Part B: MRI of the thorax Flashcards

1
Q
  1. Figure B.14 was acquired in the:

a. Axial imaging plane
b. Sagittal imaging plane
c. Coronal imaging plane
d. Off-axis (oblique) imaging plane

A

c. Coronal imaging plane

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2
Q
  1. Figure B.14 is an example of a:

a. T1-weighted imaged
b. T2-weightes image
c. Spin (proton) density-weighted image
d. T2*-weighted image

A

a. T1-weighted imaged

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3
Q
  1. On Figure B.14 arrow A is pointing to the:

a. Trachea
b. Oesophagus
c. Thyroid gland
d. Carotid artery

A

a. Trachea

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4
Q
  1. On Figure B.14 arrow B is pointing to the:

a. Ascending aorta
b. Aortic arch
c. Thoracic aorta
d. Pulmonary artery

A

b. Aortic arch

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5
Q
  1. On Figure B.14 arrow is pointing to the:

a. Superior lobe of the right lung (apex)
b. Superior lobe of the left lung (apex)
c. Middle lobe of the right lung
d. Middle lobe of the left lung
e. Inferior lobe of the right lung (base)
f. Inferior lobe of the left lung (base)

A

a. Superior lobe of the right lung (apex)

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6
Q
  1. On Figure B.14 there is no signal arising from within the lung (indicated by arrows C, E and G) because:

a. There are no protons in air
b. There is no air in the lung during image acquisition
c. There are not enough mobile protons in air
d. Air and moving blood have the same number of protons and, therefore, both appear black

A

c. There are not enough mobile protons in air

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7
Q
  1. On Figure B.14 arrow D is pointing to the:

a. Ascending aorta
b. Aortic arch
c. Thoracic aorta
d. Pulmonary artery

A

d. Pulmonary artery

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8
Q
  1. On Figure B.14 arrow E is pointing to the:

a. Superior lobe of the right lung (apex)
b. Superior lobe of the left lung (apex)
c. Middle lobe of the right lung
d. Middle lobe of the left lung
e. Inferior lobe of the right lung (base)
f. Inferior lobe of the left lung (base)

A

c. Middle lobe of the right lung

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9
Q
  1. On Figure B.14 arrow F is pointing to the:

a. Ascending aorta
b. Aortic arch
c. Thoracic aorta
d. Pulmonary artery

A

a. Ascending aorta

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10
Q
  1. On Figure B.14 arrow G is pointing to the:

a. Superior lobe of the right lung (apex)
b. Superior lobe of the left lung (apex)
c. Middle lobe of the right lung
d. Middle lobe of the left lung
e. Inferior lobe of the right lung (base)
f. Inferior lobe of the left lung (base)

A

e. Inferior lobe of the right lung (base)

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11
Q
  1. On Figure B.14 arrow H is pointing to the:

a. Base of the right lung
b. Apex of the right lung
c. Diaphragm
d. Right main pulmonary artery

A

c. Diaphragm

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12
Q
  1. On Figure B.14 arrow I is pointing to the:

a. Right atrium
b. Left atrium
c. Right ventricle
d. Left ventricle

A

a. Right atrium

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13
Q
  1. On Figure B.14 arrow J is pointing to the:

a. Right apex
b. Left apex
c. Right ventricle
d. Left ventricle

A

d. Left ventricle

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14
Q
  1. To minimise pulsatile flow motion artifacts, cardiac images are acquired by:

a. Taking the patient’s pulse, calculating the heart rate in beats per minute, then entering this data into the imaging system
b. Cardiac gating (or triggering) - attach ECG leads, monitor the cardiac cycle, and “time” the scan or “trigger” the scan from the heart beat
c. Performing cardiopulmonary resuscitation
d. None of the above

A

b. Cardiac gating (or triggering) - attach ECG leads, monitor the cardiac cycle, and “time” the scan or “trigger” the scan from the heart beat

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15
Q
  1. Figure B.15 was acquired in the:

a. Axial imaging plane
b. Sagittal imaging plane
c. Coronal imaging plane
d. Off-axis (oblique) imaging plane

A

a. Axial imaging plane

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16
Q
  1. Figure B.15 is an example of a:

a. Spin echo acquisition
b. Fast spin echo acquisition
c. FLAIR acquisition
d. Gradient echo acquisition

A

d. Gradient echo acquisition

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17
Q
  1. On Figure B.15 arrow A is pointing to the:

a. Gluteal muscles
b. Intercostal muscles
c. Spinal muscles
d. Pectoralis muscles

