Pearls & Gems Flashcards
1
Q
Cervical kyphosis
A
NF-1
2
Q
Lateral thoracic meningocele
A
NF-1
3
Q
Bilateral optic nerve gliomas
A
NF-1
4
Q
Bilateral vestibular schwannoma
A
NF-2
5
Q
Retinal hamartoma
A
TS
6
Q
Retinal angioma
A
VHL
7
Q
Brain tumor with restricted diffusion
A
Lymphoma
8
Q
Brain tumor crossing midline
A
GBM (or lymphoma)
9
Q
Cyst and Nodule in Child (neuro)
A
Pilocystic Astrocytoma
10
Q
Cyst and Nodule in Adult (neuro)
A
Hemangioblastoma
11
Q
Multiple hemangioblastomas (neuro)
A
Von Hippel Lindau
12
Q
Swiss cheese tumor in ventricle (neuro)
A
Central neurocytoma
13
Q
CN3 palsy
A
Posterior communicating artery aneurysm
14
Q
CN6 palsy
A
Increased ICP
15
Q
Ventricles out of size to atrophy (neuro)
A
NPH
16
Q
Hemorrhagic putamen
A
Methanol
17
Q
Decreased FDG uptake in the lateral occipital cortex
A
Lewy body dementia
18
Q
TORCH with periventricular calcification
A
CMV
19
Q
TORCH with hydrocephalus
A
Toxoplasmosis
20
Q
TORCH with hemorrhagic infarction
A
HSV
21
Q
Neonatal infection with frontal lobe atrophy
A
HIV
22
Q
Rapidly progressing dementia + rapidly progressing atrophy
A
CJD
23
Q
Expanding the cortex (neuro)
A
Oligodendroglioma
24
Q
Tumor acquired after trauma (LP)
A
Epidermoid
25
Palate separated from the maxilla/Floating Palate
LeFort 1
26
Maxilla separated from the face (or “pyramidal”)
LeFort 2
27
Face separated from the cranium
LeFort 3
28
Airless expanded sinus (neuro)
Mucocele
29
DVA
Cavernous malformation nearby
30
Single vascular lesion in the pons
Capillary telangiectasia
31
Elevated NAA peak (neuro)
Canvans
32
Tigroid appearance (neuro section)
Metachromatic leukodystrophy
33
Endolymphatic sac tumor (neuro)
VHL
34
T1 bright in the petrous apex
Cholesterol granuloma
35
Restricted diffusion in the petrous apex
Cholesteatoma
36
Lateral rectal palsy + otomastoiditis
Grandenigo Syndrome
37
Cochlea and semicircular canal enhancement
Labrinthitis
38
Conductive hearing loss in adult
Otosclerosis
39
Noise induced vertigo
Superior semicircular canal dehiscence
40
Widening of the maxillary ostium
Antrochonal polyp
41
Inverting papilloma (neuro)
Squamous cell CA (10%)
42
Adenoid cystic carcinoma of salivary gland
Perineural spread
43
Left sided vocal cord paralysis
Look in the AP window
44
Bilateral coloboma
CHARGE Syndrome
45
Retinal detachment + small eye
Persistent hyperplastic primary vitreous (PHPV)
46
Bilateral small eye
Retinopathy of prematurity
47
Calcification in the globe of a child
Retinoblastoma
48
Fluid-fluid levels in the orbit
Lymphangioma
49
Orbital lesion, worse with valsalva
Varix
50
Pulsatile exophthalmos
NF-1 and CC Fistula
51
Sphenoid wing dysplasia
NF-1
52
Scimitar sacrum
Currarino Triad
53
Bilateral symmetrically increased T2 signal in the dorsal columns
B12 (or HIV)
54
Owl eye appearance of spinal cord
Spinal cord infarct
55
Enhancement of the nerve roots of the cauda equina
Guillain barre
56
Subligamentous spread of infection
TB
57
Posterior elbow dislocation
Capitellum fracture
58
Chondroblastoma in an adult
Clear cell chondrosarcoma
59
Malignant epiphyseal lesion
Clear cell chondrosarcoma
60
Permeative lesion in diaphysis of a child
Ewings
61
T2 bright lesion in the sacrum
Chordoma
62
