π Normal
TECHNIQUE / POSITIONING
1π Frog-leg lateral view of both hips obtained
2π Adequate hip flexion and abduction
3π Suboptimal positioning / limited abduction
FEMORAL HEAD & NECK
4π Femoral head and neck morphology normal
5π Loss of normal femoral head-neck contour
6π Epiphyseal irregularity / fragmentation
EPIPHYSEAL PLATE
7π Physis appears normal in width and alignment
8π Widening / irregularity of physis
9π Slipped capital femoral epiphysis (SCFE)
HIP JOINT SPACE
10π Hip joint space preserved
11π Hip joint space narrowing
12π Joint effusion suspected
FEMORAL HEAD POSITION
13π Femoral head centered within acetabulum
14π Mild subluxation
15π Dislocation
BONE DENSITY / SHAPE
16π Normal bone density and shape
17π Sclerosis / flattening of femoral head
18π Findings suggestive of Perthes disease
SOFT TISSUES
19π No abnormal soft tissue swelling
20π Periarticular soft tissue swelling
21π Muscle spasm / guarding suggested by positioning
IMPRESSION
22π No radiographic abnormality detected
23π Features suggestive of SCFE / Perthes (correlate clinically)
24π Abnormal hip morphology—further evaluation advised
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