A

d. Pectoralis muscles

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18
Q
  1. On Figure B.15 arrow B is pointing to the:

a. Right atrium
b. Tricuspid valve
c. Right ventricle
d. Left atrium
e. Left ventricle
f. Bicuspid valve

A

c. Right ventricle

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19
Q
  1. On Figure B.15 arrow C is pointing to the:

a. Right atrium
b. Tricuspid valve
c. Right ventricle
d. Left atrium
e. Left ventricle
f. Bicuspid valve

A

b. Tricuspid valve

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20
Q
  1. On Figure B.15 arrow D is pointing to the:

a. Right atrium
b. Tricuspid valve
c. Right ventricle
d. Left atrium
e. Left ventricle
f. Bicuspid valve

A

a. Right atrium

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21
Q
  1. On Figure B.15 arrow E is pointing to the:

a. Right atrium
b. Tricuspid valve
c. Right ventricle
d. Left atrium
e. Left ventricle
f. Bicuspid valve

A

e. Left ventricle

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22
Q
  1. On figure B.15 arrow F is pointing to the:

a. Right atrium
b. Tricuspid valve
c. Right ventricle
d. Left atrium
e. Left ventricle
f. Bicuspid valve

A

f. Bicuspid valve

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23
Q
  1. On Figure B.15 arrow G is pointing to the:

a. Right atrium
b. Tricuspid valve
c. Right ventricle
d. Left atrium
e. Left ventricle
f. Bicuspid valve

A

d. Left atrium

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24
Q
  1. On Figure B.15 arrow H is pointing to the:

a. Thoracic aorta
b. Pulmonary atery
c. Spinal canal
d. Left atrium

A

b. Pulmonary aorta

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25
Q
  1. On Figure B.15 arrow I is pointing to the:

a. Thoracic aorta
b. Pulmonary artery
c. Spinal canal
d. Left atrium

A

a. Thoracic aorta

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26
Q
  1. On Figure B.15 arrow J is pointing to the:

a. Thoracic aorta
b. Pulmonary artery
c. Spinal canal
d. Left atrium

A

c. Spinal canal

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27
Q
  1. On Figure B.16 arrow A is pointing to the:

a. Right vertebral artery
b. Left vertebral artery
c. Right common carotid artery
d. Left common carotid artery
e. Right carotid bifurcation

A

a. Right vertebral artery

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28
Q
  1. On Figure B.16 arrow B is pointing to the:

a. Right vertebral artery
b. Left vertebral artery
c. Right common carotid artery
d. Left common carotid artery
e. Right carotid bifurcation

A

e. Right carotid bifurcation

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29
Q
  1. On Figure B.16 arrow C is pointing to the:

a. Right vertebral artery
b. Left vertebral artery
c. Right common carotid artery
d. Left common carotid artery
e. Right carotid bifurcation

A

d. Left common carotid artery

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30
Q
  1. On Figure B.16 arrow D is pointing to the:

a. Right vertebral artery
b. Left vertebral artery
c. Right common carotid artery
d. Left common carotid artery
e. Right carotid bifurcation

A

c. Right common carotid artery

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31
Q
  1. On Figure B.16 arrow E is pointing to the:

a. Right vertebral artery
b. Left vertebral artery
c. Right common carotid artery
d. Left common carotid artery
e. Right carotid bifurcation

A

d. Left common carotid artery

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32
Q
  1. On Figure B.16 arrow F is pointing to the:

a. Right subclavian artery
b. Left subclavian artery
c. Right innominate carotid artery
D. Left innominate carotid artery

A

b. Left subclavian artery

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33
Q
  1. On Figure B.16 arrow G is pointing to the:

a. Right subclavian artery
b. Left subclavian artery
c. Innominate artery
D. Left innominate carotid artery

A

c. Innominate artery

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34
Q
  1. On Figure B.16 arrow H is pointing to the:

a. Superior vena cava
b. Right vertebral artery
c. Right common carotid artery
d. Left common carotid artery

A

c. Right common carotid artery

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35
Q
  1. On Figure B.16 arrow I is pointing to the:

a. Superior vena cava
b. Inferior vena cava
c. Pulmonary artery
d. Aortic arch

A

a. Superior vena cava

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36
Q
  1. On Figure B.16 arrow J is pointing to the:

a. Brachiocephalic artery
b. Innominate artery
c. Right vertebral artery
d. a and b

A

d. a and b

37
Q
  1. On Figure B.16 arrow K is pointing to the:

a. Superior vena cava
b. Right vertebral artery
c. Right common carotid artery
d. Left common carotid artery