Lytic T2 DARK lesion (MSK)
Fibrosarcoma
63
Sarcomatous transformation of an infarct
MFH
64
Epiphyseal lesion that is NOT T2 Bright
Chondroblastoma
65
Short 4th metacarpal
Pseudopseudohypoparathyroidism and Turner Syndrome
66
Band like acro-osteolysis
Hajdu-Cheney
67
Fat containing tumor in the retroperitoneum
Liposarcoma
68
Sarcoma in the foot
Synovial sarcoma
69
Avulsion of the lesser trochanter
Pathological fracture
70
Cross over sign (MSK section)
Pincher type femoroacetabular impingement
71
Segond fracture
ACL Tear
72
Reverse Segond fracture
PCL
73
Arcuate sign (MSK Section)
Fibular Head avulsion or PCL tear
74
Deep interchondylar notch
ACL tear
75
Bilateral patellar tendon ruptured
Chronic steroids
76
Wide ankle mortise
Show me the proximal fibula (Maisonneuve)
77
Bilateral calcaneus fractures
Show me the spinal compression fracture (“lover’s leap”)
78
Dancer with lateral foot pain
Avulsion of 5th metatarsal
79
Old lady with sudden knee pain with standing
SONK
80
Looser’s Zones
Osteomalacia or rickets (vit D)
81
Unilateral RA with preserved joint spaces
RSD
82
T2 Bright tumor in finger
Glomus
83
Blooming in tumor in finger
Giant cell tumor of tendon sheath (PVNS)
84
Atrophy of teres minor
Quadrilateral space syndrome
85
Subluxation of the biceps tendon
Subscapularis tear
86
Too many bow ties (MSK Section)
Discoid meniscus
87
Celery Stalk ACL -T2
Mucoid degeneration
88
Drumstick ACL-T1
Mucoid degeneration
89
Acute flat foot
Posterior tibial tendon tear
90
Boomerang shaped peroneus brevis
Tear or split tear
91
Meniscoid Mass in the lateral gutter of the ankle
Anteriolateral impingement Syndrome
92
Scar between 3rd and 4th metatarsals
Morton’s neuroma
93
Osteomyelitis in the spine
IV drug user
94
Osteomyelitis in the spine with kyphosis
TB (Gibbus Deformity)
95
Unilateral SI joint lysis
IV drug user
96
Psoas muscle abscess
TB
97
Rice bodies in joint
TB - sloughed synovium
98
Calcification along the periphery (MSK Section)
Myositis ossificans
99
Calcifications more dense in the center (MSK Section)
Osteosarcoma - reverse zoning
100
Permeative lesion in diaphysis of a child
Ewings
101
Long lesion in a long bone
Fibrous dysplasia
102
Large amount of edema for the size of the lesion (MSK)
Osteoid osteoma
103
Cystic bone lesion that is not T2 bright
Chondroblastoma
104
Lesion in the finger of a kid
Periosteal chondroma
105
Looks like NOF in the anterior tibia with anterior bowing
Osteofibrous dysplasia
106
RA + Pneumoconiosis
Caplan Syndrome
107
RA + big spleen + neutropenia
Felty Syndrome
108
Epiphyseal overgrowth
JRA (or hemophilia)
109
Reducible deformity of joints - in hand
Lupus
110
Destructive mass in a bone of a leukemia patient
Chloroma
111
Shrinking breast
ILC
112
Thick Coopers ligaments (mammo)
Edema
113
Thick fuzzy coopers ligaments - with normal skin (mammo)
Blur
114
Dashes but no dots (mammo Section)
Secretory calcifications
115
Cigar shaped calcifications (mammo)
Secretory calcifications
116
Popcorn calcifications (mammo)
Degenerated fibroadenoma
117
Breast within a breast
Hamartoma
118
Fat-fluid level (mammo)
Galactocele
119
Rapid growing fibroadenoma (mammo)
Phyllodes
120
Swollen red breast not responding to antibiotics
Inflammatory breast CA
