π Normal
TECHNIQUE / POSITIONING
1π AP and lateral views of the entire leg obtained
2π Hip, knee, and ankle joints included
3π Suboptimal positioning / incomplete coverage
ALIGNMENT
4π Normal alignment of femur and tibia
5π Varus deformity
6π Valgus deformity
FEMUR
7π Femur shows normal length and morphology
8π Femoral bowing / deformity
9π Femoral fracture
TIBIA
10π Tibia shows normal length and contour
11π Tibial bowing / angulation
12π Tibial fracture
FIBULA
13π Fibula intact and normal
14π Fibular deformity
15π Fibular fracture
METAPHYSES
16π Metaphyses appear normal
17π Metaphyseal cupping / fraying
18π Metaphyseal corner fracture
GROWTH PLATES (PHYSIS)
19π Physes normal in width and contour
20π Widened / irregular physes
21π Physeal injury (Salter–Harris)
BONE DENSITY
22π Bone density within normal limits
23π Generalized osteopenia
24π Abnormal mineralization
SOFT TISSUES
25π No abnormal soft tissue swelling
26π Soft tissue swelling / hematoma
27π Soft tissue calcification / mass
IMPRESSION
28π No radiographic abnormality detected
29π Fracture / physeal injury identified
30π Features suggestive of metabolic or developmental bone disorder
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