A

d. Left common carotid artery

38
Q
  1. On Figure B.16 arrow L is pointing to the:

a. Superior vena cava
b. Inferior vena cava
c. Pulmonary artery
d. Aortic arch

A

d. Aortic arch

39
Q
  1. On Figure B.16 arrow M is pointing to the:

a. Superior vena cava
b. Inferior vena cava
c. Pulmonary artery
d. Aortic arch

A

c. Pulmonary artery

40
Q
  1. On Figure B.17 arrow A is pointing to the:

a. Ascending aorta
b. Aortic arch
c. Descending aorta
d. Abdominal aorta
e. Superior mesenteric artery

A

b. Aortic arch

41
Q
  1. The optimal view (or views) for the evaluation of the aortic arch include:
  2. Sagittal
  3. Axial
  4. Coronal
  5. Oblique

a. 1 only
b. 2 only
c. 1 and 3 only
d. 1 and 4 only

A

d. 1 and 4 only

42
Q
  1. On Figure B.17 arrow B is pointing to the:

a. Ascending aorta
b. Aortic arch
c. Descending aorta
d. Abdominal aorta
e. Pulmonary artery

A

e. Pulmonary artery

43
Q
  1. On Figure B.17 arrow C is pointing to the:

a. Right atrium
b. Left atrium
c. Right ventricle
d. Left ventricle
e. Right lung
f. Left lung

A

e. Right lung

44
Q
  1. On Figure B.17 arrow D is pointing to the:

a. Ascending aorta
b. Aortic arch
c. Descending aorta
d. Abdominal aorta
e. Superior mesenteric artery

A

d. Abdominal aorta

45
Q
  1. On Figure B.17 arrow E is pointing to the:

a. Liver
b. Spleen
c. Kidney
d. Retroperitoneal fat

A

a. Liver

46
Q
  1. On Figure B.17 arrow F is pointing to the:

a. Liver
b. Spleen
c. Kidney
d. Retroperitoneal fat

A

b. Spleen

47
Q
  1. On Figure B.17 arrow G is pointing to the:

a. Liver
b. Spleen
c. Kidney
d. Retroperitoneal fat

A

d. Retroperitoneal fat

48
Q
  1. On Figure B.17 arrow H is pointing to the:

a. Ascending aorta
b. Aortic arch
c. Descending aorta
d. Abdominal aorta
e. Superior mesenteric artery

A

b. Aortic arch

49
Q
  1. On Figure B.17 arrow I is pointing to the:

a. Ascending aorta
b. Aortic arch
c. Descending aorta
d. Abdominal aorta
e. Superior mesenteric artery

A

c. Descending aorta

50
Q
  1. On Figure B.17 arrow J is pointing to the most posterior chamber of the heart, which is the:

a. Right atrium
b. Left atrium
c. Right ventricle
d. Left ventricle
e. Right lung
f. Left lung

A

b. Left atrium

51
Q
  1. On Figure B.17 arrow K is pointing to the most anterior chamber of the heart, which is the:

a. Right atrium
b. Left atrium
c. Right ventricle
d. Left ventricle
e. Right lung
f. Left lung

A

c. Right ventricle

52
Q
  1. On Figure B.17 arrow L is pointing to the:

a. Ascending aorta
b. Aortic arch
c. Descending aorta
d. Abdominal aorta
e. Superior mesenteric artery

A

d. Abdominal aorta

53
Q
  1. On Figure B.17 arrow M is pointing to the:

a. Ascending aorta
b. Aortic arch
c. Descending aorta
d. Abdominal aorta
e. Superior mesenteric artery

A

e. Superior mesenteric artery

54
Q
  1. On Figure B.18 the SHORT AXIS views of the heart resemble images that are:

a. Axial to the plane of the heart muscle
b. Sagittal to the plane of the heart muscle
c. Coronal to the plane of the heart muscle
d. Axial to the plane of the aorta

A

a. Axial to the plane of the heart muscle

55
Q
  1. On Figure B.18 the LONG AXIS views of the heart resemble images that are:

a. Axial to the plane of the heart muscle
b. Sagittal to the plane of the heart muscle
c. Coronal to the plane of the heart muscle
d. Axial to the plane of the aorta

A

b. Sagittal to the plane of the heart muscle

56
Q
  1. On Figure B.18 the FOUR CHAMBER views of the heart resemble images that are:

a. Axial to the plane of the heart muscle
b. Sagittal to the plane of the heart muscle
c. Coronal to the plane of the heart muscle
d. Axial to the plane of the aorta