121
Lines radiating to a single point (mammo)
Architectural distortion
122
Architectural distortion + calcifications (mammo)
IDC + DCIS
123
Architectural distortion without calcifications (mammo)
ILC
124
Stepladder Sign (mammo)
Intracapsular rupture on US
125
Linguine sign (mammo)
Intracapsular rupture on MRI
126
Residual calcs in the lumpectomy bed (mammo)
Local recurrence
127
No calcs in the core (mammo)
Milk of calcium (requires polarized light to be seen)
128
Subglottic hemangioma (peds)
PHACES Syndrome
129
PHACES Syndrome (peds)
Cutaneous hemangioma
130
Ropy appearance (peds)
Meconium aspiration
131
Post term delivery (peds)
Meconium aspiration
132
Fluid in the fissures (peds)
Transient tachypnea
133
History of c-section (peds)
Transient tachypnea
134
Maternal sedation (peds)
Transient tachypnea
135
Granular opacities + premature (peds)
RDS
136
Granular opacities + term + high lung volume (peds)
Pneumonia
137
Granular opacities + term + low lung volume (peds)
B-hemolytic strep
138
Band like opacities (peds)
Chronic lung disease (BPD)
139
Linear lucencies (peds)
Pulmonary interstitial emphysema
140
Pulmonary hypoplasia (peds)
Diaphragmatic hernia
141
Lung cysts and nodules (peds)
LCH or papillomatosis
142
Lower lobe bronchiectasis (peds)
Primary ciliary dyskinesia
143
Upper lobe bronchiectasis (peds)
CF
144
Posterior mediastinal mass, under 2 (peds)
Neuroblastoma
145
No air in stomach (peds)
Esophageal atresia
146
Excessive air in stomach (peds)
H type TE fistula
147
Anterior esophageal impression (peds)
Pulmonary sling
148
Pulmonary Sling (peds)
Tracheal stenosis
149
Single bubble (peds)
Gastric (antral or pyloric) atresia
150
Double Bubble (peds)
Duodenal atresia
151
Duodenal atresia (peds)
Downs
152
Single bubble with distal gas (peds)
Maybe Mid Gut Volvulus
153
Non-bilious vomiting (peds)
Hypertrophic pyloric stenosis
154
Paradoxical aciduria (peds)
Hypertrophic pyloric stenosis
155
Bilious vomiting - in an infant (peds)
Mid gut volvulus
156
Corkscrew duodenum (peds)
Mid gut volvulus
157
Reversed SMA and SMV (peds)
Malrotation
158
Absent gallbladder (peds)
Biliary atresia
159
Triangle cord sign (peds)
Biliary atresia
160
Asplenia (peds)
Cyanotic heart disease
161
Infarcted spleen (peds)
Sickle cell
162
Gall stones (peds)
Sickle cell
163
Short microcolon (peds)
Colonic atresia
164
Long microcolon (peds)
Meconium ileus or distal ileal atresia
165
Saw tooth colon (peds)
Hirschsprung
166
Calcified mass in the mid abdomen of a newborn
Meconium peritonitis
167
Meconium ileus equivalent (peds)
Distal intestinal obstruction syndrome (CF)
168
Abrupt caliber change of the aorta below the celiac axis (peds)
Hepatic hemangioendothelioma
169
Cystic mass in the liver of a newborn
Mesenchymal Hamartoma
170
Elevated AFP, with mass in the liver of a newborn
Hepatoblastoma
171
Common bile duct measures more than 10mm (peds)
Choledochal cyst
172
Lipomatous pseudohypertrophy of the pancreas (peds)
CF
173
Unilateral renal agenesis (peds)
Unicornuate uterus
174
Neonatal renal vein thrombosis
Maternal diabetes
175
Neonatal renal artery thrombosis
Misplaced umbilical artery catheter
176
Hydro on fetal MRI
Posterior urethral valve
177
Urachus (peds)
