Radiology|Tools

Radiology Reference Values for Adults and Children

Determining whether imaging measurements are normal or abnormal is fundamental to radiology, yet memorizing thousands of reference values across all specialties for both adults and children is impossible. Radiologists need instant access to age-appropriate normal ranges without workflow interruptions.

This comprehensive radiology reference values database for adults and children provides instant access to evidence-based normal ranges organized by specialty and organ system. Easily toggle between adult and pediatric populations, quickly navigate to specific measurements, and access the age-appropriate reference data you need—without interrupting your workflow.

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Radiology Reference Values

302 references
Abdomen 34
Biliary Tract

Intra-Hepatic Ducts

Ultrasound CT MRI
Normal
<2 mm

Benson CB, Arger PH, Bluth EI. Ultrasound, A Practical Approach to Clinical Problems. Thieme. (2000).

Biliary Tract

Common Hepatic Duct

Ultrasound CT MRI
Normal
<5 mm

Lutz HT, Buscarini E. Who Manual of Diagnostic Ultrasound. World Health Organization (2nd edition). (2011).

Biliary Tract

Common Bile Duct

CT MRI Ultrasound
Without Cholecystectomy
<6 mm
Post-Cholecystectomy
<10 mm

Trondsen E, Edwin B, Reiertsen O et-al. Prediction of common bile duct stones prior to cholecystectomy: a prospective validation of a discriminant analysis function. Arch Surg. 1998;133 (2): 162-6.

Duct Of Wirsung

Diameter

Ultrasound CT MRI Cholangiography
Pancreatic Head
<3 mm
Pancreatic Body And Tail
<2 mm

Edge MD, Hoteit M, Patel AP et-al. Clinical significance of main pancreatic duct dilation on computed tomography: single and double duct dilation. World J. Gastroenterol. 2007;13 (11): 1701-5.

Vermiform Appendix

Diameter

Ultrasound CT MRI
Ultrasound
<6 mm
Cystic Fibrosis
<8 mm
CT
<8 mm

Rettenbacher T, Hollerweger A, Macheiner P et-al. Outer diameter of the vermiform appendix as a sign of acute appendicitis: evaluation at US. Radiology. 2001;218 (3): 757-62. Lardenoye SW, Puylaert JB, Smit MJ et-al. Appendix in children with cystic fibrosis: US features. Radiology. 2004;232 (1): 187-9.

Vermiform Appendix

Wall Thickness

Ultrasound CT MRI
Normal
<3 mm

Rioux M. Sonographic detection of the normal and abnormal appendix. AJR Am J Roentgenol. 1992;158 (4): 773-8.

Esophagus

Wall Thickness

CT
Normal
<5 mm

Berkovich GY, Levine MS, Miller WT. CT findings in patients with esophagitis. AJR Am J Roentgenol. 2000;175 (5): 1431-4.

Stomach

Wall Thickness

Ultrasound CT
Normal
<10 mm

Tongdee R, Kongkaw L, Tongdee T. A study of wall thickness of gastric antrum: comparison among normal, benign and malignant gastric conditions on MDCT scan. J Med Assoc Thai. 2012;95 (11): 1441-8.

Small Bowel

Wall Thickness

Radiography Ultrasound CT
Anteroposterior
<3 mm

Macari M, Balthazar EJ. CT of bowel wall thickening: significance and pitfalls of interpretation. AJR Am J Roentgenol. 2001;176 (5): 1105-16.

Papilla Of Vater

Diameter

Ultrasound CT
Normal
<10 mm

Kim S, Lee NK, Lee JW et-al. CT evaluation of the bulging papilla with endoscopic correlation. Radiographics. 27 (4): 1023-38.

Colon

Diameter

Radiography CT
Anteroposterior
<6 cm

Horton KM, Corl FM, Fishman EK. CT evaluation of the colon: inflammatory disease. Radiographics. 20 (2): 399-418.

Colon

Wall Thickness

Ultrasound CT
Normal
<3-5 mm

Wiesner W, Khurana B, Ji H et-al. CT of acute bowel ischemia. Radiology. 2003;226 (3): 635-50.

Colon

Caecum

Radiography CT
Anteroposterior
<9 cm

Horton KM, Corl FM, Fishman EK. CT evaluation of the colon: inflammatory disease. Radiographics. 20 (2): 399-418.

Adrenal Glands

Arm Thickness

CT MRI
Normal
<3 mm

Rosette JJ. Imaging in Oncological Urology. Springer. (2009).

Gastrointestinal

Phi Angle

Fluoroscopy Radiography
Normal
30-60¡

Blachar A, Blank A, Gavert N et-al. Laparoscopic adjustable gastric banding surgery for morbid obesity: imaging of normal anatomic features and postoperative gastrointestinal complications. AJR Am J Roentgenol. 2007;188 (2): 472-9.

Gastrointestinal

Gastric Band

Fluoroscopy Radiography
Normal
>5 mm

Blachar A, Blank A, Gavert N et-al. Laparoscopic adjustable gastric banding surgery for morbid obesity: imaging of normal anatomic features and postoperative gastrointestinal complications. AJR Am J Roentgenol. 2007;188 (2): 472-9.

Spleen

Diameter

Ultrasound MRI CT
0-3 months
6 cm
3-6 months
6.5 cm
6-12 months
7 cm
1-2 y/o
8 cm
2-4 y/o
9 cm
4-6 y/o
9.5 cm
6-8 y/o
10 cm
8-10 y/o
11 cm
10-12 y/o
11.5 cm
12-15 y/o
12 cm
15-20 y/o (women)
12 cm
15-20 y/o (men)
13 cm

Hosey RG, Mattacola CG, Kriss V et-al. Ultrasound assessment of spleen size in collegiate athletes. Br J Sports Med. 2006;40 (3): 251-4. Rosenberg HK, Markowitz RI, Kolbeg H, et al. Normal splenic size in infants and children: sonographic measurements. AJR 1991; 157:119-121.

Gallbladder

Diameter

Ultrasound
Adult
<4 cm x 10 cm
Anteroposterior · 0-1 y/o
1.2 cm
Transverse · 0-1 y/o
1.4 cm
Length · 0-1 y/o
3.4 cm
Anteroposterior · 2-5 y/o
2.3 cm
Transverse · 2-5 y/o
3.9 cm
Length · 2-5 y/o
5.2 cm
Anteroposterior · 6-8 y/o
2.4 cm
Transverse · 6-8 y/o
3.0 cm
Length · 6-8 y/o
7.4 cm
Anteroposterior · 9-11 y/o
3.2 cm
Transverse · 9-11 y/o
3.6 cm
Length · 9-11 y/o
6.5 cm

Bisset. Differential Diagnosis in Abdominal Ultrasound, 3/e. Elsevier India. (2008). McGahan JP, Phillips HE, Cox KL. Sonography of the normal pediatric gallbladder and biliary tract. Radiology 1982; 144(4): 873-875.

Gallbladder

Wall Thickness

Ultrasound
Adult
<3 mm
0-1 y/o
3 mm
2-5 y/o
2 mm
6-8 y/o
3.0 mm
9-11 y/o
3.0 mm
12-16 y/o
3 mm

Majeski J. Significance of preoperative ultrasound measurement of gallbladder wall thickness. Am Surg. 2007;73 (9): 926-9.. McGahan JP, Phillips HE, Cox KL. Sonography of the normal pediatric gallbladder and biliary tract. Radiology 1982; 144(4): 873-875.

Common Bile Duct

Maximal Diameter

Ultrasound
0-1 y/o
2.0 mm
2-5 y/o
3.0 mm
6-8 y/o
2.0 mm
9-11 y/o
3.0 mm
12-16 y/o
4.0 mm

McGahan JP, Phillips HE, Cox KL. Sonography of the normal pediatric gallbladder and biliary tract. Radiology 1982; 144(4): 873-875.

Common Bile Duct

Maximal Diameter

Cholangiography
0-2 y/o
2.0 mm
2-6 y/o
4.0 mm
6-12 y/o
6.0 mm
12-14 y/o
7.0 mm

Witcombe JB, Cremin BJ. The width of the common bile duct in childhood. Pediatr Radiol. 1978;7 (3): 147-9.

Small Bowel

Diameter

Radiography CT MRI Ultrasound
Anteroposterior · Adult
<3 cm
Anteroposterior · 6 months
13.9 mm
Anteroposterior · 1 y/o
14.9 mm
Anteroposterior · 2 y/o
16.9 mm
Anteroposterior · 3 y/o
18.6 mm
Anteroposterior · 4 y/o
20.8 mm
Anteroposterior · 5 y/o
20.9 mm
Anteroposterior · 6 y/o
21.8 mm
Anteroposterior · 7 y/o
22.4 mm
Anteroposterior · 8 y/o
22.9 mm
Anteroposterior · 9 y/o
23.3 mm
Anteroposterior · 10 y/o
23.7 mm
Anteroposterior · 11 y/o
24.0 mm
Anteroposterior · 12 y/o
24.2 mm
Anteroposterior · 13 y/o
24.4 mm
Anteroposterior · 14 y/o
24.6 mm
Anteroposterior · 15 y/o
24.9 mm

Silva AC, Pimenta M, Guimares LS. Small bowel obstruction: what to look for. Radiographics. 29 (2): 423-39. Haworth EM, et al: Radiologic measurement of small bowel caliber in normal subjects according to age. Clin Radiol 18:427-431, 1967.

Colon

Rectosigmoid Index

Barium Enema
Normal
>1

Pochaczevsky R, Leonidas JC. The "recto-sigmoid index". A measurement for the early diagnosis of Hirschsprung's disease. Am J Roentgenol Radium Ther Nucl Med. 1975;123 (4): 770-7.

Colon

Presacral Space

Barium Enema
0-15 y/o
<5 mm

Eklšf O, Gierup J. The retrorectal soft tissue space in children: normal variations and appearances in granulomatous colitis. Am J Roentgenol Radium Ther Nucl Med. 1970;108

Pancreas

Diameter

Ultrasound
Anteroposterior · Head · Adult
<3 cm
Anteroposterior · Body · Adult
<2.5 cm
Anteroposterior · Tail · Adult
<2 cm
Anteroposterior · Head · <1 month
1.4 cm
Anteroposterior · Head · 1m.-1 y/o
2.0 cm
Anteroposterior · Head · 1-5 y/o
2.0 cm
Anteroposterior · Head · 5-10 y/o
2.0 cm
Anteroposterior · Head · 10-19 y/o
2.5 cm
Anteroposterior · Body · <1 month
0.8 cm
Anteroposterior · Body · 1m.-1 y/o
1.1 cm
Anteroposterior · Body · 1-5 y/o
1.2 cm
Anteroposterior · Body · 5-10 y/o
1.3 cm
Anteroposterior · Body · 10-19 y/o
1.4 cm
Anteroposterior · Tail · <1 month
1.4 cm
Anteroposterior · Tail · 1m.- 1 y/o
1.6 cm
Anteroposterior · Tail · 1-5 y/o
2.2 cm
Anteroposterior · Tail · 5-10 y/o
2.2 cm
Anteroposterior · Tail · 10-19 y/o
2.4 cm

Kreel L, Haertel M, Katz D. Computed tomography of the normal pancreas. J Comput Assist Tomogr. 1977;1 (3): 290-9. Siegel MJ, Martin KW, Worthington JL. Normal and abnormal pancreas in children: US studies. Radiology. 1987;165 (1): 15-8.

