Images Flashcards
what pathology is present in this image obtained from the LUQ?
pleural effusion
splenomegaly
ascites
splenic metastases
splenic cysts
pleural effusion
This patient was referred for an abdominal ultrasound because of epigastric pain and tenderness. This image was obtained from the LUQ. Which of the following describes the ultrasound findings?
pleural effusion
splenomegaly
ascites
splenic metastases
splenic cysts
splenic cysts
This transverse image was obtained in the mid abdomen of a 57 year old with lower back pain. Which of the following correctly describes the sonographic findings?
leaking abdominal aortic aneurysm with hematoma
abdominal aortic aneurysm and para-aortic lymphadenopathy
inflammatory abdominal aortic aneurysm
abdominal aortic aneurysm and horseshoe kidneys
abdominal aortic aneurysm with retroperitoneal fibrosis
abdominal aortic aneurysm and horseshoe kidneys
This 49 year old male presented with a clinical history of liver cirrhosis and PHTN. In the TRV image below, multiple hypoechoic structures are seen at the splenic hilum and between the kidney and spleen. What is the most likely etiology of these structures?
multiple aneurysms of the splenic artery
splenic and retroperitoneal varices
lobulated ascites
polycystic kidney disease
fluid-filled loops of bowel
splenic and retroperitoneal varices
Considering the image, which of the following would be most likely to confirm the findings?
roll the patient into a right lateral decubitus position
evaluate the hypoechoic areas with color and spectral Doppler
have the patient drink approx 48oz of water and rescan
have the patient perform valsalva a maneuver
scan the patient during both inspiration and expiration
evaluate the hypoechoic areas with color and spectral doppler
This solitary brightly echogenic mass was an incidental finding on an ultrasound study of the gallbladder. Which of the following correctly describes its position within the liver?
medial left lobe
lateral left lobe
caudate lobe
anterior segment right lobe
posterior segment right lobe
posterior segment right lobe
What is the most likely etiology of the liver mass?
hemangioma
HCC
FNH
granuloma
abscess
hemangioma
What linear structure is seen on each side adjacent to the AO and proximal to the vessels labeled “C” and “D”?
diaphragmatic crura
adrenal glands
esophageal gastric junction
normal para-aortic lymph nodes
quadratus lumborum muscle
diaphragmatic crura
Letter “D” represents which of the following structures?
RRA
LRA
SMA
celiac trunk
RRV
LRA
What soft tissue organ is seen at the anterior aspect of this image?
spleen
liver
right kidney
left kidney
pancreas
liver
This view is useful in the evaluation of what abnormality?
RA stenosis
multiple renal arteries
aortic aneurysm
ICV thrombus
all of the above
all of the above
You are asked to perform a follow up study on a patient with known abdominal aortic aneurysm. Which of the following terms correctly describes this aneurysm?
pseudoaneurysm
saccular
dissecting
fusiform
dumbbell
fusiform
Identify the vessels labeled “A” and “B”
common hepatic artery and SMA
proper hepatic artery and celiac trunk
right gastric artery and celiac trunk
left gastric artery and celiac trunk
proper hepatic artery and splenic artery
left gastric artery and celiac trunk
Which vessel is located superior to the vessel labeled “E”?
SMA
IMA
celiac trunk
LRV
RRA
celiac trunk
Identify the structure labeled “C” in this image
stomach
duodenum
pancreas
GE junction
crus if the diaphragm
stomach
Identify the structure labeled “D” in this image
LRV
RRV
IMV
pancreatic duct
splenic vein
splenic vein
What organ lies immediately anterior to the structure labeled “D”
stomach
duodenum
body of the pancreas
uncinate process
spleen
body of the pancreas
You have completed an abdominal ultrasound on a 57 year old female with vague symptoms of abdominal pain and fullness. Which of the following correctly describes the pathology demonstrated in this image from the RUQ?