Bladder adenocarcinoma
178
Nephroblastomatosis with necrosis (peds)
Wilms
179
Solid renal tumor of infancy
Mesoblastic nephroma
180
Solid renal tumor of childhood
Wilms
181
Midline pelvic mass, in a female (peds)
Hydrometrocolpos
182
Right sided vericocele (peds)
Abdominal pathology
183
Blue Dot Sign (peds)
Torsion of the testicular appendages
184
Hand or foot pain/swelling in an infant
Sickle cell with hand foot syndrome
185
Extratesticular scrotal mass (peds)
Embryonal rhabdomyosarcoma
186
Narrowing of the interpedicular distance (peds)
Achondroplasia
187
Platyspondyly (flat vertebral bodies ) (peds)
Thanatophoric
188
Absent tonsils after 6 months (peds)
Immune deficiency
189
Enlarged tonsils well after childhood (like 12-15)
Cancer....probably lymphatic
190
Mystery liver abscess in kid
Chronic granulomatous disease
191
Narrowed B ring (GI)
Schatzki (Schat”B”ki Ring )
192
Esophageal concentric rings
Eosinophilic esophagitis
193
Shaggy or plaque-like esophagus
Candidiasis
194
Looks like candida, but an asymptomatic old lady (GI)
Glycogen Acanthosis
195
Reticular mucosal pattern (GI)
Barretts
196
High stricture with an associated hiatal hernia (GI)
Barretts
197
Abrupt shoulders (GI)
Cancer
198
Killian dehiscence (GI)
Zenker diverticulum
199
Transient, fine transverse folds across the esophagus
Feline esophagus
200
Bird’s beak (GI)
Achalasia
201
Solitary esophageal ulcer
CMV or AIDS
202
Ulcers at the level of the arch or distal esophagus
Medication induced
203
Breast cancer + bowel Hamartomas
Cowdens
204
Desmoid tumors + bowel polyps
Gardners
205
Brain tumors + bowel polyps
Turcots
206
Enlarged left supraclavicular node
Virchow Node (GI Cancer)
207
Crosses the pylorus (GI)
Gastric lymphoma
208
Isolated gastric varices
Splenic vein thrombosis
209
Multiple gastric ulcers
Chronic aspirin therapy
210
Multiple duodenal (or jejunal) ulcers
Zollinger-Ellison
211
Pancreatitis after Billroth 2
Afferent Loop Syndrome
212
Weight gain years after Roux-en-Y
Gastro-gastro fistula
213
Clover leak sign - duodenum (not sure if supposed to be clover leaf)
Healed peptic ulcer
214
Sand like nodules in the jejunum
Whipples
215
Sand like nodules in the jejunum + CD4 less than 100
MAI
216
Ribbon-like bowel
Graft vs Host
217
Ribbon like jejunum
Long standing celiac
218
Moulage pattern (GI)
Celiac
219
Fold reversal - of jejunum and ileum
Celiac
220
Cavitary (low density) lymph nodes (GI)
Celiac
221
“Hide bound” or “stack of coins” (GI)
Scleroderma
222
Megaduodenum
Scleroderma
223
Duodenal obstruction with recent weight loss
SMA Syndrome
224
Coned shaped cecum
Amebiasis
225
Lead pipe (GI)
Ulcerative colitis
226
String sign (GI)
Crohns
227
Massive circumferential thickening, without obstruction (GI)
Lymphoma
228
Multiple small bowel target signs
Melanoma
229
Obstructing old lady hernia (GI)
Femoral hernia
230
Sac of bowel
Paraduodenal hernia
231
Scalloped appearance of the liver
Pseudomyxoma Peritonei
232
HCC without cirrhosis
Hepatitis B
233
Capsular retraction (GI..liver)
Cholangiocarcinoma
234
Periportal hypoechoic infiltration + AIDS
Kaposi’s
235
Sparing of the caudate lobe (GI)
Budd Chiari
236
Large T2 bright nodes + budd chiari
Hyperplastic nodules
237