Pancreas

Wirsung Canal

Ultrasound
Anteroposterior
<2 mm

Siegel MJ, Martin KW, Worthington JL. Normal and abnormal pancreas in children: US studies. Radiology. 1987;165 (1): 15-8.

Liver

Diameter

Ultrasound MRI CT
Midclavicular · Adult
<155 mm
Midclavicular · 1-3 months
90 mm
Midclavicular · 4-6 months
95 mm
Midclavicular · 7-9 months
100 mm
Midclavicular · 1-3 y/o
105 mm
Midclavicular · 3-5 y/o
115 mm
Midclavicular · 5-7 y/o
125 mm
Midclavicular · 7-9 y/o
130 mm
Midclavicular · 9-11 y/o
135 mm
Midclavicular · 11-15 y/o
140 mm
Midclavicular · 15-17 y/o
145 mm

Tchelepi H, Ralls PW, Radin R et-al. Sonography of diffuse liver disease. J Ultrasound Med. 2002;21 (9): 1023-32. Konu_ OL, Ozdemir A, Akkaya A et-al. Normal liver, spleen, and kidney dimensions in neonates, infants, and children: evaluation with sonography. AJR Am J Roentgenol. 1998;171 (6): 1693-8.

Adrenal Glands

Diameter

Ultrasound
Maximal Size · Newborn
<3.6 cm
Length · Newborn
<5 mm
Thickness · Newborn
<5 mm

Oppenheimer DA, Carroll BA, Yousem S. Sonography of the normal neonatal adrenal gland. Radiology. 1983;146 (1): 157-60.

Pylorus

Diameter

Ultrasound
Muscle Thickness
<3 mm
Length
<15 mm

Iqbal CW, Rivard DC, Mortellaro VE et-al. Evaluation of ultrasonographic parameters in the diagnosis of pyloric stenosis relative to patient age and size. J. Pediatr. Surg. 2012;47 (8): 1542-7.

Esophagus

Maximal Diameter

Barium Swallow
9 days-1 month
6 mm
1-9 month
7-8 mm
10 month-7 y/o
8-11 mm
7-16 y/o
9-13 mm

Haase FR, Brenner A. Esophageal diameters at various ages. Arch Otolaryngol. 1963;77 : 119-22.

Stomach

Gastric Distension

Radiography
Anteroposterior
>7 cm

Weissleder R. Primer of Diagnostic Imaging. C.V. Mosby. p. 588. (2007).

Gastrointestinal

Newborn Gastrointestinal Air

Radiography
Anteroposterior · Gastric
2 hours
Anteroposterior · Small Bowel
6 hours
Anteroposterior · Rectum
24 hours

Weissleder R, M.D. JW, Chen JW. Primer of Diagnostic Imaging, Expert Consult- Online and Print. Mosby Incorporated. p. 627. (2011).

Gastrointestinal

Microcolon

Barium Enema
Anteroposterior
<1 cm

Maxfield CM, Bartz BH, Shaffer JL. A pattern-based approach to bowel obstruction in the newborn. Pediatr Radiol. 2013;43 (3): 318-29.

Liver

Segments

Ultrasound
Segment I (Caudate Lobe)
Located posteriorly, tucked between the IVC and the ligamentum venosum.
Segment II
The superior part of the far-left lateral liver.
Segment III
The inferior part of the left lateral liver, below Segment II.
Segment IV
The Quadrate lobe, divided into IVA (superior) and IVB (inferior), located between the left and middle hepatic veins.
Segment V
The inferior part of the right lobe, often found near the gallbladder.
Segment VI
The inferior part of the right lobe, located more posteriorly/laterally than Segment V.
Segment VII
The superior part of the posterior right lobe.
Segment VIII
The superior part of the anterior right lobe, sitting "on top" of Segment V.

No reference specified.

Cardiothoracic 26
Vessels

Left Pulmonary Artery

Radiography
Lateral
<18 mm

Reed JC. Chest Radiology Plain Film Patterns and Differential Diagnoses, E-Book. Mosby. (2010).

Vessels

Right Descending Pulmonary Artery

Radiography
Posteroanterior
<16 mm

Reed JC. Chest Radiology Plain Film Patterns and Differential Diagnoses, E-Book. Mosby. (2010).

Bronchus Intermedius

Posterior Wall

Radiography
Lateral
<3 mm

Coche EE. Medical Radiology / Diagnostic Imaging, Comparative Interpretation of Ct and Standard Radiography of the Chest. Springer Verlag Berlin Heidelberg. p. 113 (2011).

Tracheobronchial Tree

Posterior Tracheal Wall

Radiography
Lateral
<2.5 mm

Coche EE. Medical Radiology / Diagnostic Imaging, Comparative Interpretation of Ct and Standard Radiography of the Chest. Springer Verlag Berlin Heidelberg. p. 113 (2011).

Lung

Retrosternal Space

Radiography
Lateral
<2.5 cm

Simon G, Pride NB, Jones NL et-al. Relation between abnormalities in the chest radiograph and changes in pulmonary function in chronic bronchitis and emphysema. Thorax. 1973;28 (1): 15-23.

Diaphragm

Flattening

Radiography
Posteroanterior
<1.5 cm

M.D. JC, Stern EJ. Chest Radiology, The Essentials. Lippincott Williams & Wilkins. (2008).

Lung

Tracheoesophageal Stripe

Radiography
Lateral
<5.5 mm

Coche EE. Medical Radiology / Diagnostic Imaging, Comparative Interpretation of Ct and Standard Radiography of the Chest. Springer Verlag Berlin Heidelberg. p. 113 (2011).

Lung

Anterior Junction Line

Radiography
Posteroanterior
<1 mm

Gibbs JM, Chandrasekhar CA, Ferguson EC et-al. Lines and stripes: where did they go? - From conventional radiography to CT. Radiographics. 27 (1): 33-48.

Lung

Posterior Junction Line

Radiography
Posteroanterior
<1 mm

Gibbs JM, Chandrasekhar CA, Ferguson EC et-al. Lines and stripes: where did they go? - From conventional radiography to CT. Radiographics. 27 (1): 33-48.

Trachea

Maximal Diameter

Radiography
Posteroanterior
<3 cm

Kwong JS, MŸller NL, Miller RR. Diseases of the trachea and main-stem bronchi: correlation of CT with pathologic findings. Radiographics. 1992;12 (4): 645-57.

Right Main Bronchus

Maximal Diameter

Radiography
Posteroanterior
<2.4 cm

Kwong JS, MŸller NL, Miller RR. Diseases of the trachea and main-stem bronchi: correlation of CT with pathologic findings. Radiographics. 1992;12 (4): 645-57.

Main Left Bronchus

Diameter

Radiography
Posteroanterior
<2.3 cm

Kwong JS, Muller NL, Miller RR. Diseases of the trachea and main-stem bronchi: correlation of CT with pathologic findings. Radiographics. 1992;12 (4): 645-57.

Tracheobronchial Tree

Carina Angle

Radiography
Posteroanterior
40-80¡

Haskin PH, Goodman LR. Normal tracheal bifurcation angle: a reassessment. AJR Am J Roentgenol. 1982;139 (5): 879-82.

Tracheobronchial Tree

Trachea Coronal Diameter / Sagittal Diameter Ratio

Radiography CT
Normal
>0.6

Brant WE, M.D. CA. Fundamentals of Diagnostic Radiology. LWW. (2012).

Tracheobronchial Tree

Right Paratracheal Stripe

Radiography
Posteroanterior
< 4mm

Brant WE, M.D. CA. Fundamentals of Diagnostic Radiology. LWW. (2012).

Aortic Nipple

Maximal Diameter

Radiography
Posteroanterior
<4.5 mm

Shields TW, LoCicero J, M.D. CE et-al. General Thoracic Surgery: Pt. 1. The lung, pleura, diaphragm, and chest wall. Sect. I. Anatomy of the chest wall and lungs. 1. Anatomy of the thorax. Lippincott Williams & Wilkins. (2009).

Left Atrium

Diameter

Radiography
Posteroanterior
<7 cm

Brant WE, M.D. CA. Fundamentals of Diagnostic Radiology. LWW. (2012).

Vessels

Arch Of Azygos Vein

Radiography
Posteroanterior
<7 mm

Heitzman ER. Radiologic appearance of the azygos vein in cardiovascular disease. Circulation. 1973;47 (3): 628-34.

Thorax

Haller Index

CT
Axial
<2.5

Haller JA, Kramer SS, Lietman SA. Use of CT scans in selection of patients for pectus excavatum surgery: a preliminary report. J. Pediatr. Surg. 1987;22 (10): 904-6.

Pulmonary Artery

Descending Right

Radiography
Posteroanterior
16 mm

Reed JC. Chest Radiology Plain Film Patterns and Differential Diagnoses, E-Book. Mosby. (2010)

Pulmonary Artery

Left

Radiography
Lateral
18 mm

Reed JC. Chest Radiology Plain Film Patterns and Differential Diagnoses, E-Book. Mosby. (2010)

Heart

Cardiothoracic Index

Radiography
Posteroanterior · Adult
<0.5
1-2 y/o
0.6
2-3 y/o
0.5
3-5 y/o
0.52
>5 y/o
0.5
0-3 weeks
0.65
4-7 weeks
0.7
8-23 weeks
0.67
24-47 weeks
0.66
48 weeks
0.61

Maresh MM, Washburn AH. Size of the heart in healthy children. Am J Dis Child 56:33, 1936. Weissman NJ, Adelmann GA. Cardiac Imaging Secrets. Elsevier Health Sciences. (2004).

Heart

Cardiac Diameter

Radiography
Posteroanterior · Adult
<15 cm
Transverse · 4 y/o
71 mm
Transverse · 5 y/o
76 mm
Transverse · 6 y/o
81 mm
Transverse · 7 y/o
86 mm
Transverse · 8 y/o
91 mm
Transverse · 9 y/o
96 mm
Transverse · 10 y/o
101 mm
Transverse · 11 y/o
106 mm
Transverse · 12 y/o
111 mm
Transverse · 13 y/o
116 mm
Transverse · 14 y/o
121 mm
Transverse · 15 y/o
126 mm
Transverse · 16 y/o
130 mm

Esguerra gomez G. Importance of the relation between the anthropometric index and the transverse cardiac diameter for appraising the size of the heart. Radiology. 1951;57. Chockalingam. Cardiac X-Rays Cardiac Radiology Series. Elsevier India. (2006).

Thymus

Diameter

CT
Anteroposterior · 0-10 y/o
2.52 cm
Transverse · 0-10 y/o
3.13 cm
Craniocaudal · 0-10 y/o
3.53 cm
Anteroposterior · 10-20 y/o
2.56 cm
Transverse · 10-20 y/o
3.05 cm
Craniocaudal · 10-20 y/o
4.99 cm

Francis IR, Glazer GM, Bookstein FL, Gross BH. The thymus: reexaminatinon of age-related changes in size and shape. AJR 1985; 145:249-254.

