Imaging SBAs unit 1 Flashcards

1
Q

Obese pt, large epicardial fat pad on CXR

A

Mediastinal Lipomatosis

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2
Q

Recurrent lymphoma vs Thymic hyperplasia

A

In/out of phase MRI. Thymic hyperplasia will demonstrate fat

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3
Q

Important consideration for angioplasty site of access

A

Needs sufficient distance between puncture site and target

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4
Q

Hilum overlay sign

A

Hilar vessels still visible through mediastinal mass, proving mass is not in middle mediastinum

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5
Q

Aplastic anaemia most commonly caused by

A

Thymoma

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6
Q

Pericardial calcifications often caused by

A

Constrictive pericarditis

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7
Q

Pulmonary nodule follow up <8mm

A

High risk –> PET
Low risk –> CT 1 year

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8
Q

Post procedure thrombosis of arterial graft, Rx

A

Recombinant tissue plasminogen activator, 15mg bolus + 2mg/hr infusion

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9
Q

Fluoro appearance of successful canalisation of portal vein in TIPS

A

Contrast flows via large vessels to liver periphery

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10
Q

Bilateral, subpleural and lower zone patchy ground glass and centrilobular nodules.
Associated with connective tissue disorders and transplant

A

Bronchiolitis Obliterans

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11
Q

General tips for injection rates/volumes for angiography

A

Larger vessels need higher rates and volumes of contrast.
Distal lower limb needs more volume but somewhat limited rate due to pain

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12
Q

Centrilobular, poorly defined peribronchiolar nodules, sparing the bases. Normal intervening lung

A

Langerhans Cell Histiocytosis

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13
Q

Aortic sinuses of valsalva - location

A

2cm above the coronary vessels

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14
Q

Widened upper mediastinum, high density material adjacent to aorta with preserved fat plane between them

A

Ligamentum arteriosum (developmental remnant)

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15
Q

IR wire - Cobra

A

Reverse facing curve, good for general use and visceral angiography

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16
Q

Sidewinder wire

A

Shepherd’s crook, good for visceral angiography

17
Q

Benson

A

Angulated tip, good for arch vessel cannulation

18
Q

SOS Omni

A

Reverse facing curve, good for renal artery angiography

19
Q

Marfans pt, 1cm pneumothorax, Rx

A

Cardiothoracic team referral (May need bullectomy)

20
Q

Osteosarcoma, ?mets. Next Ix

A

Bone scan, followed by CT chest for staging

21
Q

Tuberous sclerosis vs LAM

A

Tuberous sclerosis has lower zone fibrosis

22
Q

Endoleak types

A

Type 1: leak at graft attachment site
Type 2: Sac filling from branch vessel
Type 3: leak through defect in graft
Type 4: Leak through graft fabric porosity
Type 5: Expansion of sac without demonstrable leak

23
Q

Type 1 endoleak Rx

A

Coil or glue embolisation (angiographically)

24
Q

Hodgkin Lymphoma staging

A

Ann Arbor
1: discrete area of lymphadenopathy
2: More than one area on one side of diaphragm
3: Lymphadenopathy on both sides of diaphragm
3E: Adenopathy above diaphragm with extralymphatic involvement
3S: Adenopathy above diaphragm with splenic involvement
4: Adenopathy on both sides of diaphragm with extralymphatic spread

25
Q

Dyspnoea, responsive to steroids.
Mosaic attenuation in middle zones with focal basal opacities

A

Hypersensitivity pneumonitis

26
Q

Previous radiotherapy. Fibrosis with an area of focal consolidation

A

Radiation induced tumour

27
Q

Lung tumour T staging

A

T3: 2 tumours in same lobe
T4: Tumours in different lobes
M1: Tumours in different lungs

28
Q

Minimal common iliac artery diameter for EVAR

A

8mm

29
Q

Commonest interstitial lung disease picture in RA

A

NSIP

30
Q

Round pneumonia vs round atelectasis

A

Round pneumonia occurs in kids
Round atelectasis occurs with asbestos

31
Q

Lupus pernio

A

Purple rash on ears and cheeks, associated with sarcoid

32
Q

Histology: Gland like sheets with calcification and amyloid deposition

A

Carcinoid

33
Q

Cavitating lung mass with spontaneous pneumothorax in young person

A

Osteosarcoma met

34
Q

Young, pulmonary and hepatic nodules, liver failure

A

Sarcoid

35
Q

Smoker, widespread ground glass and early fibrosis sparing upper lobes

A

Desquamative interstitial pneumonia

36
Q

Trauma, rib fractures, extravasation from intercostal vessel, Rx

A

IR embolisation

37
Q

Contraindication to uterine fibroid embolisation

A

Current use of GnRH, causes the uterine artery to become too small to catheterise. Wait 3 months without them

38
Q

Pt with central line, diaphragmatic elevation, cause

A

Phrenic nerve palsy, associated with central line insertion