A

c. Coronal to the plane of the heart muscle

57
Q
  1. On Figure B.19 arrow A is pointing to the:

a. Ascending aorta
b. Right pulmonary artery
c. Left pulmonary artery
d. Descending thoracic aorta

A

a. Ascending aorta

58
Q
  1. On FIgure B.19 arrow B is pointing to the:

a. Ascending aorta
b. Right pulmonary artery
c. Left pulmonary artery
d. Descending thoracic aorta

A

c. Left pulmonary artery

59
Q
  1. On Figure B.19 arrow C is pointing to the:

a. Ascending aorta
b. Right pulmonary artery
c. Left pulmonary artery
d. Descending thoracic aorta

A

b. Right pulmonary artery

60
Q
  1. On Figure B.19 arrow D is pointing to the:

a. Ascending aorta
b. Right pulmonary artery
c. Left pulmonary artery
d. Descending thoracic aorta

A

d. Descending thoracic aorta

61
Q
  1. On Figure B.19 arrow E is pointing to the:

a. Spinal muscles
b. Spinal canal
c. Vertebral body
d. Rib

A

b. Spinal canal

62
Q
  1. On Figure B. 19 arrow F is pointing to the:

a. Spinal muscles
b. Spinal canal
c. Vertebral body
d. Rib

A

d. Rib

63
Q
  1. On Figure B.19 arrow G is pointing to the:

a. Spinal muscles
b. Spinal canal
c. Vertebral body
d. Rib

A

a. Spinal muscles

64
Q
  1. On Figure B.19 (the gradient echo image- right) arrow H is pointing to the:

a. Susceptibility artifact
b. Bright signal from flowing blood- ascending aorta
c. Bright signal from flowing blood- pulmonary artery
d. Bright signal from flowing CSF in the spinal canal
e. Chemical shift artifact

A

a. Susceptibility artifact

65
Q
  1. On Figure B.19 (the gradient echo image- right) arrow I is pointing to the:

a. Susceptibility artifact
b. Bright signal from flowing blood- ascending aorta
c. Bright signal from flowing blood- pulmonary artery
d. Bright signal from flowing CSF in the spinal canal
e. Chemical shift artifact

A

b. Bright signal from flowing blood- ascending aorta

66
Q
  1. On Figure B.19 (the gradient echo image- right) arrow J is pointing to the:

a. Susceptibility artifact
b. Bright signal from flowing blood- ascending aorta
c. Bright signal from flowing blood- pulmonary artery
d. Bright signal from flowing CSF in the spinal canal
e. Chemical shift artifact

A

c. Bright signal from flowing blood- pulmonary artery

67
Q
  1. On Figure B.19 (the gradient echo image- right) arrow K is pointing to the:

a. Susceptibility artifact
b. Bright signal from flowing blood- ascending aorta
c. Bright signal from flowing blood- pulmonary artery
d. Bright signal from flowing CSF in the spinal canal
e. Chemical shift artifact

A

d. Bright signal from flowing CSF in the spinal canal

68
Q
  1. On Figure B.19 (gradient echo image- right) arrow L is pointing to the:

a. Susceptibility artifact
b. Bright signal from flowing blood- ascending aorta
c. Bright signal from flowing blood- pulmonary artery
d. Bright signal from flowing CSF in the spinal canal
e. Chemical shift artifact

A

e. Chemical shift artifact

69
Q
  1. On Figure B.20 arrow A is pointing to the:

a. Nipple
b. Fatty tissue of the breast
c. Pectoralis muscle
d. Shading from fat suppression
e. Neovascularity
f. Enhancing breast lesion

A

a. Nipple

70
Q
  1. The images in Figure B.20 have been acquired with:

a. Sagittal high-resolution imaging
b. Axial high-resolution imaging
c. Coronal high-resolution imaging
d. Oblique high resolution imaging

A

b. Axial high-resolution imaging

71
Q
  1. On Figure B.20 arow B is pointing to the:

a. Nipple
b. Fatty tissue of the breast
c. Pectoralis muscle
d. Shading from fat suppression
e. Neovascularity
f. Enhancing breast lesion

A

b. Fatty tissue of the breast

72
Q
  1. On Figure B.20 arrow C is pointing to the:

a. Nipple
b. Fatty tissue of the breast
c. Pectoralis muscle
d. Shading from fat suppression
e. Neovascularity
f. Enhancing breast lesion

A

c. Pectoralis muscle

73
Q
  1. On Figure B.20 arrow D is pointing to the:

a. Nipple
b. Fatty tissue of the breast
c. Pectoralis muscle
d. Shading from fat suppression
e. Right ventricle of the heart (most anterior chamber)
f. Left atrium of the heart (most anterior chamber)