Tracheobronchial Tree

Trachea

Radiography
Lateral · C5 · Newborn
4.5 mm
Lateral · T1 · Newborn
3.9 mm
Lateral · T3 · Newborn
3.5 mm
Anteroposterior · C5 · Newborn
2-7 mm
Anteroposterior · T1 · Newborn
1-6 mm
Anteroposterior · T3 · Newborn
1-5 mm

Donaldson SW, Tompsett AC. Tracheal diameter in the normal newborn infant. Am J Roentgenol Radium Ther Nucl Med. 1952;67 (5): 785-7.

Right Paratracheal Stripe

Diameter

Radiography
Anteroposterior
<4 mm

Savoca CJ, Brasch RC, Gooding CA et-al. The right paratracheal stripe in children. Pediatr Radiol. 1978;6 (4): 203-7.

Genitourinary 22
Scrotum

Maximal Thickness

Ultrasound
Normal
2-8 cm

Dogra VS, Gottlieb RH, Oka M et-al. Sonography of the scrotum. Radiology. 2003;227 (1): 18-36.

Testes

Resistance Index (Arterial)

Ultrasound
Normal
0.48-0.75

Dogra VS, Gottlieb RH, Oka M et-al. Sonography of the scrotum. Radiology. 2003;227 (1): 18-36.

Epididymis

Resistance Index

Ultrasound
Normal
0.46-0.68

Dogra VS, Gottlieb RH, Oka M et-al. Sonography of the scrotum. Radiology. 2003;227 (1): 18-36.

Testicular Appendix

Diameter

Ultrasound
Normal
<5 mm

Dogra VS, Gottlieb RH, Oka M et-al. Sonography of the scrotum. Radiology. 2003;227 (1): 18-36.

Epididymis

Dimension

Ultrasound
Body
<2-4 mm
Tail
2-5 mm
Head (Globus Major)
5-12 mm

Dogra VS, Gottlieb RH, Oka M et-al. Sonography of the scrotum. Radiology. 2003;227 (1): 18-36.

Testes

Dimension

Ultrasound
Normal
4-5 x 2-3 x 2-2.5 cm

Middleton WD, Kurtz AB. Ultrasound: The Requesites. Mosby. p. 152 (2004)

Testes

Volume

Ultrasound
Normal
<15-20 mL

Middleton WD, Kurtz AB. Ultrasound: The Requesites. Mosby. p. 152 (2004)

Spermatic Cord

Veins

Ultrasound
Mild Varicocele
2.5-4 mm
Mild Varicocele
2.5-4 mm
Moderate Varicocele
4-5mm
Severe Varicocele
>5 mm
Normal Size
2.2 mm

DŠhnert W. Radiology Review Manual. Lippincott Williams & Wilkins. p. 1009 (2011)

Prostate

Dimension

Ultrasound
Normal
2.8 x 2.8 x 4.8 cm

Bisset RAL, Khan AN. Differential Diagnosis in Abdominal Ultrasound, 3/e. Elsevier India. (2008)

Prostate

Volume

Ultrasound
Normal
30 mL

Bisset RAL, Khan AN. Differential Diagnosis in Abdominal Ultrasound, 3/e. Elsevier India. (2008)

Kidney

Diameter

Ultrasound CT MRI
Left
9.5-13.5 cm
Right
9-13 cm

Glodny, B. et al. Normal kidney size and its influencing factors - a 64-slice MDCT study of 1.040 asymptomatic patients. BMC Urology 2009, 9:19.

Kidney

Parenchyma

Ultrasound CT
Left
10.4-21.2 mm
Right
9.8-21 mm

Glodny, B. et al. Normal kidney size and its influencing factors - a 64-slice MDCT study of 1.040 asymptomatic patients. BMC Urology 2009, 9:19.

Kidney

Cortex Thickness

Ultrasound CT
Normal
2.6-10.6 mm

Glodny, B. et al. Normal kidney size and its influencing factors - a 64-slice MDCT study of 1.040 asymptomatic patients. BMC Urology 2009, 9:19.

Kidney

Pelvis

Ultrasound CT
Left
7.3-32.5 mm
Right
6.1-30.9 mm

Glodny, B. et al. Normal kidney size and its influencing factors - a 64-slice MDCT study of 1.040 asymptomatic patients. BMC Urology 2009, 9:19.

Kidney

Maximal Diameter Discrepancy

Ultrasound CT
Left - Right
1.5 cm

Glodny, B. et al. Normal kidney size and its influencing factors - a 64-slice MDCT study of 1.040 asymptomatic patients. BMC Urology 2009, 9:19.

Ureter

Average Diameter

Ultrasound CT MRI
Normal
1.8 mm ± 0.9 mm

Zelenko N, Coll D, Rosenfeld AT et-al. Normal ureter size on unenhanced helical CT. AJR Am J Roentgenol. 2004;182 (4): 1039-41.

Kidney

Resistive Index Obstruction

Ultrasound
Normal
>0.7

Middleton WD, Kurtz AB, Hertzberg BS. Ultrasound, the requisites. Mosby Inc. p. 108 (2004).

Kidney

Renal Artery Velocity

Ultrasound
Normal
<200 cm/s

Middleton WD, Kurtz AB, Hertzberg BS. Ultrasound, the requisites. Mosby Inc. p. 142 (2004).

Kidney

Average Renal Diameter

Ultrasound CT
Longitudinal · Newborn
6 cm
Longitudinal · 6 months
7 cm
Longitudinal · 1 y/o
8 cm
Longitudinal · 2 y/o
9 cm
Longitudinal · 3 y/o
10 cm
Longitudinal · 4 y/o
11 cm

Han BK, Babcock DS. Sonographic measurements and appearance of normal kidneys in children. AJR Am J Roentgenol. 1985;145 (3): 611-6.

Testes

Average Volume

Ultrasound
Width · Newborn
1.0 cm
Length · Newborn
1.5 cm
Volume · Newborn
1.14 mL
Width · 1-3 months
1.2 cm
Length · 1-3 months
2.0 cm
Volume · 1-3 months
2.01 mL
Volume · 4-6 months
1.81 mL
Length · 1-10 y/o
1.6 cm
Volume · 1-10 y/o
1.6 mL
Length · 11-12 y/o
1.9 cm
Volume · 11-12 y/o
2.0 mL
Length · 13-16 y/o
3.5 cm
Volume · 13-16 y/o
13.0 mL

Cassorla FG, Golden SM, Johnsonbaugh RE et-al. Testicular volume during early infancy. J. Pediatr. 1981;99 (5): 742-3.

Bladder

Wall Thickness

Ultrasound MRI CT
Distented
<3 mm
Not Distended
<5 mm

Baxter GM, Sidhu PS. Ultrasound Of The Urogenital System. Thieme. (2006). Jequier S, Rousseau O. Sonographic measurements of the normal bladder wall in children. AJR Am J Roentgenol. 1987;149 (3): 563-6.

Kidney

Hydronephrosis

CT MRI Ultrasound
Grade 0
No dilation; the central renal sinus is bright and compact.
Grade 1
Slight dilation of the renal pelvis only; no calyces are visible.
Grade 2
Dilation of the renal pelvis and major calyces (the "trunk" and "main branches").
Grade 3
Dilation of the renal pelvis, major calyces, and minor calyces (the "tips" of the branches look rounded or "clubbed").
Grade 4
All features of Grade 3, plus visible thinning of the renal parenchyma (the outer cortex).

Timberlake, M., Herndon, C. Mild to moderate postnatal hydronephrosis—grading systems and management. Nat Rev Urol 10, 649–656 (2013). https://doi.org/10.1038/nrurol.2013.172

Gynecology 6
Ovary

Volume (Adult)

Ultrasound CT MRI
For Fertility
>3 mL
Premenopausal
<20 mL
Postmenopausal
<10 ml
Polycystic Ovary Syndrome
>10 mL

Lass A, Skull J, Mcveigh E et-al. Measurement of ovarian volume by transvaginal sonography before ovulation induction with human menopausal gonadotrophin for in-vitro fertilization can predict poor response. Hum. Reprod. 1997;12 (2): 294-7.

Fallopian Tube

Dimension

Ultrasound CT MRI Hysterosalpingography
Length
<14 cm
Diameter
<4 mm

Reviews CT. Studyguide for Obstetrics and Gynecology by Charles RB Beckmann. Academic Internet Pub Incorporated. (2011).

Uterus

Dimension (Adult)

Ultrasound CT MRI Hysterosalpingography
Nulliparous (Premenopausal)
9 x 6 x 4 cm
Parous (Premenopausal)
10 x 6 x 5 cm
Postmenopausal
6 x 2 x 2 cm

Bradley LD, Falcone T. Hysteroscopy, Office Evaluation and Management of the Uterine Cavity. Mosby. (2009).

Uterus

Endometrium Thickness

Ultrasound MRI
Premenopausal
<16 mm
Postmenopausal, Symptomatic And Without Hormonotherapy
<5 mm
Postmenopausal, Symptomatic And With Hormonotherapy
<8 mm
Postmenopausal And Asymptomatic
<11 mm
Post-Abortion
<8 mm

Nalaboff KM, Pellerito JS, Ben-levi E. Imaging the endometrium: disease and normal variants. Radiographics. 21 (6): 1409-24.

Ovary

Average Volume (Children)

Ultrasound
1 day-3 months
3.56 mL
4-12 months
2.71 mL
13-24 months
1.68 mL
2-12 y/o
0.9 mL
13-20 y/o
5.7 mL

Cohen HL, Shapiro MA, Mandel FS et-al. Normal ovaries in neonates and infants: a sonographic study of 77 patients 1 day to 24 months old. AJR Am J Roentgenol. 1993;160 (3): 583-6.

Uterus

Dimension (Children)

Ultrasound
Length · 1-12 y/o
2.0-3.3 cm
Width · 1-12 y/o
0.5-1.0 cm
Length · 13-20 y/o
5-8 cm
Width · 13-20 y/o
1.6-3.0 cm

Sample W, Lippe B, Geypes M.Gray scale ultrasonography of the normal female pelvis. Radiology 1977; 125:477-483.

Head And Neck 14
Internal Ear

Vestibular Aqueduct Canal

nan
Normal
<1.5 mm

Goldfeld M, Glaser B, Nassir E et-al. CT of the ear in Pendred syndrome. Radiology. 2005;235 (2): 537-40.

Internal Ear

Common Cavity

CT
Axial · Average Vertical Diameter
4 mm
Axial · Average Horizontal Diameter
10 mm

Joshi VM, Navlekar SK, Kishore GR et-al. CT and MR imaging of the inner ear and brain in children with congenital sensorineural hearing loss. Radiographics. 32 (3): 683-98.

Internal Ear

Cochlear Bud

CT MRI
Axial
1-3 mm

Joshi VM, Navlekar SK, Kishore GR et-al. CT and MR imaging of the inner ear and brain in children with congenital sensorineural hearing loss. Radiographics. 32 (3): 683-98.

