Right Shoulder Girdle

Soft tissues - look again at overall amount, then check for the following: calcifications, obvious mass effect, abnormal air collections (called subcutaneous emphysema), and soft tissue companion shadow for the clavicle (this is a normal but variable finding).
Bones - look at each bone for the following items (notice again the progression from general to increasingly specific detail throughout the review). If your anatomic memory is hazy, refresh with a review of the gross anatomy radiology review program.

1. overall size, shape, and contour of each bone.
2. the density or mineralization
3. compare cortical thickness to medullary cavity, trabecular pattern, look for erosions, fractures, any lytic or blastic regions.
4. at joints, are articular relationships normal, joint spaces narrowed, widened, any calcification in the cartilages, air in the joint space, abnormal fat pads, etc.
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