06.03.2013 - Radiology UGI Pathology

Question 1

What is the probable cause of the striations? What is this type of esophagus called?

Answer 1

Reflux. Called a feline esophagus because cats have striated esophagi. Who knew?

Question 2

This is an immunocompromised patient. This picture is PATHOGNOMONIC of…

Answer 2

Candida esophagitis.

Question 3

Are the plaques in this picture the black spaces or the white spaces?

Answer 3

Plaques are the black spaces. They are space-occupying and the barium goes around them, so they are radiolucent defects.

Question 4

Answer 4

Advanced Infiltrating Squamous Cell Carcinoma

Question 5

Answer 5

An ostrich

Question 6

Answer 6

Benign gastric ulcer

Question 7

Answer 7

Benign gastric ucler

Question 8

The patient has AIDS. What is this? (The picture is pathognomonic of a certain disease).

Answer 8

Florid fulminant Candida esophagitis - shaggy esophagus

Question 9

What two things could lead to this condition?

Answer 9

There is a giant ulcer (see outline). CMV Esophagitis or HIV esophagitis - in this case, it was CMV

Question 10

What two things could lead to this condition?

Answer 10

There is a giant ulcer in the esophagus. CMV or HIV.

Question 11

What two things could lead to this condition?

Answer 11

Drug-induced esophagitis, or herpes, if immune-compromised

Question 12

What is this? Is it malignant or benign?

Answer 12

Duodenal ulcers - ALWAYS benign - could be due to Zollinger-Ellison syndrome

Question 13

Answer 13

Eosinophilic Esophagitis

Question 14

Answer 14

Erosions

Question 15

Answer 15

Esophageal varices due to portal venous hypertension

Question 16

What is this?

What patient probably has this?

Answer 16

Giant ulcer on the greater curvature on the stomach

Probably in an elderly woman taking NSAIDS!

Question 17

This could be due to ___ or ___.

Answer 17

Herpes esophagitis or drug-induced esophagitis

Question 18

What is this? What is this caused by? What causes the opposite condition?

Answer 18

H pylori causes hypertrophic gastritis

(Erosive gastritis caused by NSAIDS)

Question 19

Answer 19

Linear burns caused by NSAIDS

Question 20

Answer 20

Malignant gastric ulcer

Question 21

Answer 21

Normal longitudinal esophageal folds

Question 22

Answer 22

Reflux-induced ulcers in distal esophagus

Question 23

Answer 23

Strictures and hiatal hernia (though I honestly don’t know what I’m seeing when I look at this picture so if you know, then please help me..)

Question 24

Answer 24

Thickened folds due to edema

Question 25

Answer 25

Ulcer burrowed into transverse colon, creating gastro-colic fistula