Internal Ear

Posterior Semicircular Canal

CT MRI
Axial · Average Diameter
1.5 mm

Joshi VM, Navlekar SK, Kishore GR et-al. CT and MR imaging of the inner ear and brain in children with congenital sensorineural hearing loss. Radiographics. 32 (3): 683-98.

Internal Ear

Internal Auditory Canal

CT MRI
Axial · Average Diameter
4-8 mm
Axial · Stenosis
<2 mm

Joshi VM, Navlekar SK, Kishore GR et-al. CT and MR imaging of the inner ear and brain in children with congenital sensorineural hearing loss. Radiographics. 32 (3): 683-98.

Prevertebral Soft Tissue

Neutral Position (Average)

Radiography
Lateral · C1
4.6 mm
Lateral · C2
3.2 mm
Lateral · C3
3.4 mm
Lateral · C4
5.1 mm
Lateral · C5
14.9 mm
Lateral · C6
15.1 mm
Lateral · C7
13.9 mm

Penning L. Prevertebral hematoma in cervical spine injury: incidence and etiologic significance. AJR Am J Roentgenol. 1981;136 (3): 553-61.

Prevertebral Soft Tissue

Flexion (Average)

Radiography
Lateral · C1
5,6 mm
Lateral · C2
4,1 mm
Lateral · C3
4,2 mm
Lateral · C4
5,8 mm
Lateral · C5
17,1 mm
Lateral · C6
16,3 mm
Lateral · C7
14.7 mm

Penning L. Prevertebral hematoma in cervical spine injury: incidence and etiologic significance. AJR Am J Roentgenol. 1981;136 (3): 553-61.

Prevertebral Soft Tissue

Extension (Average)

Radiography
Lateral · C1
3.6 mm
Lateral · C2
3.8 mm
Lateral · C3
4.1 mm
Lateral · C4
6.1 mm
Lateral · C5
15.2 mm
Lateral · C6
13.9 mm
Lateral · C7
11.9 mm

Penning L. Prevertebral hematoma in cervical spine injury: incidence and etiologic significance. AJR Am J Roentgenol. 1981;136 (3): 553-61.

Prevertebral Soft Tissue

Maximal Thickness

Radiography CT MRI
Lateral · C1
8.5 mm
Lateral · C2
6 mm
Lateral · C3
7 mm
Lateral · C6
18 mm
Lateral · C7
18 mm

Rojas CA, Vermess D, Bertozzi JC et-al. Normal thickness and appearance of the prevertebral soft tissues on multidetector CT. AJNR Am J Neuroradiol. 2009;30 (1): 136-41.

Prevertebral Soft Tissue

Maximal Thickness At C2

Radiography CT
Lateral · 0-2 y/o
7.6 mm
Lateral · 3-6 y/o
8.4 mm
Lateral · 7-15 y/o
6.8 mm
Lateral · 0-2 y/o
9 mm
Lateral · 3-6 y/o
9.8 mm
Lateral · 7-10 y/o
12.1 mm
Lateral · 11-15 y/o
14.5 mm

Vermess D, Rojas CA, Shaheen F et-al. Normal pediatric prevertebral soft-tissue thickness on MDCT. AJR Am J Roentgenol. 2012;199 (1): W130-3.

Retrotracheal Space

Maximal Diameter At C5

Radiography
Lateral · 0-1 y/o
2.0 cm
Lateral · 1-2 y/o
1.5 cm
Lateral · 2-14 y/o
1.2 cm

Hay PD, Jr. The Neck: A roentgenological study of the soft tissues: Consideration of the normal and pathological. III. Normal necks (infants and children). Ann Roentgenol Vol 9. New York: Hoever, 1930, p22.

Thyroid

Diameter

Ultrasound
Anteroposterior · Newborn and children
1-1.5 cm
Transverse · Newborn and children
2-3 cm
Longitudinal · Newborn and children
0.2-1.2 cm
Anteroposterior · Adolescents
2-4 cm
Transverse · Adolescents
5-8 cm
Longitudinal · Adolescents
1-2.5 cm

Sarti DA. Diagnostic Ultrasound, Text and Cases. Year Book Medical Pub. (1987), pp.608-618.

Aryepiglottic Fold

Maximal Thickness

Radiography
Lateral
7 mm

Donnelly LF. Pediatric Imaging, The Fundamentals. Saunders. p. 10 (2009).

Adenoid

Maximal Size

Radiography
Lateral
12 mm

Donnelly LF. Pediatric Imaging, The Fundamentals. Saunders. p. 20 (2009).

Lymphatics 6
Abdomen

Dimension

CT MRI
Porta Hepatis
<6 mm
Interaorticocaval
<10 mm
Paraaortic
<10 mm
External Iliac
<10 mm
Gastrohepatic Ligament
<10 mm
Gastroduodenal Ligament
<10 mm
Gastrosplenic Ligament
<10 mm
Mesenteric
<5 mm
Celiac
<10 mm
Perisplenic
<10 mm

Webb WR, Brant W, Major N. Fundamentals of Body Ct. Saunders. (2006).

Pelvis

Dimension

CT MRI
Inguinal
<1.5 cm

Ioachim HL, Medeiros LJ. Ioachim's Lymph Node Pathology. Lippincott Williams & Wilkins. p. 173 (2009).

Rectum

Dimension

CT MRI
Perirectal
<5-8 mm

Banno T. Multislice Ct. Springer. p. 248 (2004).

Thoracic

Dimension

CT MRI
Infracarenal
<15 mm
Retrocrural
<6 mm
Pretracheal
<10 mm
Aortopulmonary Window
<10 mm
Prevascular
<10 mm
Axillary
<1.5 cm
Hilar
<10 mm
Internal Mammary
<5 mm
Thymus
<1.3 cm

Webb WR, Brant W, Major N. Fundamentals of Body Ct. Saunders. (2006).

Head And Neck

Pathological Enlargement (Non Target)

Ultrasound CT MRI
Submental (Level 1A)
10-15 mm
Submandibular (Level 1B)
10-15 mm
Superior Jugular (Level 2)
10-15 mm
Middle Jugular (Level 3)
10-15 mm
Inferior Jugular (Level 4)
10-15 mm
Posterior Triangle (Level 5)
10-15 mm
Anterior Triangle (Level 6)
10-15 mm

Hoang JK, Vanka J, Ludwig BJ et-al. Evaluation of cervical lymph nodes in head and neck cancer with CT and MRI: tips, traps, and a systematic approach. AJR Am J Roentgenol. 2013;200 (1): W17-25.

Head And Neck

Pathological Enlargement (Target)

Ultrasound CT MRI
Submental (Level 1A)
>15 mm
Submandibular (Level 1B)
>15 mm
Superior Jugular (Level 2)
>15 mm
Middle Jugular (Level 3)
>15 mm
Inferior Jugular (Level 4)
>15 mm
Posterior Triangle (Level 5)
>15 mm
Anterior Triangle (Level 6)
>15 mm

Hoang JK, Vanka J, Ludwig BJ et-al. Evaluation of cervical lymph nodes in head and neck cancer with CT and MRI: tips, traps, and a systematic approach. AJR Am J Roentgenol. 2013;200 (1): W17-25.

Musculoskeletal 142
Foot And Ankle

Cfl/Atfl Angle

MRI
Normal
70¡-140¡

Stoller DW, Tirman PF, Bredella MA. Diagnostic imaging, Orthopaedics. Amirsys Inc. p. 6(31) (2004).

Hip

Alpha Angle

MRI
Normal
55¡

NšTzli HP, Wyss TF, Stoecklin CH et-al. The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg Br. 2002;84 (4): 556-60.

Cervical

Chamberlain'S Line

Radiography CT MRI
Lateral
<3 mm

Benzel EC. The Cervical Spine. LWW. (2012).

Cervical

Mcgregor'S Line

Radiography CT MRI
Lateral
<4.5 mm

M.D. TJ, M.D. BS, M.D. AW. Surgical Management of Spinal Deformities [With Access Code]. Saunders. (2009).

Cervical

Bull'S Angle

Radiography CT MRI
Lateral
<13¡

Berry M. Diagnostic Radiology : Neuroradiology : Head and Neck Imaging. Jaypee Brothers Publishers. (2006).

Cervical

Klaus Index

Radiography CT MRI
Lateral
>30 mm

Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. (2005).

Cervical

Atlanto-Temporomandibular Index

Radiography CT MRI
Lateral
>22 mm

Freyschmidt J, Kšhler A, Brossmann J et-al. Freyschmidt's "Koehler. George Thieme Verlag. (2003).

Cervical

Boogaard'S Angle

Radiography CT MRI
Lateral
<135¡

Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. (2005).

Cervical

Fischgold'S Bimastoid Line

Radiography CT MRI
Odontoid
<10 mm

Greenberg MS. Handbook of Neurosurgery. Thieme. (2010).

Cervical

Wackenheim'S Angle

Radiography CT MRI
Lateral
>150¡

Munk PL, Ryan AG. Teaching Atlas of Musculoskeletal Imaging. Thieme. (2007).

Cervical

Digastric Line

Radiography CT MRI
Odontoid · Distance With Atlanto-Occipital Articulation
>4 mm
Odontoid · Distance With Odontoid Process
>1 mm

Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. (2005).

Cervical

Schmidt-Fischer'S Angle

Radiography CT MRI
Odontoid
124-127¡

Bambakidis NC, Dickman CA. Surgery of the Craniovertebral Junction. Thieme. (2012).

Cervical

Basal Angle

Radiography CT MRI
Lateral
125-143¡

Menkes JH, Sarnat HB, Maria BL. Child Neurology, 7e. Lippincott Williams & Wilkins. (2006).

Cervical

Dublin'S Distance

Radiography CT MRI
Lateral · Mandible - Atlas Distance
2-5 mm
Lateral · Distance Mandibule - Axis
9-12 mm

Fessler R, Sekhar L. Atlas of Neurosurgical Techniques, Spine and Peripheral Nerves. TNY. (2006).

Cervical

Harris Line

Radiography CT MRI
Lateral · Basion - Odontoid Distance
<12 mm
Lateral · Basion - Posterior Axial Line Distance
<12 mm

Frymoyer JW, Wiesel SW. The Adult and Pediatric Spine. (2004).

Cervical

Powers Index

Radiography CT MRI
Lateral
<1

Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. (2005).

Cervical

Cervical Posterior Line

Radiography CT MRI
Lateral
<2 mm

Frymoyer JW, Wiesel SW. The Adult and Pediatric Spine. (2004).

Cervical

Wedge Compression Fracture

Radiography CT
Lateral · Difference Between Posterior And Anterior Vertebral Height
<3 mm

Benson M, Fixsen J. ChildrenÕs Orthopaedics and Fractures. Springer Verlag. (2010).

Thoracic

Wedge Compression Fracture

Radiography CT
Lateral · Difference Between Posterior And Anterior Vertebral Height
<3 mm

Benson M, Fixsen J. ChildrenÕs Orthopaedics and Fractures. Springer Verlag. (2010).

Lumbosacral

Wedge Compression Fracture

Radiography CT
Lateral · Difference Between Posterior And Anterior Vertebral Height
<3 mm

Benson M, Fixsen J. ChildrenÕs Orthopaedics and Fractures. Springer Verlag. (2010).

