specific radiograph changes characteristic of this disease
(4) What is your exact diagnosis?
(5) Give the potential causes of this disease.
See the answers.
The quiz is compiled by Barry Kelly, consultant radiologist,
Royal Victoria Hospital, Belfast, and
Ian C Bickle, fourth year medical student, Queen's University, Belfast.
We would like to thank James Nixon, professor of orthopaedic surgery, Musgrave Park Hospital, Belfast, for his help.

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