Liver high signal in phase, low signal out phase
Fatty liver
238
Liver low signal in phase, high signal out phase
Hemochromatosis
239
Multifocal intrahepatic and extrahepatic strictures
PSC
240
Multifocal intrahepatic and extrahepatic strictures + papillary stenosis
AIDS cholangiopathy
241
Bile ducts full of stones
Recurrent pyogenic cholangitis
242
Gallbladder comet tail artifact
Adenomyomatosis
243
Lipomatous pseudohypertrophy of the pancreas
CF
244
Sausage shaped pancreas
Autoimmune pancreatitis
245
Autoimmune pancreatitis
IgG4
246
IgG4 (GI)
RP Fibrosis ,
Sclerosing Cholangitis,
fibrosing medianstinitis,
inflammatory pseudotumor.
247
Wide duodenal sweep
Pancreatic cancer
248
Grandmother pancreatic cyst
Serous cystadenoma
249
Mother pancreatic cyst
Mucinous
250
Daughter pancreatic cyst
Solid pseudopapillary
251
Bladder stones
Neurogenic bladder
252
Pine cone appearance (GU...bladder)
Neurogenic bladder
253
Urethra cancer
Squamous cell CA
254
Urethra cancer - prostatic portion
Transitional cell CA
255
Urethra cancer - in a diverticulum
Adenocarcinoma
256
Vas deferens calcifications
Diabetes
257
Calcifications in a fatty renal mass
RCC
258
Protrude into the renal pelvis
Multilocular cystic nephroma
259
No functional renal tissue
Multicystic dysplastic kidney
260
Multicystic dysplastic kidney
Contralateral renal issues (50%)
261
Emphysematous pyelonephritis
Diabetic
262
Xanthogranulomatous Pyelonephritis
Staghorn stone
263
Papillary necrosis (renal)
Diabetes
264
Shrunken calcified kidney
TB
265
Bilateral medulla nephrocalcinosis
Medullary Sponge Kidney
266
Big bright kidney with decreased renal function
HIV
267
History of lithotripsy
Page kidney
268
Cortical rim sign (renal)
Subacute renal infarct
269
History of renal biopsy
AVF
270
Reversed diastolic flow (renal)
Renal vein thrombosis
271
Sickle cell trait (renal)
Medullary RCC
272
Young adult, renal mass + severe HTN
Juxtaglomerular cell tumor
273
Squamous cell bladder CA
Schistosomiasis
274
Entire urinary bladder calcified
Schistosomiasis
275
Urachus (GU)
Adenocarcinoma of the bladder
276
Long stricture in the urethra
Gonococcal
277
Short stricture in the urethra
Straddle Injury
278
IVC greater than 28mm (IR)
Mega Cava
279
Mega Cava (IR)
Birds Next Filter
280
Hairpin turn - during bronchial angiography (IR)
Anterior medullary (spinal cord) artery
281
Fever, WBC, nausea, and vomiting after uterine Artery embolization
Post Embolization Syndrome (obviously could also be infection)
282
Most medial vessel in leg
Posterior tibial
283
The source of 85% of upper GI Bleeds
Left gastric
284
The source of bleeding from a duodenal ulcer
GDA
285
Pulmonary AVM (IR)
HHT
286
Most feared complication of bronchial artery embolization
Spinal cord infarct
287
High risk of bleeding for liver transplant (IR)
Transjugular approach
288
Most feared complication of brachial arterial access
Compartment syndrome
289
Cold painful fingers during dialysis
Steal Syndrome
290
Ulcer on medial ankle (IR)
Venous stasis
291
Ulcer on dorsum of foot (IR)
Ischemia or infected ulcer
292
Ulcer on plantar surface of foot (IR)
Neutropenic ulcer
293
Unicornuate uterus
Look at the kidneys
294
T-shaped uterus
DES Related or Vaginal Clear Cell CA