Cervical

Interspinous Distance

Radiography CT MRI
Anteroposterior
<1.5 x mean interspinous distance

Benson M, Fixsen J. ChildrenÕs Orthopaedics and Fractures. Springer Verlag. p. 822 (2010).

Spinal Canal

Spinal Stenosis

CT MRI Radiography
Thoracic
<10 mm
Cervical
<0.8
Lateral · Lumbosacral
<14 mm

DePalma MJ. Ispine, Evidence-Based Interventional Spine Care. Demos Medical Publishing. (2011). Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. (2005).

Spinal Canal

Diameter

Radiography CT MRI
Lateral · Thoracic
17-22 mm
Lateral · Lumbosacral
15-25 mm

M.D. DJ, Newton HB, Rae-Grant AD. The 5-Minute Neurology Consult. LWW. (2012). McLone DG. Pediatric Neurosurgery, Surgery of the Developing Nervous System. W B Saunders Company. (2001).

Lumbosacral

Lateral Recess Height

CT MRI
Normal
>2 mm

Chapman MW, Madison M. Operative orthopaedics. Lippincott Williams & Wilkins. (1993).

Lumbosacral

Lumbosacral Angle

Radiography CT MRI
Lateral
26-57¡

Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. (2005).

Lumbosacral

Lumbosacral Disc Angle

Radiography CT MRI
Lateral
10-15¡

Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. (2005).

Lumbosacral

Van Akkerveeken Distance

Radiography CT MRI
Lateral
<3 mm

Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. (2005).

Shoulder

Glenohumeral Joint Space

Radiography
Anteroposterior
4-5 mm

Petersson CJ, Redlund-johnell I. Joint space in normal gleno-humeral radiographs. Acta Orthop Scand. 1983;54 (2): 274-6.

Shoulder

Acromiohumeral Distance

Radiography
Anteroposterior
7-11 mm

Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. (2005).

Shoulder

Coracoclavicular Distance

Radiography
Anteroposterior · Distance
11-13 mm
Anteroposterior · Right And Left Shoulder Difference
<5 mm

Marincek B, Dondelinger RF. Emergency Radiology, Imaging and Intervention. Springer. (2007).

Shoulder

Acromioclavicular Joint Space

Radiography
Anteroposterior · Right And Left Shoulder Difference
<2-4 mm

Marincek B, Dondelinger RF. Emergency Radiology, Imaging and Intervention. Springer. (2007).

Elbow

Carrying Angle

Radiography
Lateral
154-178¡

Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. (2005).

Elbow

Humeral Angle

Radiography
Lateral
72-95¡

Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. (2005).

Elbow

Ulnar Angle

Radiography
Lateral
72-99¡

Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. (2005).

Elbow

Elbow Joint Space

Radiography
Lateral
3 mm

Mšller TB. Normal Findings in Radiology. Thieme. (2000).

Shoulder

Reduced Acromiohumeral Distance

Radiography
Anteroposterior
<7 mm

Saupe N, Pfirrmann CW, Schmid MR et-al. Association between rotator cuff abnormalities and reduced acromiohumeral distance. AJR Am J Roentgenol. 2006;187 (2): 376-82.

Hand And Wrist

Radioulnar Angle

Radiography
Posteroanterior
72-95¡

Mšller TB. Normal Findings in Radiology. Thieme. (2000).

Hand And Wrist

Radius Angle

Radiography
Lateral
79-94¡

Mšller TB. Normal Findings in Radiology. Thieme. (2000).

Hand And Wrist

Ulnar Variance

Radiography
Posteroanterior
-2-2 mm

Cooney WP. The Wrist, Diagnosis and Operative Treatment. Lippincott Williams & Wilkins. (2010).

Hand And Wrist

Radial Length

Radiography
Posteroanterior
10-13 mm

Broder J. Diagnostic Imaging for the Emergency Physician, Expert Consult. Saunders. (2011).

Hand And Wrist

Radial Inclination

Radiography
Posteroanterior
21-25¡

Marincek B, Dondelinger RF. Emergency Radiology, Imaging and Intervention. Springer. (2007).

Hand And Wrist

Radius Palmar Tilt

Radiography
Lateral
2-20¡

Marincek B, Dondelinger RF. Emergency Radiology, Imaging and Intervention. Springer. (2007).

Hand And Wrist

Scapholunate Angle

Radiography
Lateral
30-60¡

Bowden G, McNally M, Thomas S et-al. Oxford Handbook of Orthopaedics and Trauma. Oxford University Press. (2010).

Hand And Wrist

Scapholunate Distance

Radiography
Posteroanterior
<3 mm

Bowden G, McNally M, Thomas S et-al. Oxford Handbook of Orthopaedics and Trauma. Oxford University Press. (2010).

Hand And Wrist

Capitolunate Angle

Radiography
Lateral
-15-15¡

Schmitt R, Lanz U. Diagnostic Imaging of the Hand. TIS. (2008).

Hand And Wrist

Radiolunate Angle

Radiography
Lateral
-15-15¡

Schmitt R, Lanz U. Diagnostic Imaging of the Hand. TIS. (2008).

Hand And Wrist

Radioscaphoid Angle

Radiography
Lateral
30-60¡

M.D. RS, M.D. UL. Diagnostic Imaging of the Hand. George Thieme Verlag. (2008).

Hand And Wrist

Youm'S Index Of Carpal Height

Radiography
Posteroanterior
0.51-0.57

Brown DE, Neumann RD. Orthopedic Secrets. Elsevier Health Sciences. (2004).

Hand And Wrist

Nattrass'S Index Of Carpal Height

Radiography
Posteroanterior
1.52-1.62

Brown DE, Neumann RD. Orthopedic Secrets. Elsevier Health Sciences. (2004).

Hand And Wrist

Chamay'S Translation Index

Radiography
Posteroanterior
0.25-0.31

Schmitt R, Lanz U. Diagnostic Imaging of the Hand. TIS. (2008).

Hand And Wrist

Mcmurtry'S Translation Index

Radiography
Posteroanterior
0.27-0.33

Schmitt R, Lanz U. Diagnostic Imaging of the Hand. TIS. (2008).

Hand And Wrist

Stahl'S Lunate Index

Radiography
Posteroanterior, Lateral
0.50-0.56

Berger RA. Hand Surgery. Philadelphia : Lippincott Williams & Wilkins, c2004. (2004).

Hand And Wrist

Bouman'S Index No 1

Radiography
Posteroanterior · Ulnar Translation
0.83-0.91

Borisch N, Lerch K, Grifka J et-al. A comparison of two indices for ulnar translation and carpal height in the rheumatoid wrist. J Hand Surg Br. 2004;29 (2): 144-7.

Hand And Wrist

Bouman'S Index No 2

Radiography
Posteroanterior · Carpal Height
0.62-0.66

Borisch N, Lerch K, Grifka J et-al. A comparison of two indices for ulnar translation and carpal height in the rheumatoid wrist. J Hand Surg Br. 2004;29 (2): 144-7.

Hand And Wrist

Radiocarpal Joint Space

Radiography
Posteroanterior, Lateral
2.0-2.5 mm

Mšller TB. Normal Findings in Radiology. Thieme. (2000).

Hand And Wrist

Intercarpal Joint Space

Radiography
Posteroanterior, Lateral
1.5-2.0 mm

Mšller TB. Normal Findings in Radiology. Thieme. (2000).

Hand And Wrist

Interphalangeal Joint Space

Radiography
Posteroanterior, Lateral
1-2 mm

Mšller TB. Normal Findings in Radiology. Thieme. (2000).

Hand And Wrist

Carpometacarpal Joint

Radiography
Posteroanterior, Lateral
1-2 mm

Mšller TB. Normal Findings in Radiology. Thieme. (2000).

Hand And Wrist

Yune Soft Tissue Index

Radiography
Posteroanterior
>0.2

Schmitt R, Lanz U. Diagnostic Imaging of the Hand. TIS. (2008).

Hand And Wrist

Lunotriquetral Angle

Radiography
Lateral
14¡

Doyle JR. Hand And Wrist. Philadelphia : Lippincott Williams & Wilkins, c2006. (2006).

Hand And Wrist

Metacarpophalangeal Joint Space

Radiography
Posteroanterior, Lateral
1-2 mm

Mšller TB. Normal Findings in Radiology. Thieme. (2000).

Hip

Teardrop Distance

Radiography
Anteroposterior
6-11 mm

Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. (2005).

Hip

Neck Shaft Angle

Radiography
Anteroposterior
110-140¡

Scheuer L, Black S. Developmental Juvenile Osteology. Academic Press. (2000).

Hip

Wiberg Angle

Radiography
Anteroposterior
25-40¡

Callaghan JJ, Rosenberg AG, Rubash HE. The Adult Hip. Philadelphia, Pa.; Lippincott Williams & Wilkins, c2007. (2007).

Hip

Hilgenreiner'S Epiphysal Angle

Radiography
Anteroposterior
<60¡

Tachdjian MO. Clinical pediatric orthopedics, the art of diagnosis and principles of management. McGraw-Hill/Appleton & Lange. (1997).

Hip

Lateral Acetabular Inclination Angle

Radiography
Anteroposterior
30-50¡

Hoppenfeld S, M.D. MS. Orthopaedic Dictionary. Lippincott Williams & Wilkins. (1994).

Knee

Femoral Angle

Radiography MRI
Anteroposterior
75-85¡

Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. (2005).

Knee

Insall-Salvati Ratio

Radiography
Lateral
0.8-1.2

Biedert RM. Patellofemoral Disorders, Diagnosis and Treatment. Wiley. (2005).

Knee

Caton-Deschamps Index

Radiography
Lateral
0.6-1.2

Biedert RM. Patellofemoral Disorders, Diagnosis and Treatment. Wiley. (2005).

Knee

Modified Insall-Salvati Ratio

Radiography
Lateral
<2

Biedert RM. Patellofemoral Disorders, Diagnosis and Treatment. Wiley. (2005).

Knee

Blackburne-Peel Index

Radiography
Lateral
0.5-1.0

Biedert RM. Patellofemoral Disorders, Diagnosis and Treatment. Wiley. (2005).

Knee

Bernageau Length

Radiography
Lateral
-6-6 mm

Biedert RM. Patellofemoral Disorders, Diagnosis and Treatment. Wiley. (2005).

Knee

Sulcus Angle

Radiography
Sunrise
126-150¡

Sanchis-Alfonso V. Anterior Knee Pain and Patellar Instability. Springer. (2011).

Knee

Patellofemoral Index

Radiography
Sunrise
<1.6

Keats TE, Sistrom C. Atlas of Radiologic Measurement. Mosby Inc. (2001).

Knee

Trochlea - Tibial Tubercle Distance

Radiography
Lateral
<2 cm

Robinson P. Essential Radiology for Sports Medicine. Springer Science+Business Media. (2010).

Knee

Femoral Intercondylar Sulcus Depth

Radiography
Sunrise
>5 mm

Robinson P. Essential Radiology for Sports Medicine. Springer Science+Business Media. (2010).

