UCSD Musculoskeletal Radiology


ACR coded film library

                                               ACR Anatomy and Pathology split page with MSK index  

This is a collection of imaging studies (X-ray, Ultrasound, Computed Tomography and MRI) of the musculoskeletal system.  Some of the films show normal appearances and some normal variants, but most show pathology ranging from simple fractures to the rare and unusual.  The films are for general use to help you put together talks on various subjects.  We only ask that you acknowledge the source.  The films in this library are coded using the 3rd/4th edition of the 'Index for Roentgen Diagnoses', published by The American College of Radiology.  The library of cases is coded under either anatomy or pathology.  If you are interested in an area of the body, then use the anatomy file and scroll to the number of your choice.  In the anatomy file the first 3 numbers are anatomy and the last four pathology.  If you wish to find a case related to a pathological condition then use the pathology file and scroll to the 4 digit pathology number of your choice.  Numbers followed by M or F in the text refer to the patients age and sex.  The text also contains a description of the findings/ condition and the type of image/sequence.  Double click to bring up the image.  If image wanted, right click the image and save to a findable file or straight into your slide presentation.

Anatomy                       Pathology                   ACR full index                    ACR MSK Index

 ACR Pathology index          ACR Anatomy index                 ACR Anatomy and Pathology split page  

ACR CIP Current Excel


Please use the Ctrl F function to find a talk of interest

5th metatarsal fractures
Abductor Muscle Injury 45M
Aberrant Anterior Tibial Artery 51M
Aberrant Anterior tibial artery on MRI 68M
Aberrant insertion of pectoralis minor tendon
AC jointseparation grade 4
Accessory anterolateral facet of the talus 21M
Accessory Anterolateral Talar Facet Fibrocartilaginous extra-articular coalition 43F
Accessory Biceps Tendon
Accessory Flexor Carpi Radialis Brevis Vel Profundus 63F
Accessory Head of Gastrocnemius 62M
Accessory Muscles
Accessory Plantaris 28M
Accessory Plantaris lateral segmental anomalous origin
Accessory Plantaris Muscle 28M
Accessory Soleus muscle
Acetabular insufficiency
Acetabular Insufficiency 66F
Acetabulum Letournel classification
Acromium fracture post RTSA 68F
Acromioclavicular joint injury grade 3 47F
Acute calcium deposition Wrist flexor tendons 23F
Adamantinoma 33F
Adductor Insertion Avulsion Syndrome a.k.a. Thigh splints 24M
Adhesive capsulitis shoulder
Adhesive Capsulitis shoulder 53F
Adverse local tissue reaction hip 61M
Adverse Reaction of Metal Dedris
Ameloblastoma mandible 47M
Amyloidosis wrist
Anaplastic large B cell lymphoma knee 41M
Anconeus edema 71M
Aneurysmal Bone Cyst cervical
Aneurysmal Bone Cyst cervical spine posterior elements
Ankylosing Spondylitis 43M
Anomalous Pect minor insertion
Anterior Ankle Impingement 29M
Anterior Interosseous Nerve Syndrome 51F
Anterolateral Ligament knee 23M
Aponeurotic Expansion Supraspinatus 53F
Articularis genu muscle 47M
Arthrofibrosis post ACL repair
Aseptic lymphocyte-dominant vasculitis-associated lesion ALVAL 61M
Athletic pubalgia 55M
Athletic pubalgia
Atlantooccipital CPPD
Atypical segmental AVN femoral head 65F
Avascular Necrosis of the proximal pole of the Hamate 56M
Avulsive Cortical Irregularity 15M
Axillary nerve injury 89F
Bennett Lesion 34M
Biceps femoris distal insertion tear 26M
Bicipitoradial bursitis 60F
Bifurcated distal biceps
Bilateral Peroneus Quartus 48M
Bipartite Medial Cuneiform Case 15F
Bipartite Medial Cuneiform 38F
Bisphosphonate femoral fracture 85F
Bisphosphonate subtrochanteric fracture
Boutonniere Deformity 20M
Broken bucket handle meniscal tear 61M
Boxers Knuckle
Boxer’s Knuckle 62F
Buford complex
Bursitis greater trochanter and olecranon
Calcific Tendinitis 52F
Calcific Tendinitis 56F
Cat scratch disease 49M
Cuboid toddler fracture 35mF
Destructive spondyloarthropathy 66M
Discoid lateral meniscus 49F