295
Marked enlargement of the uterus
Adenomyosis
296
Adenomyosis (repro)
Thickening of the junctional zone (>12mm)
297
Wolffian duct remnant
Gartner Duct Cyst
298
Theca Lutein Cysts
Moles and multiple gestations
299
Theca Lutein Cysts + pleural effusions
Hyperstimulation Syndrome (patient on fertility meds)
300
Low level internal echoes (repro)
Endometrioma
301
T2 shortening (repro)
Endometrioma- “shading sign”
302
Fishnet appearance (repro)
Hemorrhagic cyst
303
Ovarian fibroma + pleural effusion
Meigs Syndrome
304
Snow Storm Uterus
Complete mole - 1st trimester
305
Serum B-hCG levels that rise in the 8-10 weeks following evacuation of molar pregnancy
Choriocarcinoma
306
Midline cystic structure near the back of a bladder of a man
Prostatic utricle
307
Lateral cystic structure near the back of the bladder of a man
Seminal vesicle cyst
308
Isolated orchitis
Mumps
309
Onion skin appearance (repro )
Epidermoid cyst
310
Multiple hypoechoic masses in the testicle
Lymphoma
311
Cystic elements and macro-calcifications in the testicle
Mixed germ cell tumor
312
Homogenous and microcalcifications (repro, testicle)
Seminoma
313
Gynecomastia + testicular tumor
Sertoli Leydig
314
Fetal macrosomia
Maternal diabetes
315
One artery adjacent to the bladder (repro)
Two vessel cord
316
Painless vaginal bleeding in the third trimester
Placenta previa
317
Mom doing cocaine (repro)
Placenta abruption
318
Thinning of the myometrium - with turbulent doppler
Placenta creta
319
Mass near the cord insertion , with flow pulsating at the fetal heart rate
Placenta chorioangioma
320
Cystic mass in the posterior neck - antenatal period
Cystic hygroma
321
Pleural effusions, and ascites on prenatal US
Hydrops
322
Massively enlarged bilateral kidneys (repro)
ARPKD
323
Twin peak sign (repro)
Dichorionic diamniotic
324
Obliteration of Raider’s Triangle (chest)
Aberrant right subclavian
325
Flat waist sign (chest)
Left lower lobe collapse
326
Terrorist + mediastinal widening
Anthrax
327
Bulging fissure (chest)
Klebsiella
328
Dental procedure gone bad, now with jaw osteo and pneumonia
Actinomycosis
329
Culture negative pleural effusion, 3 months later with airspace opacity
TB
330
Hot-tub (chest)
Hypersensitivity pneumonitis
331
Halo sign (chest)
Fungal pneumonia - invasive aspergillosis
332
Reverse halo or atoll sign (chest)
COP
333
Finger in glove (chest)
ABPA
334
ABPA (chest)
Asthma
335
Septic emboli + jugular vein thrombus (chest)
Lemierre
336
Lemierre (chest)
Fusobacterium necrophorum
337
Paraneoplastic syndromes with SIADH (chest)
Small cell lung CA
338
Paraneoplastic syndromes with PTH (chest)
Squamous cell CA
339
Small cell lung CA + proximal weakness (chest)
Lambert Eaton
340
Cavity fills with air , post pneumonectomy
Bronchopleural fistula
341
Malignant bronchial tumor
Carcinoid
342
Malignant tracheal tumor
Adenoid cystic
343
AIDS patient with lung nodules, pleural effusion, and lymphadenopathy
Lymphoma
344
Gallium negative (chest)
Kaposi
345
Thallium negative (chest)
PCP
346
Macroscopic fat and popcorn calcifications (chest)
Hamartoma
347
“Bizarre shaped cysts “ (chest)
LCH
348
Lung cysts in a TS patient
LAM
349
Panlobular emphysema - NOT alpha 1
Ritalin lung