Knee

Patellar Tilt

Radiography CT MRI
Sunrise
20¡

Robinson P. Essential Radiology for Sports Medicine. Springer Science+Business Media. (2010).

Knee

Patellar Nose

Radiography MRI
Lateral · Ratio
>0.25
Lateral · Length
>9 cm

Escala JS, Mellado JM, Olona M et-al. Objective patellar instability: MR-based quantitative assessment of potentially associated anatomical features. Knee Surg Sports Traumatol Arthrosc. 2006;14 (3): 264-72.

Knee

Lateral Trochlear Inclination

MRI
Normal
>11¡

Carrillon Y, Abidi H, Dejour D et-al. Patellar instability: assessment on MR images by measuring the lateral trochlear inclination-initial experience. Radiology. 2000;216 (2): 582-5.

Knee

Trochlear Facet Asymmetry Ratio

MRI
Normal
<0.4

Pfirrmann CW, Zanetti M, Romero J et-al. Femoral trochlear dysplasia: MR findings. Radiology. 2000;216 (3): 858-64.

Knee

Trochlear Depth

MRI
Normal
>3 mm

Pfirrmann CW, Zanetti M, Romero J et-al. Femoral trochlear dysplasia: MR findings. Radiology. 2000;216 (3): 858-64.

Knee

Quadriceps Angle

Radiography CT MRI
Anteroposterior
15-20¡

Margheritini F. Orthopedic Sports Medicine, Principles and Practice. Springer. (2011).

Knee

Metaphysal - Shaft Tibia Angle

Radiography MRI
Anteroposterior
<11¡

Levine AM, Drennan JC. Physiological bowing and tibia vara. The metaphyseal-diaphyseal angle in the measurement of bowleg deformities. J Bone Joint Surg Am. 1982;64 (8): 1158-63.

Knee

Tibiofemoral Angle

Radiography MRI
Anteroposterior
<15¡

M.D. SB. Radiology Recall, 2e. Lippincott Williams & Wilkins. (2007).

Knee

Knee Joint Space

Radiography MRI
Anteroposterior
3-5 mm

Moeller T. Normal Findings in Radiography. TFL. (2000).

Knee

Femoropatellar Joint Space

Radiography
Sunrise
>5 mm

Moeller T. Normal Findings in Radiography. TFL. (2000).

Knee

Suprapatellar Bursa Width

MRI
Lateral
<5 mm

Pope TL, M.D. JH. Harris & Harris' The Radiology of Emergency Medicine. Lippincott Williams & Wilkins. (2012).

Knee

Tibial Plateau Angle

Radiography
Lateral
7-22¡

Keats TE, Sistrom C. Atlas of Radiologic Measurement. Mosby Inc. (2001).

Foot And Ankle

Johnson Angle

Radiography
Anteroposterior, Mortise
92¡

Moeller T. Normal Findings in Radiography. TFL. (2000).

Foot And Ankle

Distal Tibial Angle

Radiography
Anteroposterior, Mortise
45-65¡

Keats TE, Sistrom C. Atlas of Radiologic Measurement. Mosby Inc. (2001).

Foot And Ankle

Fibular Angle

Radiography
Anteroposterior, Mortise
43-63¡

Keats TE, Sistrom C. Atlas of Radiologic Measurement. Mosby Inc. (2001).

Foot And Ankle

Gissane Critical Angle

Radiography
Lateral
120-145¡

Iyer KM. Trauma Management in Orthopedics. Springer. (2012).

Foot And Ankle

BšHler'S Angle

Radiography CT
Lateral
25-40¡

Browner BD, Levine AM. Skeletal Trauma, Basic Science, Management, and Reconstruction. W B Saunders Company. p. 2631 (2009)

Foot And Ankle

Talo-Calcaneal Index

Radiography
Anteroposterior, Lateral
>40¡

Ebnezar J. Textbook of Orthopedics. Jaypee Brothers Medical Pub. (2010).

Foot And Ankle

Calceneus - 2Nd Metatarsal Angle

Radiography
Anteroposterior
12-18¡

Banks AS. McGlamry's Comprehensive Textbook of Foot and Ankle Surgery, 3e. Philadelphia : Lippincott Williams & Wilkins, c2001. (2001).

Foot And Ankle

Intermetatarsal Angle

Radiography
Anteroposterior · 1St Metatarsal - 2Nd Metatarsal
<9¡
Anteroposterior · 4Th Metatarsal - 5Th Metatarsal
<8¡

Harris GF, Smith PA. Foot and Ankle Motion Analysis, Clinical Treatment and Technology. CRC Press. (2010).

Foot And Ankle

Metatarsophalangeal Angle

Radiography
Anteroposterior · 1St Metatarsal - Proximal Phalanx 1St Toe
<15¡
Anteroposterior · 5Th Metatarsal - Proximal Phalanx 5Th Toe
<10¡

Harris GF, Smith PA. Foot and Ankle Motion Analysis, Clinical Treatment and Technology. CRC Press. (2010).

Foot And Ankle

Fowler-Philips Angle

Radiography
Lateral
45-75¡

Castro W, Jerosch J. Examination and Diagnosis of Musculoskeletal Disorders, History - Physical Examination - Imaging Techniques - Arthroscopy. TIS. (2001).

Foot And Ankle

Calcaneal Pitch

Radiography
Lateral
10-30¡

Raikin S. Adult Flatfoot, An Issue of Foot and Ankle Clinics. Saunders. (2012).

Foot And Ankle

Total Calcaneal Angle

Radiography
Lateral
<90¡

Banks AS. McGlamry's Comprehensive Textbook of Foot and Ankle Surgery, 3e. Philadelphia : Lippincott Williams & Wilkins, c2001. (2001).

Foot And Ankle

Talonavicular Coverage Angle

Radiography
Anteroposterior
<7¡

Gould N. Evaluation of hyperpronation and pes planus in adults. Clin. Orthop. Relat. Res. 1983;(181): 37-45.

Foot And Ankle

First Metatarsal Declination Angle

Radiography
Lateral
21¡

Davies AM, Whitehouse RW, Jenkins JP. Imaging of the foot & ankle, techniques and applications. Springer Verlag. (2003).

Foot And Ankle

Talus Declination Angle

Radiography
Lateral
21¡

Donatelli R. The biomechanics of the foot and ankle. F A Davis Co. (1996).

Foot And Ankle

Hibbs Angle

Radiography
Lateral
130¡

Cracciolo AC. An Atlas of Foot and Ankle Surgery. CRC PressI Llc. (2005).

Foot And Ankle

Djian-Annonier'S Angle

Radiography
Lateral
120-130¡

Bouysset M. Pathologie ostŽo-articulaire du pied et de la cheville, Approche mŽdico-chirurgicale. Springer Verlag France. (2004).

Foot And Ankle

Heel Pad

Radiography
Lateral
<23 mm

Reeder MM, Felson B. Reeder and Felson's Gamuts in Radiology, Comprehensive Lists of Roentgen Differential Diagnosis. Springer Verlag. (2003).

Foot And Ankle

Tibiofibular Joint Space

Radiography
Anteroposterior, Mortise
<6 mm

DiGiovanni CW, M.d. JG. Foot and Ankle, Core Knowledge in Orthopaedics. C.V. Mosby. (2007).

Foot And Ankle

Talar Tilt

Radiography
Anteroposterior, Mortise
<10¡

M.D. ME. Operative Techniques in Foot and Ankle Surgery [With Access Code]. Lippincott Williams & Wilkins. (2010).

Foot And Ankle

Anterior Drawer Sign

Radiography
Lateral
>10 mm

DiGiovanni CW, M.d. JG. Foot and Ankle, Core Knowledge in Orthopaedics. C.V. Mosby. (2007).

Foot And Ankle

Talocrural Angle

Radiography
Anteroposterior, Mortise
8-15¡

Dhillon MS, Dhatt SS. First Aid & Emergency Management in Orthopedic Injuries. Jaypee Brothers Medical Pub. (2012).

Foot And Ankle

Achilles Tendon Width

Radiography Ultrasound CT MRI
Lateral
4-9 mm

Mantke R, Peitz U. Surgical Ultrasound, An Interdisciplinary Approach for Surgeons, Internists, and Ultrasound Technicians. TIS. (2007).

Foot And Ankle

Kager'S Triangle

Radiography
Lateral
Table

Moeller T. Normal Findings in Radiography. TFL. (2000).

Foot And Ankle

Toygar'S Angle

Radiography
Lateral
150¡

Logan AL, Rowe LJ. The Foot and Ankle, Clinical Applications. Aspen Pub. (1995).

Foot And Ankle

Intertarsal Joint Space

Radiography
Anteroposterior, Lateral
2.0-2.5 mm

Moeller T. Normal Findings in Radiography. TFL. (2000).

Foot And Ankle

Tarsometatarsal Joint Space

Radiography
Anteroposterior, Lateral
2.0-2.5 mm

Moeller T. Normal Findings in Radiography. TFL. (2000) ISBN:3131646713.

Foot And Ankle

Metatarsophalangeal Joint Space

Radiography
Anteroposterior, Lateral
1-2 mm

Moeller T. Normal Findings in Radiography. TFL. (2000).

Foot And Ankle

Interphalangeal Joint Space

Radiography
Anteroposterior, Lateral
1-2 mm

Moeller T. Normal Findings in Radiography. TFL. (2000).

Foot And Ankle

Hallux Valgus

Radiography
Anteroposterior
>15¡

Lovell WW, Winter RB, Morrissy RT et-al. Lovell & Winter's Pediatric Orthopaedics. Lippincott Williams & Wilkins. p. 1297. (2006).

Knee

Posterior Cruciate Ligament

MRI
Normal
<6 mm

Helms CA, Major NM, Anderson MW et-al. Musculoskeletal MRI. Saunders. p. 370. (2009)

Foot And Ankle

Talar Tilt

Radiography
Varus (Instability)
>10¡

DiGiovanni CW, M.d. JG. Foot and Ankle: Core Knowledge in Orthopaedics. Mosby Incorporated. (2007).

Foot And Ankle

Talar Dome - Tibial Plafond Distance

Radiography
Anteroposterior · Varus Stress (Instability)
_ >3 mm

Berquist TH. Imaging of the Foot and Ankle. Lippincott Williams & Wilkins. p. 117 (2010).

Physiologic Periosteal Reaction Of The Newborn

Radiography
Normal
<2 mm
Newborn
<2 mm

Rana RS, Wu JS, Eisenberg RL. Periosteal reaction. AJR Am J Roentgenol. 2009;193 (4): W259-72.

Physiologic Periosteal Reaction

Physiologic Periosteal Reaction Of The Newborn

Radiography
Normal
<2 mm

Rana RS, Wu JS, Eisenberg RL. Periosteal reaction. AJR Am J Roentgenol. 2009;193 (4): W259-72.

Femoral Neck

Anteversion

Radiography CT MRI
0-1 y/o
30-50¡
2 y/o
30¡
3-5 y/o
25¡
6-12 y/o
20¡
12-15 y/o
17¡
16-20 y/o
11¡
20 y/o
18¡

Keats TE. Atlas of roentgenographic measurement. Mosby. (1990) p. 330.

