title: Humeral osteonecrosis leading to the early detection of a bronchial carcinoma.
abstract: The new Ionising Radiation (Medical Exposure) Regulations 2000 (IR (ME)ER) were implemented in January 2001. These regulations state that "the referrer must record in the patient's notes that a radiograph was taken and what it showed". As a result it is now incumbent upon the orthopaedic surgeon to document formally the findings of all requested radiographs. We present a case in which a left upper bronchial carcinoma was detected initially on a radiograph of the left shoulder. It highlights the importance of careful examination of the entire radiographic image and the documenting of the findings.
authors.affiliation: Princess Margaret Hospital, Edinburgh, Scotland, UK.
authors.forename: M
authors.initials: M
authors.lastname: Kelly
authors.forename: J M
authors.initials: JM
authors.lastname: McBirnie
authors.forename: R
authors.initials: R
authors.lastname: Burnett
mesh_terms: D006801:Humans; D006811:Humerus; D008175:Lung Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010020:Osteonecrosis / Q000150:complications* / Q000000981:diagnostic imaging*; D011859:Radiography; D011871:Radiology / Q000331:legislation & jurisprudence / Q000592:standards