350
Honeycombing (chest, lung)
UIP
351
“The histology was heterogenous” (chest, lung)
UIP
352
Ground glass with subpleural sparing
NSIP
353
UIP lungs + parietal pleural thickening
Asbestosis
354
Cavitation in the setting of silicosis
TB
355
Air trapping seen 6 months after lung transplant
Chronic rejection / bronchiolitis obliterans Syndrome
356
“Crazy Paving” (chest)
PAP
357
History of constipation (chest)
Lipoid pneumonia - inferring mineral oil use/aspiration
358
UIP + air trapping
Chronic hypersensitivity pneumonitis
359
Dilated esophagus + ILD
Scleroderma (with NSIP)
360
Shortness of breath when sitting up (chest)
Hepatopulmonary syndrome
361
Episodic hypoglycemia
Solitary fibrous tumor of the pleura
362
Pulmonary HTN with normal wedge pressure
Pulmonary veno-occlusive disease
363
Yellow nails (chest)
Edema and chylous pleural effusions (Yellow Nail Syndrome)
364
Persistent fluid collection after pleural drain/tube placement
Extrapleural hematoma
365
Displaced extrapleural fat
Extrapleural hematoma
366
Massive air leak, in the setting of trauma (chest)
Bronchial or tracheal injury
367
Hot on PET - around the periphery (chest)
Pulmonary infarct
368
Multi-lobar collapse (chest)
Sarcoid
369
Classic bronchial infection
TB
370
Panbronchiolitis
“Tree in bud” (not centrilobular or random nodules)
371
Bronchorrhea
Mucinous BAC
372
ALCAPA
Steal Syndrome
373
Supra-valvular Aortic Stenosis (cardiac)
Williams Syndrome
374
Bicuspid Aortic Valve and Coarctation
Turners syndrome
375
Isolated right upper lobe edema (cardiac)
Mitral regurgitation
376
Peripheral pulmonary stenosis
Alagille Syndrome
377
Box shaped heart
Ebsteins
378
Right arch with mirror branching (cardiac)
Congenital heart
379
Hand/thumb defects + ASD
Holt Oram
380
Ostium primum ASD (or endocardial cushion defect)
Downs
381
Right sided PAPVR (cardiac)
Sinus venosus ASD
382
Calcification in the left atrium wall (cardiac)
Rheumatic heart disease
383
Difficult to suppress myocardium
Amyloid
384
Blood pool suppression on delayed enhancement (cardiac)
Amyloid
385
Septal bounce
Constrictive pericarditis
386
Ventricular interdependence (cardiac)
Constrictive pericarditis
387
Focal thickening of the septum - but not hypertrophic cardiomyopathy
Sarcoid
388
Ballooning of the left ventricular apex (cardiac)
Tako-Tsubo
389
Fat in the wall of a dilated right ventricle (cardiac)
Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC)
390
Kid with dilated heart and mid wall enhancement
Muscular dystrophy
391
Cardiac rhabdomyoma
Tuberous sclerosis
392
Bilateral atrial thrombus (cardiac)
Eosinophilic cardiomyopathy
393
Diffuse LV Subendocardial enhancement not restricted to a vascular distribution
Cardiac amyloid
394
Glenn procedure (cardiac)
Acquired pulmonary AVMs
395
Pulmonary vein stenosis
Ablation for A-fib
396
Multiple cardiac myxomas
Carney’s Complex
397
Vessel in the fissure of the ligamentum venosum (vascular)
Replaced left hepatic artery
398
Vessel coursing of the pelvic brim (vascular)
Corona Mortis
399
Ascending aorta calcifications
Syphilis and Takayasu
400
Tulip bulb aorta
Marfans
401
Really shitty Marfan’s variant
Loeys-Dietz
402
Tortuous vessels (vascular)
Loeys-Dietz
403
