Domain 3 · ~10% of Core Exam

Essentials of Diagnostic Radiology

Must-not-miss diagnoses. Every radiologist — regardless of subspecialty — needs to identify these immediately. Miss one and a patient dies.

Critical diagnoses

Tension pneumothoraxDeep sulcus sign, mediastinal shift.
Aortic dissectionIntimal flap, mediastinal widening.
Active extravasationBlush on CTA, contrast pooling.
Midgut volvulusWhirlpool sign, peds emergency.
IntussusceptionTarget sign on US, peds.
Non-accidental traumaMetaphyseal corner fractures, posterior rib fractures.
Shock bowelHypoperfusion complex, hyperenhancing wall.
Tube & line checkET tube 2–6 cm above carina, NG below diaphragm.

Essentials content is the priority "daily case" drip — delivered as image cases with a countdown reveal. Coming online after the Physics bank is stable.