Pearls & Gems Flashcards
Cervical kyphosis
NF-1
Lateral thoracic meningocele
NF-1
Bilateral optic nerve gliomas
NF-1
Bilateral vestibular schwannoma
NF-2
Retinal hamartoma
TS
Retinal angioma
VHL
Brain tumor with restricted diffusion
Lymphoma
Brain tumor crossing midline
GBM (or lymphoma)
Cyst and Nodule in Child (neuro)
Pilocystic Astrocytoma
Cyst and Nodule in Adult (neuro)
Hemangioblastoma
Multiple hemangioblastomas (neuro)
Von Hippel Lindau
Swiss cheese tumor in ventricle (neuro)
Central neurocytoma
CN3 palsy
Posterior communicating artery aneurysm
CN6 palsy
Increased ICP
Ventricles out of size to atrophy (neuro)
NPH
Hemorrhagic putamen
Methanol
Decreased FDG uptake in the lateral occipital cortex
Lewy body dementia
TORCH with periventricular calcification
CMV
TORCH with hydrocephalus
Toxoplasmosis
TORCH with hemorrhagic infarction
HSV
Neonatal infection with frontal lobe atrophy
HIV
Rapidly progressing dementia + rapidly progressing atrophy
CJD
Expanding the cortex (neuro)
Oligodendroglioma
Tumor acquired after trauma (LP)
Epidermoid
Palate separated from the maxilla/Floating Palate
LeFort 1
Maxilla separated from the face (or “pyramidal”)
LeFort 2
Face separated from the cranium
LeFort 3
Airless expanded sinus (neuro)
Mucocele
DVA
Cavernous malformation nearby
Single vascular lesion in the pons
Capillary telangiectasia
Elevated NAA peak (neuro)
Canvans
Tigroid appearance (neuro section)
Metachromatic leukodystrophy
Endolymphatic sac tumor (neuro)
VHL
T1 bright in the petrous apex
Cholesterol granuloma
Restricted diffusion in the petrous apex
Cholesteatoma
Lateral rectal palsy + otomastoiditis
Grandenigo Syndrome
Cochlea and semicircular canal enhancement
Labrinthitis
Conductive hearing loss in adult
Otosclerosis
Noise induced vertigo
Superior semicircular canal dehiscence
Widening of the maxillary ostium
Antrochonal polyp
Inverting papilloma (neuro)
Squamous cell CA (10%)
Adenoid cystic carcinoma of salivary gland
Perineural spread
Left sided vocal cord paralysis
Look in the AP window
Bilateral coloboma
CHARGE Syndrome
Retinal detachment + small eye
Persistent hyperplastic primary vitreous (PHPV)
Bilateral small eye
Retinopathy of prematurity
Calcification in the globe of a child
Retinoblastoma
Fluid-fluid levels in the orbit
Lymphangioma
Orbital lesion, worse with valsalva
Varix
Pulsatile exophthalmos
NF-1 and CC Fistula
Sphenoid wing dysplasia
NF-1
Scimitar sacrum
Currarino Triad
Bilateral symmetrically increased T2 signal in the dorsal columns
B12 (or HIV)
Owl eye appearance of spinal cord
Spinal cord infarct
Enhancement of the nerve roots of the cauda equina
Guillain barre
Subligamentous spread of infection
TB
Posterior elbow dislocation
Capitellum fracture
Chondroblastoma in an adult
Clear cell chondrosarcoma
Malignant epiphyseal lesion
Clear cell chondrosarcoma
Permeative lesion in diaphysis of a child
Ewings
T2 bright lesion in the sacrum
Chordoma
Lytic T2 DARK lesion (MSK)
Fibrosarcoma
Sarcomatous transformation of an infarct
MFH
Epiphyseal lesion that is NOT T2 Bright
Chondroblastoma
Short 4th metacarpal
Pseudopseudohypoparathyroidism and Turner Syndrome
Band like acro-osteolysis
Hajdu-Cheney
Fat containing tumor in the retroperitoneum
Liposarcoma
Sarcoma in the foot
Synovial sarcoma
Avulsion of the lesser trochanter
Pathological fracture
Cross over sign (MSK section)
Pincher type femoroacetabular impingement
Segond fracture
ACL Tear
Reverse Segond fracture
PCL
Arcuate sign (MSK Section)
Fibular Head avulsion or PCL tear
Deep interchondylar notch
ACL tear
Bilateral patellar tendon ruptured
Chronic steroids
Wide ankle mortise
Show me the proximal fibula (Maisonneuve)
Bilateral calcaneus fractures
Show me the spinal compression fracture (“lover’s leap”)
Dancer with lateral foot pain
Avulsion of 5th metatarsal
Old lady with sudden knee pain with standing
SONK
Looser’s Zones
Osteomalacia or rickets (vit D)
Unilateral RA with preserved joint spaces
RSD
T2 Bright tumor in finger
Glomus
Blooming in tumor in finger
Giant cell tumor of tendon sheath (PVNS)
Atrophy of teres minor
Quadrilateral space syndrome
Subluxation of the biceps tendon
Subscapularis tear
Too many bow ties (MSK Section)
Discoid meniscus
Celery Stalk ACL -T2
Mucoid degeneration
Drumstick ACL-T1
Mucoid degeneration
Acute flat foot
Posterior tibial tendon tear
Boomerang shaped peroneus brevis
Tear or split tear
Meniscoid Mass in the lateral gutter of the ankle
Anteriolateral impingement Syndrome
Scar between 3rd and 4th metatarsals
Morton’s neuroma
Osteomyelitis in the spine
IV drug user