Renal artery stenosis with HTN in a child
NF-1
404
Nasty looking saccular aneurysm, without intimal calcifications
Mycotic
405
Tree bark intimal calcifications (vascular)
Syphilitic (Luetic) aneurysm
406
Painful aneurysm in smoker, sparing the posterior wall
Inflammatory aneurysm
407
Turkish guy with pulmonary artery aneurysm
Behcets
408
GI bleed with early opacification of a dilated draining vein
Colonic Angiodysplasia
409
Spider web appearance of hepatic veins on angiogram
Budd Chiari
410
Non-decompressible varicocele (vascular)
Look in the belly for badness
411
Right sided varicocele (vascular)
Look in the “below” (typo?? Maybe belly??) for badness
412
Swollen left leg (vascular)
May Thurner
413
Popliteal aneurysm
Look for the AAA (and the other leg)
414
Most dreaded complication of popliteal aneurysm
Distal emboli
415
Great saphenous vein on the wrong side of the calf - lateral side
Marginal vein of servelle —which is supposedly pathognomonic for Klippel-Trenaunay Syndrome.
416
“Asian” (vascular)
Takayasu
417
Involves the aorta (vascular. Duh.)
Takayasu
418
Kids with vertigo and aortitis
Cogan Syndrome
419
Nasal perforation + cavitary lung lesions
Wegners
420
Diffuse pulmonary hemorrhage (vascular)
Microscopic polyangitis
421
Smoker + hand angiogram
Buergers
422
Construction worker + hand angiogram
Hypothenar hammer
423
Unilateral tardus parvus in the carotid
Stenosis of the innominate
424
Bilateral tardus parvus in the carotids
Aortic stenosis
425
Bilateral reversal of flow in carotids
Aortic regurg
426
Lack of diastolic flow on carotid US
Brain death
427
Hot clumps of signal in the lungs on Liver Spleen sulfur colloid
Too much Al in the Tc
428
HOT spleen (NM)
WBC Scan or Octreotide (sulfur colloid will be warm spleen)
429
Bone scan with Hot skull sutures
Renal osteodystrophy
430
Bone scan with focal breast uptake
Breast CA
431
Bone scan with renal cortex activity
Hemochromatosis
432
Bone scan with liver activity
Either too much Al,
amyloid,
hepatoma, or
liver necrosis
433
Bone scan with sternal lesion
Breast CA
434
Bone scan with diffusely decreased bone uptake
Free Tc or bisphosphonate therapy
435
Tramline along periosteum of long bones
Lung CA
436
Super hot mandible in adult (NM)
Fibrous dysplasia
437
Super hot mandible in child (NM)
Caffeys
438
Periarticular uptake of delayed scan (NM)
RSD
439
Focal uptake along lesser trochanter (NM)
Prosthesis loosening
440
Tracer in the brain on VQ study
Shunt
441
Tracer over the liver on ventilation with xenon
Fatty liver
442
Gallium negative, Thallium positive (NM)
Kaposi
443
High T3, high T4, low TSH -low thyroid uptake
Quervains (Granulomatous thyroiditis)
444
Persistent tracer in the lateral ventricles > 24 hours (NM)
NPH
445
Renal uptake on sulfur colloid
CHF
446
Renal transplant uptake on sulfur colloid
Rejection
447
Filtered renal agent (NM)
DTPA (or GH)
448
Secreted renal agent (NM)
MAG-3
449
PET with increased muscle uptake (NM)
Insulin
450
Diffuse FDG uptake in the thyroid on PET
Hashimoto
451
I see the skeleton on MIBG
Diffuse neuroblastoma bone mets
452
Cardiac tissue taking up FDG more intense than normal myocardium
Hibernating myocardium
453
Made with a generator (NM)
Tc99 and Rubidium