Distal intersection syndrome 30F
Dorsal Capsular Injury 1st MTP 16M
Dorsal defect of patella 43M
Dorsal defect of the patella 20M
Drifts and Shifts of the Peroneus Longus Roller Coaster
Erdheim-Chester Disease
Evaluation of Muscle Injury in Elite Athletes
Ewing sarcoma
Extensor digitorium brevis manus muscle 48M
Femoral neck fatigue fx 21M
Femoral neck stress fracture
Fibroma of tendon sheath wrist 72M
Fibrous Dysplasia with Secondary Aneurysmal Bone Cyst skull 21M
Fibular hemimelia 23M
Focal periphyseal edema (FOPE) 13F
Flexor carpi radialis tendon rupture 60M
Gastroc DVT 33F
Glomus Tumor 41F
Greater arc injury transscaphoid transtriquetral dorsal perilunate fracture dislocation 28M
Hallux abducto valgus what it is and how it is treated
Hawkins Sign Talus fracture
Humpback Deformity of the Scaphoid 21M
Hypertrophy of the TFL muscle 61F
Iliac Stress Fractures 41F
Iliopsoas bursal injection 31M
Iliopsoas gout 51M
Iliotibial band friction syndrome 45M
Intersection syndrome of the forearm 18M
Intertrochanteric Femoral Fractures 55M
Intraarticular biceps variants
Intra-articular vascular malformation - leg 13M
Jaffe-Campanacci syndrome 8M
Lateral Patellar Dislocation with tears of VMO and Patellar Tendon 33M
Lipoma arborescens shoulder 57M
Lisfranc Injuries
Little leaguers elbow 14M
Lunotriquetral coalition 34F
Lunotriquetral Coalition 54M
Madelung deformity 17F
Medial head of gastrocnemius tear 52F
Medial head of gastrocnemius tear 71F
Metal on metal resurfacing arthroplasty
Medial Plantar Nerve impingement secondary to ganglion cyst
Metaphyseal ostenecrosis distal tibia after fracture 14M
Morel-Lavallée Lesion 22F
Mueller-Weiss 31M
Nondisplaced subacute vs remote fracture of the base of the 5th MT
Novel lesion infraspinatus shoulder 57M
Olecranon stress fracture pitcher 17M
Osteoblastoma like Osteosarcoma scapula
Osteoblastoma transverse process
Notch of Harty 45M
Paget's disease 66M
Pagets right femur 56M
Paraacetabular insufficiency fracture 67M
Patellar calcar 32F
Patella gout 33M
Patellofemoral Biomechanics and Patellar Tracking
Pedicle Stress Frx 15M
Perimeniscal cyst knee 64M
Plantar Fibroma Ledderhose disease 54F
Plantar Talar Head Contusions and Osteochondral Fractures
Pneumorrachis 89F
Popliteal artery entrapment syndrome 45M
Posterior horn medial meniscal root tear the prequel 61F
Posterior Interosseous Nerve Syndrome 63M
Posterior Talocalcaneal Coalition 9F
Posteromedial friction syndrome knee 55F
Posteromedial knee friction syndrome 50F
Primary Synovial Osteochondromatosis 25M
Pronator Teres Strain 58M
Protrusio acetabuli prosthetica 86F
Psoriatic Arthritis 47F
Pseudarthrosis of the right clavicle
Pseudo-Stener Medial Supporting Structures 19M
Radial and Ulna bursal rice body tenosynovitis 60M
Ramp lesion posterior horn of medial meniscus in ACL tear 38F
Rectus femoris injury 29F
Reverse inverted total shoulder arthroplasty complications 59F
Sacro Tuberous Ligament continuity with the Biceps Femoris-SemiTendinous
Scaphoid Nonunion Advanced Collapse (SNAC) 21M
Sequela of Myonecrosis Involving the Flexor Hallucis Longus Muscle
Serous Atrophy of Bone Marrow 49F
Shoulder Arthroplasty
Snapping Scapula Syndrome scapulothoracic bursitis Luschka’s tubercle 78M
Soft Tissue Tumors
Spinal Dysraphism spina bifida, tethered cord and diastematomyelia 38F
Spinal Fusion Basic Concepts and Complications
Spinal Neuroarthropathy Charcot Spine
Spondyloarthritis 37M
Sprengel’s deformity with omovertebral bone 6M
Stener-like lesion of the MCL 31M
Stress fracture, fatigue-type, medial aspect femoral neck
Stump neuroma Left AKA 59M
Subchondral cyst (Geode) containing gas 63F
Subchondroplasty Knee 64F
Subcutaneous granuloma annulare
Superomedial Iliac Stress Fracture 35F
Tear of the dorsal deltoid ligament 1st CMCJ 31M
Tennis leg 35M
Tennis leg 44F
Thalassemia 55M
The first metatarsophalangeal joint meniscus
The Hitchhikers Guide to the Lumbosacral Plexus
Thermal Related Bone Marrow Abnormality 55M
Trapezial Fractures 48F
Traumatic Laceration of the Anterior tibial tendon 39M
Triceps tear 58M
Ulnar abutment syndrome 15M
Unilateral Meniscomeniscal ligament 60F
Wartenbergs Impingement 49M