π Normal
TECHNIQUE / POSITIONING
1π AP and lateral views of the femur obtained
2π Entire femur including hip and knee joints visualized
3π Suboptimal positioning / incomplete coverage
FEMORAL SHAFT
4π Femoral shaft shows normal alignment and contour
5π Bowing / angulation of femoral shaft
6π Femoral shaft fracture
METAPHYSIS
7π Metaphyses appear normal
8π Metaphyseal cupping / fraying
9π Metaphyseal fracture / corner fracture
EPIPHYSIS
10π Epiphyses appropriate for age
11π Delayed or irregular epiphyseal ossification
12π Epiphyseal separation
GROWTH PLATE (PHYSIS)
13π Physis appears normal in width and contour
14π Widened / irregular physis
15π Physeal injury (Salter–Harris)
BONE DENSITY
16π Bone density within normal limits
17π Generalized osteopenia
18π Sclerosis / abnormal mineralization
SOFT TISSUES
19π No abnormal soft tissue swelling
20π Soft tissue swelling / hematoma
21π Soft tissue calcification / mass
IMPRESSION
22π No radiographic abnormality detected
23π Femoral fracture / physeal injury
24π Features suggestive of metabolic / developmental bone disorder
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