{
"4267": "Grouped vesicles on an erythematous base, confined to one dermatome and stopping at the midline.",
"4268": "Oval salmon-pink plaques with a fine collarette of scale, their long axes following the line of the ribs.",
"4269": "A sharply rectangular band of erythema and scale where adhesive tape was applied: the shape of the eruption is the shape of the exposure.",
"4270": "Raised blanching weals with polycyclic borders. Individual lesions come and go within a day.",
"4271": "Target lesions on the palms, each with a dusky centre, a pale ring and an erythematous outer rim.",
"4272": "Haemorrhagic crusting of the lips with erosions of the oral mucosa. Mucosal involvement is what separates Stevens-Johnson syndrome from erythema multiforme.",
"4273": "Tender, ill-defined erythematous nodules over both shins in a child.",
"4274": "Scattered petechiae and small purpuric macules. This is the early petechial stage; established purpura fulminans is confluent and retiform, and is not shown here.",
"4275": "Confluent blanching erythematous macules and papules over the trunk, appearing days into a course of a new drug.",
"4276": "Rough follicular papules with surrounding erythema over the upper arm.",
"4277": "Loss of part of an eyebrow, with no scarring, scaling or inflammation of the skin beneath.",
"4278": "Sharply demarcated depigmented patches over the ankle and dorsum of the foot.",
"4279": "Erythema across both cheeks and the bridge of the nose.",
"4280": "Gottron papules: violaceous, slightly scaly papules over the knuckles. The heliotrope rash sits on the eyelids and is not in this view.",
"4281": "Shiny white atrophic plaques with a wrinkled surface in the axilla. In children the disease more often presents anogenitally.",
"4282": "Diffuse dry scaling over the sole and heel in a moccasin distribution.",
"4283": "Small erythematous papules and pustules clustered around the nose and mouth, sparing a narrow rim at the vermilion border.",
"4284": "Monomorphic flesh-coloured to pink papules over the cheeks of a toddler.",
"4285": "Ill-defined, faintly hypopigmented patches with fine scale on the upper arm.",
"4286": "A fine pink maculopapular rash over the trunk.",
"4287": "Discrete pink macules over the neck and trunk, appearing as the fever settles.",
"4288": "Confluent erythema of both cheeks: the slapped-cheek appearance. The lacy reticular rash follows on the limbs and is not in this view.",
"4289": "Blotchy erythematous macules, each with a small central papule, in a well newborn.",
"4290": "Tiny firm white papules over the nose and cheeks of a newborn.",
"4291": "Small inflammatory papules and pustules over the cheeks and forehead of a young infant, with no comedones.",
"4292": "Superficial pustules along the scalp margin in a newborn.",
"4293": "Thick greasy yellow scale over the scalp and eyebrows of an infant, with little underlying inflammation.",
"4294": "Irritant napkin dermatitis: confluent erythema and scaling over the convex surfaces, sparing the depths of the inguinal folds.",
"4295": "Candidal napkin dermatitis: beefy-red erythema running into the skin folds, with satellite papules and pustules beyond the main area.",
"4296": "A well-demarcated deep pink-red patch that does not blanch fully and will not involute.",
"4297": "A uniformly light-brown macule with a smooth, well-defined border.",
"4298": "A yellow-orange plaque on the scalp, outlined for excision. Photographed in an adult; in a child the lesion is a smooth, hairless patch.",
"4299": "Erythema, swelling and warmth of one lower leg with an indistinct advancing border.",
"4300": "Diffuse erythema with superficial peeling and periorificial crusting in an infant. The skin shears away under light pressure.",
"4301": "Firm skin-coloured papules with a rough surface over the fingers and dorsum of the hand.",
"4302": "Nits cemented to hair shafts close to the scalp. Unlike scale, they cannot be slid off the hair.",
"4303": "Clustered vesicles and crusts of herpes simplex on the cheek. The primary infection in a young child usually presents in the mouth instead, with gingival swelling and ulcers.",
"4304": "Clustered, monomorphic punched-out erosions with crusting around the mouth, spreading over eczematous skin.",