Femoral Neck

Torsion Angle

CT
Newborn
34-40¡

Mesgarzadeh M, Revesz G, Bonakdarpour A. Femoral neck torsion angle measurement by computed tomography. J Comput Assist Tomogr. 11 (5): 799-803.

Ankle

Talocalcaneal Angle

Radiography
Anteroposterior · Newborn
27-56¡
Anteroposterior · 2 y/o
26-50¡
Anteroposterior · 4 y/o
24-44¡
Anteroposterior · 4-9 y/o
15-56¡

Vanderwilde R, Staheli LT, Chew DE et-al. Measurements on radiographs of the foot in normal infants and children. J Bone Joint Surg Am. 1988;70 (3): 407-15.

Ankle

Calcaneal - Fifth Metatarsal Angle

Radiography
Anteroposterior · Newborn
Anteroposterior · 2 y/o
Anteroposterior · 4 y/o
-1¡
Anteroposterior · 4-9 y/o
-10-14¡

Vanderwilde R, Staheli LT, Chew DE et-al. Measurements on radiographs of the foot in normal infants and children. J Bone Joint Surg Am. 1988;70 (3): 407-15.

Ankle

Talocalcaneal Angle

Radiography
Lateral · Newborn
20¡
Lateral · 2 y/o
13¡
Lateral · 4 y/o
10¡
Lateral · 4-9 y/o
-9-31¡

Vanderwilde R, Staheli LT, Chew DE et-al. Measurements on radiographs of the foot in normal infants and children. J Bone Joint Surg Am. 1988;70 (3): 407-15.

Ankle

Talocalcaneal Angle (Maximal Dorsiflexion)

Radiography
Lateral · Newborn
35-56¡
Lateral · 2 y/o
33-54¡
Lateral · 4 y/o
32-52¡
Lateral · 4-9 y/o
25-55¡

Vanderwilde R, Staheli LT, Chew DE et-al. Measurements on radiographs of the foot in normal infants and children. J Bone Joint Surg Am. 1988;70 (3): 407-15.

Ankle

Talar - 1St Metatarsal Angle

Radiography
Anteroposterior · Newborn
20¡
Anteroposterior · 2 y/o
13¡
Anteroposterior · 4 y/o
10¡
Anteroposterior · 4-9 y/o
-9-31¡

Vanderwilde R, Staheli LT, Chew DE et-al. Measurements on radiographs of the foot in normal infants and children. J Bone Joint Surg Am. 1988;70 (3): 407-15.

Ankle

Tibiocalcaneal Angle

Radiography
Lateral · Newborn
77¡
Lateral · 2 y/o
71¡
Lateral · 4 y/o
67¡
Lateral · 4-9 y/o
56-95¡

Mesgarzadeh M, Revesz G, Bonakdarpour A. Femoral neck torsion angle measurement by computed tomography. J Comput Assist Tomogr. 11 (5): 799-803.

Ankle

Tibiocalcaneal Angle (Maximal Dorsiflexion)

Radiography
Lateral · Newborn
42¡
Lateral · 2 y/o
46¡
Lateral · 4 y/o
50¡
Lateral · 4-9 y/o
25-73¡

Mesgarzadeh M, Revesz G, Bonakdarpour A. Femoral neck torsion angle measurement by computed tomography. J Comput Assist Tomogr. 11 (5): 799-803.

Ankle

Tibiotalar Angle

Radiography
Lateral · Newborn
115¡
Lateral · 2 y/o
114¡
Lateral · 4 y/o
113¡
Lateral · 4-9 y/o
86-145¡

Mesgarzadeh M, Revesz G, Bonakdarpour A. Femoral neck torsion angle measurement by computed tomography. J Comput Assist Tomogr. 11 (5): 799-803.

Ankle

Talar - 1St Metatarsal Angle

Radiography
Lateral · Newborn
19¡
Lateral · 2 y/o
21¡
Lateral · 4 y/o
Lateral · 4-9 y/o
-7-39¡

Vanderwilde R, Staheli LT, Chew DE et-al. Measurements on radiographs of the foot in normal infants and children. J Bone Joint Surg Am. 1988;70 (3): 407-15.

Ankle

Talocalcaneal Index

Radiography
Lateral · Newborn
76¡
Lateral · 2 y/o
76¡
Lateral · 4 y/o
76¡
Lateral · 4-9 y/o
45-103¡

Vanderwilde R, Staheli LT, Chew DE et-al. Measurements on radiographs of the foot in normal infants and children. J Bone Joint Surg Am. 1988;70 (3): 407-15.

Hip

Acetabular Angle (Girl)

Radiography CT
Anteroposterior · Newborn
24.0-33.6¡
Anteroposterior · 3 months
21.5-28.5¡
Anteroposterior · 6 months
19.2-27.2¡
Anteroposterior · 1 y/o
17.4-25.0¡
Anteroposterior · 2 y/o
14.0-22.0¡

Ozonoff MB. Pediatric orthopedic radiology. W B Saunders Co. p. 181. (1992).

Hip

Acetabular Angle (Boy)

Radiography CT
Anteroposterior · Newborn
22.0-30.8¡
Anteroposterior · 3 months
18.0-26¡
Anteroposterior · 6 months
16.6-24.0¡
Anteroposterior · 1 y/o
16.2-23.4¡
Anteroposterior · 2 y/o
15.4-22.6¡

Ozonoff MB. Pediatric orthopedic radiology. W B Saunders Co. p. 181. (1992).

Hip

Alpha Angle

Ultrasound
Coronal
>60¡

Donnelly LF. Pediatric Imaging. Saunders. p. 189 (2009).

Hip

Wiberg'S Angle

Radiography
Anteroposterior · 3 months
18-20¡
Anteroposterior · 2 y/o
30¡
Anteroposterior · 5-8 y/o
19¡
Anteroposterior · 9-12 y/o
25¡
Anteroposterior · 13-20 y/o
26-30¡

Ozonoff MB. Pediatric orthopedic radiology. W B Saunders Co. p. 181 (1992).

Leg

Tibia Metaphysodiaphyseal Angle

Radiography
Anteroposterior · 11-30 months
2.3-7.9¡

Keats TE, Sistrom C. Atlas of Radiologic Measurement. Mosby Inc. (2001).

Leg

Tibial Torsion Angle

CT MRI
Axial
25-55¡

Shin SY, Yoon CH, Lee ES et-al. The availability of radiological measurement of tibial torsion: three-dimensional computed tomography reconstruction. Ann Rehabil Med. 2011;35 (5): 673-9.

Spine

Pseudosubluxation

Radiography
Lateral · C3/C4
<3 mm

Weissleder R, M.D. JW, Chen JW. Primer of Diagnostic Imaging, Expert Consult- Online and Print. Mosby Incorporated. p. 625. (2011).

Nervous System 11
Pituitary Gland

Pituitary Stalk

CT MRI
Normal
<2-5 mm

M.D. DM, Grossman RI. Neuroradiology, The Requisites. Elsevier Health Sciences. (2010)

Pituitary Gland

Anterior

CT MRI
Anteroposterior · <12 Years Old
<6 mm
Anteroposterior · Puberty
<10 mm
Anteroposterior · Pregnancy
<12 mm
Anteroposterior · Adult Male
<8 mm
Anteroposterior · Adult Female
<9 mm

M.D. DM, Grossman RI. Neuroradiology, The Requisites. Elsevier Health Sciences. (2010)

Cerebellum

Cerebellar Tonsils

CT MRI
Normal
<3 mm

M.D. DM, Grossman RI. Neuroradiology, The Requisites. Elsevier Health Sciences. (2010)

Third Ventricle

Transverse Diameter

CT MRI
Normal
2-10 mm

Borgersen A. Width of third ventricle. Encephalographic and morbid anatomical study. Acta Radiol Diagn (Stockh). 1966;4 (6): 645-61.

Ventricles

Lateral Ventricles

Ultrasound
Coronal · Body
10-11 mm
Coronal · Frontal Horn · Newborn
<3 mm

Goldberg BB, McGahan JP. Atlas of ultrasound measurements. Mosby Inc. (2006)

Ventricles

Third Ventricle

Ultrasound
Coronal · Newborn
4 mm

Goldberg BB, McGahan JP. Atlas of ultrasound measurements. Mosby Inc. (2006)

Pituitary Gland

Diameter

MRI
Anteroposterior · <12 y/o
6 mm
Anteroposterior · Puberty
10 mm

Yousem DM, Grossman RI. Neuroradiology, The Requisites. Mosby. (2010).

Spinal Canal

Filum Terminale

Ultrasound MRI
Longitudinal
<2 mm

Donnelly LF. Pediatric Imaging. Saunders. p. 252 (2009).

Ventricles

Ventriculomegaly Grading

Ultrasound MRI CT
Coronal · Light
10 mm-14 mm
Coronal · Moderate
15 mm-20 mm
Coronal · Severe
20 mm

Donnelly LF. Pediatric Imaging. Saunders. (2009).

Ventricles

Fourth Ventricle

Ultrasound MRI CT
Sagittal · Newborn
4 mm

Donnelly LF. Pediatric Imaging. Saunders. (2009).

Spine

Pseudosubluxation

Radiography
Lateral · C2/C3
<3 mm

Weissleder R, M.D. JW, Chen JW. Primer of Diagnostic Imaging, Expert Consult- Online and Print. Mosby Incorporated. p. 625. (2011).

Obstetrics 16
Oligohydramnios

Amniotic Fluid Index >24 Weeks

Ultrasound
Normal
<5 cm

Phelan JP, Smith CV, Broussard P et-al. Amniotic fluid volume assessment with the four-quadrant technique at 36-42 weeks' gestation. J Reprod Med. 1987;32 (7): 540-2.

Oligohydramnios

Maximum Vertical Pocket >24 Weeks

Ultrasound
Normal
<2 cm

Verrotti C, Bedocchi L, Piantelli G et-al. Amniotic fluid index versus largest vertical pocket in the prediction of perinatal outcome in post-term pregnancies. Acta Biomed. 2004;75 Suppl 1 : 67-70.

Polyhydramnios

Maximum Vertical Pocket

Ultrasound
Normal
>8 cm

Pri-paz S, Khalek N, Fuchs KM et-al. Maximal amniotic fluid index as a prognostic factor in pregnancies complicated by polyhydramnios. Ultrasound Obstet Gynecol. 2012;39 (6): 648-53.

Polyhydramnios

Amniotic Fluid Index

Ultrasound
Normal
>25 cm

Pri-paz S, Khalek N, Fuchs KM et-al. Maximal amniotic fluid index as a prognostic factor in pregnancies complicated by polyhydramnios. Ultrasound Obstet Gynecol. 2012;39 (6): 648-53.

Nuchal Translucency

Between 11-14 Weeks

Ultrasound
Normal
<3 mm

Pandya PP, Kondylios A, Hilbert L et-al. Chromosomal defects and outcome in 1015 fetuses with increased nuchal translucency. Ultrasound Obstet Gynecol. 1995;5 (1): 15-9.

Nuchal Thickness

Between 18-22 Weeks

Ultrasound
Normal
<6 mm

Locatelli A, Piccoli MG, Vergani P et-al. Critical appraisal of the use of nuchal fold thickness measurements for the prediction of Down syndrome. Am. J. Obstet. Gynecol. 2000;182 (1 Pt 1): 192-7.

