Anatomic Radiology

Question 1

• Imaging modalities

Answer 1

• XR
  
  • Barium swallow
• Manometry
• US
• ERCP
• Arteriography
• CT
  
  • IV Versus Oral Contrast
  • IV Contrast Cleared by Kidneys
• MRI

Question 2

• Zencker’s Diverticulum

Answer 2

• False Diverticulum
• Uncoordinated swallowing and gailure of cricopharyngeus muscle to relax
• Occurs in Killain’s triangle (superior to cricopharyngeus muscle and inferior to the thyropharyngeus m.
• Sx:
  
  • Difficulty swallowing
  • Halitosis
  • Cough
• Diagnosed via fluoroscopic barium esophagography
• DO NOT PERFORM ENDOSCOPY (Can rupture esophagus)

Question 3

• What is shown in the following image?

Answer 3

• Zenker’s Diverticulum
• False diverticulum

Question 4

• What is shown in the following image?

Answer 4

• Achalasia on barium swallow

Question 5

Answer 5

1. Greater omentum
2. Abdominal Aorta
3. Psoas major m.

Question 6

Answer 6

1. Left renal vein
2. Duodenum
3. SMA

Question 7

Answer 7

1. Pancreatoduodenal arcades
2. GDA
3. Dorsal pancreatic
4. Transverse pancreatic
5. SPlenic
6. Arteria pancreatica magna
7. Caudal pancreatic
8. Segmental arteries

Question 8

Answer 8

1. Right hepatic duct
2. Left hepatic duct
3. Cystic ducy
4. Common hepatic duct
5. Gallbladder
6. Common bile duct
7. Accessory pancreatic duct
8. Scope with duodenum
9. Main pancreatic duct

Question 9

Answer 9

1. Liver
2. IVC
3. Inferior (lower) lobe of right lung
4. Gastric fubdus
5. Gastric folds
6. Spleen
7. Thoracic aorta
8. Inferior (lower) lobe of left lung

Question 10

Answer 10

1. Pancreas (head, uncinate process)
2. Gastroduodenal a.
3. Common bile duct
4. Inferior Vena Cava
5. Superior mesenteric vein
6. SMA
7. Left renal vein
8. Abdominal aorta

Question 11

• What does CT at T12 Level Show?

Answer 11

Question 12

• What is shown in the following image?

Answer 12

• Positive lead pipe sign on X ray barium enema
• Indicative of UC (loss of haustral markings in the LI)

Question 13

Answer 13

1. Duodenum
2. SMV
3. Ascending colon and hepatic flexure of the colon
4. Spleen
5. Celiac trunk
6. Jejunum
7. Descending colon
8. SMA

Question 14

• What is shown in the following image?

Answer 14

• Cholelithiasis on US
• *Ultrasonography is the procedure of choice when diagnosing cholelithiasis (Side note: Ultrasonography can also be used to diagnose appendicitis in small babies)**

Question 15

*

Answer 15

1. Inferior phrenic artery
2. Superior suprarenal artery
3. Middle suprarenal artery
4. Inferior suprarenal artery
5. Renal Artery Gonadal Artery
6. Median Sacral Artery (VERY HIGH YIELD FOR PRACTICAL)

Question 16

• CT versus MRI-which is better?

Answer 16

Question 17

• Vertebral levels associated with Upper GI organs

Answer 17