Osteomyelitis in the spine with kyphosis
TB (Gibbus Deformity)
Unilateral SI joint lysis
IV drug user
Psoas muscle abscess
TB
Rice bodies in joint
TB - sloughed synovium
Calcification along the periphery (MSK Section)
Myositis ossificans
Calcifications more dense in the center (MSK Section)
Osteosarcoma - reverse zoning
Permeative lesion in diaphysis of a child
Ewings
Long lesion in a long bone
Fibrous dysplasia
Large amount of edema for the size of the lesion (MSK)
Osteoid osteoma
Cystic bone lesion that is not T2 bright
Chondroblastoma
Lesion in the finger of a kid
Periosteal chondroma
Looks like NOF in the anterior tibia with anterior bowing
Osteofibrous dysplasia
RA + Pneumoconiosis
Caplan Syndrome
RA + big spleen + neutropenia
Felty Syndrome
Epiphyseal overgrowth
JRA (or hemophilia)
Reducible deformity of joints - in hand
Lupus
Destructive mass in a bone of a leukemia patient
Chloroma
Shrinking breast
ILC
Thick Coopers ligaments (mammo)
Edema
Thick fuzzy coopers ligaments - with normal skin (mammo)
Blur
Dashes but no dots (mammo Section)
Secretory calcifications
Cigar shaped calcifications (mammo)
Secretory calcifications
Popcorn calcifications (mammo)
Degenerated fibroadenoma
Breast within a breast
Hamartoma
Fat-fluid level (mammo)
Galactocele
Rapid growing fibroadenoma (mammo)
Phyllodes
Swollen red breast not responding to antibiotics
Inflammatory breast CA
Lines radiating to a single point (mammo)
Architectural distortion
Architectural distortion + calcifications (mammo)
IDC + DCIS
Architectural distortion without calcifications (mammo)
ILC
Stepladder Sign (mammo)
Intracapsular rupture on US
Linguine sign (mammo)
Intracapsular rupture on MRI
Residual calcs in the lumpectomy bed (mammo)
Local recurrence
No calcs in the core (mammo)
Milk of calcium (requires polarized light to be seen)
Subglottic hemangioma (peds)
PHACES Syndrome
PHACES Syndrome (peds)
Cutaneous hemangioma
Ropy appearance (peds)
Meconium aspiration
Post term delivery (peds)
Meconium aspiration
Fluid in the fissures (peds)
Transient tachypnea
History of c-section (peds)
Transient tachypnea
Maternal sedation (peds)
Transient tachypnea
Granular opacities + premature (peds)
RDS
Granular opacities + term + high lung volume (peds)
Pneumonia
Granular opacities + term + low lung volume (peds)
B-hemolytic strep
Band like opacities (peds)
Chronic lung disease (BPD)
Linear lucencies (peds)
Pulmonary interstitial emphysema
Pulmonary hypoplasia (peds)
Diaphragmatic hernia
Lung cysts and nodules (peds)
LCH or papillomatosis
Lower lobe bronchiectasis (peds)
Primary ciliary dyskinesia
Upper lobe bronchiectasis (peds)
CF
Posterior mediastinal mass, under 2 (peds)
Neuroblastoma
No air in stomach (peds)
Esophageal atresia
Excessive air in stomach (peds)
H type TE fistula
Anterior esophageal impression (peds)
Pulmonary sling
Pulmonary Sling (peds)
Tracheal stenosis
Single bubble (peds)
Gastric (antral or pyloric) atresia
Double Bubble (peds)
Duodenal atresia
Duodenal atresia (peds)
Downs
Single bubble with distal gas (peds)
Maybe Mid Gut Volvulus
Non-bilious vomiting (peds)
Hypertrophic pyloric stenosis
Paradoxical aciduria (peds)
Hypertrophic pyloric stenosis
Bilious vomiting - in an infant (peds)
Mid gut volvulus
Corkscrew duodenum (peds)
Mid gut volvulus
Reversed SMA and SMV (peds)
Malrotation
Absent gallbladder (peds)
Biliary atresia
Triangle cord sign (peds)
Biliary atresia
Asplenia (peds)
Cyanotic heart disease
Infarcted spleen (peds)
Sickle cell
Gall stones (peds)
Sickle cell
Short microcolon (peds)
Colonic atresia
Long microcolon (peds)
Meconium ileus or distal ileal atresia
Saw tooth colon (peds)
Hirschsprung
Calcified mass in the mid abdomen of a newborn
Meconium peritonitis
Meconium ileus equivalent (peds)
Distal intestinal obstruction syndrome (CF)
Abrupt caliber change of the aorta below the celiac axis (peds)
Hepatic hemangioendothelioma
Cystic mass in the liver of a newborn
Mesenchymal Hamartoma
Elevated AFP, with mass in the liver of a newborn
Hepatoblastoma
Common bile duct measures more than 10mm (peds)
Choledochal cyst
Lipomatous pseudohypertrophy of the pancreas (peds)
CF
Unilateral renal agenesis (peds)
Unicornuate uterus
Neonatal renal vein thrombosis
Maternal diabetes
Neonatal renal artery thrombosis
Misplaced umbilical artery catheter
Hydro on fetal MRI
Posterior urethral valve
Urachus (peds)
Bladder adenocarcinoma
Nephroblastomatosis with necrosis (peds)
Wilms
Solid renal tumor of infancy
Mesoblastic nephroma
Solid renal tumor of childhood
Wilms
Midline pelvic mass, in a female (peds)
Hydrometrocolpos