A

f. Left atrium of the heart (most anterior chamber)

74
Q
  1. On Figure B.20 arrow E is pointing to the:

a. Nipple
b. Fatty tissue of the breast
c. Pectoralis muscle
d. Shading from fat suppression
e. Neovascularity
f. Enhancing breast lesion

A

d. Shading from fat suppression

75
Q
  1. On Figure B.20 arrow F is pointing to the:

a. Fatty tissue of the breast
b. Pectoralis muscle
c. Shading from fat suppression
d. Neovascularity
e. Enhancing breast lesion

A

d. Neovascularity

76
Q
  1. On Figure B.20 arrow G is pointing to the:

a. Fatty tissue of the breast
b. Pectoralis muscle
c. Shading from fat suppression
d. Neovascularity
e. Enhancing breast lesion

A

a. Fatty tissue of the breast

77
Q
  1. On Figure B.20 arrow H is pointing to the:

a. Fatty tissue of the breast
b. Pectoralis muscle
c. Shading from fat suppression
d. Neovascularity
e. Enhancing breast lesion

A

e. Enhancing breast lesion

78
Q
  1. On Figure B.20 the following images were acquired WITH fat suppression:

a. 1 and 2
b. 3, 4 and 5
c. 6, 7 and 8
d. 2, 3, 4, 5, 7 and 8
e. 1 and 6

A

d. 2, 3, 4, 5, 7 and 8

79
Q
  1. On Figure B.20 the following images were acquired WITHOUT fat suppression:

a. 1 and 2
b. 3, 4 and 5
c. 6, 7 and 8
d. 2, 3, 4, 5, 7 and 8
e. 1 and 6

A

e. 1 and 6

80
Q
  1. On Figure B.21 arrow A is pointing to the:

a. Nipple
b. Fatty tissue of the breast
c. Pectoralis muscle
d. Ducts and lobules
e. Neovascularity
f. Enhancing breast lesion

A

b. Fatty tissue of the breast

81
Q
  1. The images in Figure B.21 have been acquired with:

a. Sagittal high-resolution imaging
b. Axial high-resolution imaging
c. Coronal high-resolution imaging
d. Oblique high-resolution imaging

A

a. Sagittal high-resolution imaging

82
Q
  1. On Figure B.21 arrow B is pointing to the:

a. Nipple
b. Fatty tissue of the breast
c. Pectoralis muscle
d. Ducts and lobules
e. Neovascularity
f. Enhancing breast lesion

A

d. Ducts and lobules

83
Q
  1. On Figure B.21 arrow D is pointing to the:

a. Nipple
b. Fatty tissue of the breast
c. Pectoralis muscle
d. Ducts and lobules
e. Neovascularity
f. Enhancing breast lesion

A

b. Fatty tissue of the breast

84
Q
  1. On Figure B.21 arrow E is pointing to the:

a. Nipple
b. Fatty tissue of the breast
c. Pectoralis muscle
d. Ducts and lobules
e. Neovascularity
f. Enhancing breast lesion

A

f. Enhancing breast lesion

85
Q
  1. On Figure B.21 the following images were acquired WITH fat suppression:

a. 1, 2 and 3
b. 4, 5 and 6
c. 1 and 2
d. 3, 4, 5 and 6

A

d. 3, 4, 5 and 6

86
Q
  1. On Figure B.21 the following images were acquired WITHOUT fat suppression:

a. 1, 2 and 3
b. 4, 5 and 6
c. 1 and 2
d. 3, 4, 5 and 6

A

c. 1 and 2

87
Q
  1. Figure B.22 shows high-resolution sagittal images of the breast in a patient with silicone implants with:

a. Fat suppression
b. Water suppression
c. Silicone suppression
d. Silicone, water, and fat suppression

A

d. Silicone, water, and fat suppression

88
Q
  1. Review Figure B.22 (right), Images for the evaluation of silicone implants, whereby the silicone is to appear bright, should be acquired with the application of:
  2. Fat suppression
  3. Water suppression
  4. Silicone suppression

a. 1 only
b. 1 and 2 only
c. 3 only
d. 1 and 3 only
e. 1, 2 and 3

A

b. 1 and 2 only

89
Q
  1. Review Figure B.22 (left). Images for the evaluation of silicone implants, whereby the silicone is to appear dark, should be acquired with application of:
  2. Fat suppression
  3. Water suppression
  4. Silicone suppression

a. 1 only
b. 1 and 2 only
c. 3 only
d. 1 and 3 only
e. 1, 2 and 3

A

c. 3 only