PKD
ascites and MCDK
ascites and simple cortical cysts
ascites and hydronephrosis
pleural effusion and renal tumor
ascites and hydronephrosis
Identify the etiology of the structure indicated by the small arrows in this image
cystic mass in the right lung
loculated pleural effusion
mirror image of a liver cyst
ectopic location of GB
pleural abscess
mirror image of a liver cyst
What is the arrow pointing to in this image?
mirror image artifact
comet tail artifact
reverberation artifact
excessive gain
side lobe artifact
reverberation artifact
The surface nodularity of the liver is indicative of
cirrhosis
metastatic disease
hepatitis
fatty infiltration
hydatid disease
cirrhosis
Identify the anatomy labeled “A”
CBD
common hepatic duct
left gastric artery
gastroduodenal artery
common hepatic artery
gastroduodenal artery
Identify the anatomy labeled “B”
CBD
common hepatic duct
left gastric artery
gastroduodenal artery
common hepatic artery
CBD
Identify the anatomy labeled “C”
AO
PV
SMV
IMV
IVC
IVC
Identify the anatomy labeled “D”
common hepatic artery
splenic artery
LRV
LRA
IMA
LRV
Identify the vessel labeled “A”
RHV
LHV
MHV
MPV
LPV
MHV
Identify the vessel labeled “B”
RHV
LHV
MHV
MPV
LPV
LHV
This image obtained in a 48 year old male referred for an abdominal ultrasound because of abnormal liver function tests. Which of the following best describes the findings?
ectopic location of the GB
pancreatic head carcinoma
pancreatic head pseudocyst
fluid in the duodenum
peripancreatic lymphadenopathy
pancreatic head pseudocyst
What term best describes this lower pole renal mass?
hypoechoic
anechoic
isoechoic
hyperechoic
none of the above
hyperechoic
Which of the following is most consistent with the sonographic appearance of this renal mass?
angiomyolipoma
staghorn calculus
lymphomatous involvement
complex renal cyst
transitional cell tumor
angiomyolipoma
What term best describes this upper pole renal mass?
homogenous
heterogenous
isoechoic
anechoic
hypoechoic
heterogenous
What vessel is labeled “A” in this intercostal view of the liver?
PV
RHV
MHV
LHV
RHA
PV
What pathology is seen in this image of the left kidney?
angiomyolipoma
RCC
renal calculi
left adrenal pheochromocytoma
there is no pathology
renal calculi
This image of the left kidney was obtained on a extremely ill, febrile, 55 year old diabetic female with severe left flank pain. What pathology is present within the left kidney?
staghorn calculi
ureteral stone
air within the collecting system
RCC
angiomyolipoma
air within the collecting system
You have obtained this image of the urinary bladder in a patient with suspected right ureteral obstruction. What is represented on this image?
TCC involving the bladder
endometriosis of the urinary bladder
left ureteral jet
right ureteral jet
foley catheter within the urinary bladder
right ureteral jet
You have obtained this image from the RUQ of a patient with abdominal pain, nausea, and vomiting. What pathology is present?
gallstones
dilated CBD
PV thrombosis
pneumobilia
pancreatic pseudocyst
dilated CBD
This TRV image was obtained in a 49 year old male with hematuria. What structure is represented by the letter “A”
rib
lumbar spine
quadratus lumborum muscle
psoas muscle
obturator internus muscle
quadratus lumborum muscle
What structure does the letter “B” represent?
rib
lumbar spine
quadratus lumborum muscle
psoas muscle
obturator internus muscle
psoas muscle
You have obtained this SAG image in a 27 year old female with epigastric pain. The small arrows are pointing to what structure?
GE junction
left adrenal gland
right adrenal gland
diaphragmatic crura
LRV
diaphragmatic crura
This image was obtained from the LUQ of a patient with abdominal pain and bloating. What is the structure seen anterior and inferior to the left kidney?
small intestines
stomach
colon
retroperitoneal fibrosis
lymphadenopathy
colon
This TRV image was obtained with a patient in a right oblique position and the transducer placed over the spleen. What abnormality is present?
small bowel obstruction
lymphadenopathy
PKD
accessory spleen
hydronephrosis
lymphadenopathy
You have obtained this image from the mid abdomen of a patient with a history of severe sneezing and a palpable abdominal mass. What pathology is present in this image?
rectus sheath hematoma
aortic aneurysm
lymphadenopathy
bowel tumor
abdominal hernia
rectus sheath hematoma
What pathology is present in this image of the right and left testicles?
spermatocele
seminoma
microlithiasis
metastatic disease
orchitis
microlithiasis
You have obtained this image while performing a scrotal ultrasound on a patient with a history of a palpable right scrotal mass. What pathology is present?
seminoma
epididymal cyst
epididymitis
orchitis
hydrocele
epididymal cyst