Cervix

Length

Ultrasound
<36 Weeks
>3 cm

Naim A, Haberman S, Burgess T et-al. Changes in cervical length and the risk of preterm labor. Am. J. Obstet. Gynecol. 2002;186 (5): 887-9.

Gestational Sac

Diameter

Ultrasound
According To Gestational Age
Age - 30 mm
1St Trimester Craniocaudal Length
>5 mm

Cosby KS, Kendall JL. Practical Guide To Emergency Ultrasound. (2006).

Cranium

Cephalic Index

Ultrasound
Normal
75-85

Merz E. Ultrasound in Obstetrics and Gynecology. George Thieme Verlag. (2005).

Lateral Ventricle

Diameter

Ultrasound
Coronal
<10 mm

Wladimiroff JW, Eik-Nes S. Ultrasound in Obstetrics and Gynaecology. Elsevier Science Health Science Division. (2009).

Kidney

Renal Pelvis Diameter

Ultrasound
<32 Weeks
<4 mm
>32 Weeks
<7 mm

Corteville JE, Gray DL, Crane JP. Congenital hydronephrosis: correlation of fetal ultrasonographic findings with infant outcome. Am. J. Obstet. Gynecol. 1991;165 (2): 384-8.

Abdomen

Thorax Circumference / Abdomen Circumference Ratio

Ultrasound
Normal
>0.77

Jutur PS, Kumar CP, Goroshi S. Case report: Short rib polydactyly syndrome - type 2 (Majewski syndrome). Indian J Radiol Imaging. 2010;20 (2): 138-42.

Thorax

Thorax Circumference / Abdomen Circumference Ratio

Ultrasound
Normal
>0.77

Jutur PS, Kumar CP, Goroshi S. Case report: Short rib polydactyly syndrome - type 2 (Majewski syndrome). Indian J Radiol Imaging. 2010;20 (2): 138-42.

Thorax

Heart Circumference / Thorax Circumference Ratio

Ultrasound
Normal
<0.5

Gandhi JG. Fetal Cardiology for Obstetricians. Jaypee Brothers Publishers. (2007).

Thorax

Heart Area / Thorax Area Ratio

Ultrasound
Normal
0.2-0.35

Gandhi JG. Fetal Cardiology for Obstetricians. Jaypee Brothers Publishers. (2007).

Placenta

Placenta Previa

Ultrasound
Normal
<2 cm

Bhide A, Thilaganathan B. Recent advances in the management of placenta previa. Curr. Opin. Obstet. Gynecol. 2004;16 (6): 447-51.

Tubes 5
Thorax

Endotracheal Tube

Radiography
Normal Position
3-5 cm above the carina

Kanzawa M, Hirai C, Morinaga Y et-al. Primary submucosal nodular plasmacytoma of the stomach: a poorly recognized variant of gastric lymphoma. Diagn Pathol. 2013;8 (1): 30.

Thorax

Swan-Ganz Catheter

Radiography
Normal Position
3-4 cm distal of pulmonary valve

I.C.U. Chest Radiology. Wiley-Blackwell. (2011).

Thorax

Picc-Line

Radiography
Normal Position
Tip in the superior vena cava

Kazerooni EA, Gross BH. Cardiopulmonary Imaging. Lippincott Williams & Wilkins. p. 257 (2004).

Abdomen

Feeding Tube

Radiography
Normal Position
>10 cm gastroesophageal junction

Critical Care Radiology. TIS. (2010)

Thorax

Central Venous Catheter

Radiography
Normal Position
Tip at the junction of the superior vena cava - right atrium

Critical Care Radiology. TIS. (2010)

Vascular 20
Pulmonary Artery

Trunk

CT MRI
Male (Average Value)
27 ± 2.8 mm
Women (Average Value)
25.9 ± 3 mm
Upper Limit
28.6 mm

Karazincir S, Balci A, Seyfeli E et-al. CT assessment of main pulmonary artery diameter. Diagn Interv Radiol. 2008;14 (2): 72-4.

Pulmonary Artery

Proximal

CT MRI
Left
21 ± 3.5 mm
Right
18.7 ± 2.8 mm

Kuriyama K, Gamsu G, Stern RG et-al. CT-determined pulmonary artery diameters in predicting pulmonary hypertension. Invest Radiol. 19 (1): 16-22.

Aorta

Diameter

Ultrasound CT MRI
Annulus
20-31 mm
Sinus Of Valsalva
29-45 mm
Ascending (Sinotubular And Tubular)
22-36 mm
Aortic Arch
22-36 mm
Descending (Supradiaphragmatic)
20-30 mm
Subdiaphragmatic (Suprarenal)
25 mm
Infrarenal
20 mm
Infrarenal Aortic Aneurysm
30 mm

Evangelista A, Flachskampf FA, Erbel R et-al. Echocardiography in aortic diseases: EAE recommendations for clinical practice. Eur J Echocardiogr. 2010;11 (8): 645-58.

Iliac Artery

Common

Ultrasound CT MRI
Axial
7.9-12.1 mm

Pedersen OM, Aslaksen A, Vik-mo H. Ultrasound measurement of the luminal diameter of the abdominal aorta and iliac arteries in patients without vascular disease. J. Vasc. Surg. 1993;17 (3): 596-601.

Femoral Artery

Diameter

Ultrasound CT MRI
Axial · Common
6.6-9.6 mm
Axial · Superficial
4.3-7.2 mm

Shionoya S. Noninvasive diagnostic techniques in vascular disease. Int Angiol. 6 (3): 213-21.

Popliteal Artery

Diameter

Ultrasound CT MRI
Axial
4.1-5.6 mm

Shionoya S. Noninvasive diagnostic techniques in vascular disease. Int Angiol. 6 (3): 213-21.

Femoral Artery

Peak Systolic Velocity

Ultrasound
Common
89-141 cm/s
Superficial
77-108 cm/s

Shionoya S. Noninvasive diagnostic techniques in vascular disease. Int Angiol. 6 (3): 213-21.

Popliteal Artery

Peak Systolic Velocity

Ultrasound
Normal
55-82 cm/s

Shionoya S. Noninvasive diagnostic techniques in vascular disease. Int Angiol. 6 (3): 213-21.

Umbilical Vein

Diameter

Ultrasound CT
Normal
<3 mm

Gibson RN, Gibson PR, Donlan JD et-al. Identification of a patent paraumbilical vein by using Doppler sonography: importance in the diagnosis of portal hypertension. AJR Am J Roentgenol. 1989;153 (3): 513-6.

Left Gastric Vein

Diameter

nan
Normal
<6 mm

Adithan S, Venkatesan B, Sundarajan E et-al. Color Doppler evaluation of left gastric vein hemodynamics in cirrhosis with portal hypertension and its correlation with esophageal varices and variceal bleed. Indian J Radiol Imaging. 2010;20 (4): 289-93.

Inferior Vena Cava

Average Diameter

Ultrasound CT
Normal
20 mm

Prince MR, Novelline RA, Athanasoulis CA et-al. The diameter of the inferior vena cava and its implications for the use of vena caval filters. Radiology. 1983;149 (3): 687-9.

Splenic Vein

Diameter

Ultrasound CT
Adult
<13 cm
Normal
<10 mm

Hofer M. Ultrasound Teaching Manual. Thieme. p. 70 (2005).

Ovarian Vein

Diameter

Ultrasound CT
Normal
<7 mm

Rozenblit AM, Ricci ZJ, Tuvia J et-al. Incompetent and dilated ovarian veins: a common CT finding in asymptomatic parous women. AJR Am J Roentgenol. 2001;176 (1): 119-22.

Cerebral Artery

Diameter

Angiography
Anterior
<4 mm
Middle
<4.68 mm
Right Posterior
<2.75 mm
Left Posterior
<2.5 mm

Gabrielsen TO, Greitz T. Normal size of the internal carotid, middle cerebral and anterior cerebral arteries. Acta Radiol Diagn (Stockh). 1970;10 (1): 1-10.

Internal Carotid Artery

Diameter

Angiography
Cervical Segment (C1)
<4.21 mm
Petrous Segment (C2)
<4.55 mm
Lacerum Segment (C3)
<5.75 mm
Cavernous Segment (C4)
<6.56 mm
Clinoid Segment (C5)
<6.63 mm

Gabrielsen TO, Greitz T. Normal size of the internal carotid, middle cerebral and anterior cerebral arteries. Acta Radiol Diagn (Stockh). 1970;10 (1): 1-10.

Portal Vein

Velocity

Ultrasound
Normal
20-30 cm/s

Middleton WD, Kurtz AB, Hertzberg BS. Ultrasound, the requisites. Mosby Inc. p. 71 (2004).

Portal Vein

Diameter

Ultrasound
Adult
<13 mm
0-1 y/o
5.0 mm
1-5 y/o
7.0 mm
5-11 y/o
9.0 mm
11-16 y/o
10.0 mm

McGahan JP, Phillips HE, Cox KL. Sonography of the normal pediatric gallbladder and biliary tract. Radiology 1982; 144(4): 873-875.

Pulmonary Artery

Right Interlobar

Radiography
Anteroposterior · 1 y/o
8 mm
Anteroposterior · 3 y/o
9 mm
Anteroposterior · 5 y/o
10 mm
Anteroposterior · 6 y/o
11 mm
Anteroposterior · 8 y/o
12 mm
Anteroposterior · 11 y/o
14 mm
Anteroposterior · 12 y/o
15 mm
Anteroposterior · 14 y/o
16 mm

Leinbach LB. Roentgenologic evaluation of normal pulmonary arteries in children. Am J Roentgenol Radium Ther Nucl Med. 1998;89: 995-8.

Azygos Vein

Arch

Radiography
Anteroposterior · 0 - 6 months
3.5±1.3 (6.1) mm
Anteroposterior · 6 months - 2 y/o
4.1±1,0 (6.1) mm
Anteroposterior · 2 - 7 y/o
4.6±1.2 (7.0) mm
Anteroposterior · 8 - 14 y/o
5.1±1.6 (8.3) mm

Wishart DL. Normal azygos vein width in children. Radiology. 1972;104 (1): 115-8.

Internal Carotid Artery

Stenosis

Ultrasound
Normal
PSV is <125 cm/sec, no plaque or intimal thickening
<50%
PSV is <125 cm/sec, ICA/CCA PSV ratio <2.0, EDV <40 cm/sec
50-69%
PSV is 125-230 cm/sec, ICA/CCA PSV ratio of 2.0-4.0, EDV of 40-100 cm/sec
≥70%
PSV is >230 cm/sec, ICA/CCA PSV ratio >4, EDV >100 cm/sec
Near Occlusion
Variable velocity parameters which may be high, low, or undetectable.
Total Occlusion
No detectable luminal patency.

Grant E, Benson C, Moneta G et al. Carotid Artery Stenosis: Gray-Scale and Doppler US Diagnosis--Society of Radiologists in Ultrasound Consensus Conference. Radiology. 2003;229(2):340-6. doi:10.1148/radiol.2292030516

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