Midterm Images

Question 1

This image was obtained on 85 year old female with jaundice, weight loss, and palpable RUQ mass. What is the best diagnosis?

Courvoisier gallbladder

Hydrops

tumefactive sludge

adenocarcinoma of the gallbladder

Answer 1

adenocarcinoma of the gallbladder

Question 2

A 32 year old woman with intermittent pain in the RUQ is seen for an abdominal ultrasound. The ultrasound exam reveals a gallbladder with multiple comet-tail artifacts emanating from the gallbladder wall. The lumen of the gallbladder is unremarkable. This most liekly represents which of the following?

chlangitis

adenomyomatosis

cholecytitis

cholelithiasis

Answer 2

adenomyomatosis

Question 3

This 56 year old female presents to the ultrasound department with elevated liver enzymes and a history of lung cancer. How would you best describe this image?

*Fatty liver with focal sparing

*Normal liver

*Multiple hypoechoic masses throughout slightly hyperechoic liver

*Multiple hyperechoic masses throughout hypoechoic liver

Answer 3

* Multiple hypoechoic masses throughout slightly hyperechoic liver

Question 4

This image was obtained on a 72 year old woman with RUQ pain. The patient presents with elevated LFT’s and nausea and weight loss.

polycystic liver disease

normal liver

simple liver cyst

amebic abscess

Answer 4

simple liver cyst

Question 5

What is being evaluated in this image?

Pancreas

IVC

liver

Aorta

Answer 5

Pancreas

Question 6

An African American male present to the u/s department for a RUQ ultrasound for pain. He has a history of smoking and diabetes. What is the best diagnosis?

Adenocarcinoma

Pancreatic psuedocyst

Cystadenoma

Acute pancreatitis

Answer 6

Adenocarcinoma

Question 7

Obtained during an abdominal ultrasound of a 34 year old female with a history of oral contraceptive usage. What is the BEST diagnosis?

Focal nodular hyperplasia

Cavernous hemangioma

Hepatocellular carcinoma

Liver mets

Answer 7

Cavernous hemangioma

Question 8

This patients presents with RUQ pain, tender hepatomegaly, fever, nausea, and vomiting and weight loss. He recently traveled to a foreign country. He also has a history of abdominal aortic aneurysm. What is the best diagnosis?

AAA rupture

Abscess

Gallbladder carcinoma

Hepatocellular carcinoma

Answer 8

Abscess