"4305": "Diffuse fine granular (ground-glass) opacity with air bronchograms in a premature neonate. The lungs look well expanded because the baby is intubated.",
"4306": "Streaky perihilar opacity with fluid tracking into the fissures in a term baby, clearing over the first day or two.",
"4307": "Coarse asymmetric patchy opacities with hyperinflated lungs in a term baby distressed from birth.",
"4308": "Loops of bowel filling the left hemithorax, with the mediastinum pushed across to the right.",
"4309": "Hyperinflated lungs with flattened hemidiaphragms and peribronchial thickening, and no focal consolidation.",
"4310": "A well-circumscribed rounded opacity that can be mistaken for a mass. It is a consolidation, and it resolves on treatment.",
"4311": "A radiopaque disc lying flat-on in the upper oesophagus. A coin in the trachea sits edge-on in this view.",
"4312": "A round radiopaque foreign body in the proximal oesophagus with a distinct peripheral rim: the halo, or double-ring, sign that tells a button battery from a coin.",
"4313": "Coarse ring shadows and tram-track opacities of bronchiectasis, worst in the upper zones, on hyperinflated lungs.",
"4314": "Chest radiograph from a case of transposition of the great arteries. The narrow mediastinum and egg-shaped heart of the classic sign are not well seen on this film.",
"4315": "Subtle inferior notching of the upper ribs on both sides with an abnormal aortic contour. Coarctation is easy to miss on a chest film.",
"4316": "Bubbly lucency within the wall of the bowel (pneumatosis intestinalis), with free intraperitoneal gas from perforation.",
"4317": "Two gas-filled bubbles, the stomach and the dilated proximal duodenum, with a gasless abdomen beyond.",
"4318": "The whirlpool sign on axial CT: mesenteric vessels swirling around the superior mesenteric artery. The corkscrew duodenum is the fluoroscopic counterpart of the same twist.",
"4319": "Contrast enema showing a narrow distal rectum with a cone-shaped transition into dilated proximal bowel.",
"4320": "Contrast enema showing an unused microcolon, with inspissated meconium pellets outlined in the distal ileum.",
"4321": "Contrast study from a case of posterior urethral valves. The dilated posterior urethra of the keyhole sign is not demonstrated on this image.",
"4322": "Voiding cystourethrogram showing contrast refluxing up both ureters, with a trabeculated bladder.",
"4323": "A large mass arising from the right kidney, with the remaining renal tissue splayed around its edge.",
"4324": "A large suprarenal mass crossing the midline and encasing the aorta and its branches. That encasement is what separates it from a Wilms tumour, which displaces vessels rather than surrounding them.",
"4325": "A subtle oblique lucency running through the distal tibial shaft, with an intact fibula.",
"4326": "A buckle in the cortex of the distal radial metaphysis, with no fracture line running through the bone.",
"4327": "The cortex is broken on the convex side of the bend while the concave side is only bowed.",
"4328": "A lucent posterior fat pad lifted out of the olecranon fossa, with the anterior fat pad raised as well. In a child that effusion means a fracture until proven otherwise.",
"4329": "Subperiosteal fluid along the tibia on ultrasound (arrows), in a child whose radiograph was still normal.",
"4330": "A permeative, moth-eaten lesion of the proximal humerus with layered onion-skin periosteal reaction.",
"4331": "A metaphyseal corner fracture at the distal tibia (arrow), a lesion with a high specificity for inflicted injury in an infant.",
"4332": "A sharp straight lucency crossing the parietal bone on a 3D reconstruction, told from the neighbouring sutures by its course and its clean, unserrated edges.",
"4333": "Bilateral hypodense subdural collections over both convexities in an infant with an enlarging head. Benign enlargement of the subarachnoid spaces is the mimic to exclude.",
"4334": "Prevertebral soft tissue anterior to the upper cervical spine, wider than the vertebral body behind it.",
"4335": "Coronal CT through both hips. This is not the hip ultrasound the section describes, and it does not demonstrate dysplasia.",
"4336": "Grossly dilated lateral ventricles with thinned cortex over them.",
"4337": "Echogenic medullary pyramids standing out against the darker renal cortex."
}