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
Right sided vericocele (peds)
Abdominal pathology
Blue Dot Sign (peds)
Torsion of the testicular appendages
Hand or foot pain/swelling in an infant
Sickle cell with hand foot syndrome
Extratesticular scrotal mass (peds)
Embryonal rhabdomyosarcoma
Narrowing of the interpedicular distance (peds)
Achondroplasia
Platyspondyly (flat vertebral bodies ) (peds)
Thanatophoric
Absent tonsils after 6 months (peds)
Immune deficiency
Enlarged tonsils well after childhood (like 12-15)
Cancer….probably lymphatic
Mystery liver abscess in kid
Chronic granulomatous disease
Narrowed B ring (GI)
Schatzki (Schat”B”ki Ring )
Esophageal concentric rings
Eosinophilic esophagitis
Shaggy or plaque-like esophagus
Candidiasis
Looks like candida, but an asymptomatic old lady (GI)
Glycogen Acanthosis
Reticular mucosal pattern (GI)
Barretts
High stricture with an associated hiatal hernia (GI)
Barretts
Abrupt shoulders (GI)
Cancer
Killian dehiscence (GI)
Zenker diverticulum
Transient, fine transverse folds across the esophagus
Feline esophagus
Bird’s beak (GI)
Achalasia
Solitary esophageal ulcer
CMV or AIDS
Ulcers at the level of the arch or distal esophagus
Medication induced
Breast cancer + bowel Hamartomas
Cowdens
Desmoid tumors + bowel polyps
Gardners
Brain tumors + bowel polyps
Turcots
Enlarged left supraclavicular node
Virchow Node (GI Cancer)
Crosses the pylorus (GI)
Gastric lymphoma
Isolated gastric varices
Splenic vein thrombosis
Multiple gastric ulcers
Chronic aspirin therapy
Multiple duodenal (or jejunal) ulcers
Zollinger-Ellison
Pancreatitis after Billroth 2
Afferent Loop Syndrome
Weight gain years after Roux-en-Y
Gastro-gastro fistula
Clover leak sign - duodenum (not sure if supposed to be clover leaf)
Healed peptic ulcer
Sand like nodules in the jejunum
Whipples
Sand like nodules in the jejunum + CD4 less than 100
MAI
Ribbon-like bowel
Graft vs Host
Ribbon like jejunum
Long standing celiac
Moulage pattern (GI)
Celiac
Fold reversal - of jejunum and ileum
Celiac
Cavitary (low density) lymph nodes (GI)
Celiac
“Hide bound” or “stack of coins” (GI)
Scleroderma
Megaduodenum
Scleroderma
Duodenal obstruction with recent weight loss
SMA Syndrome
Coned shaped cecum
Amebiasis
Lead pipe (GI)
Ulcerative colitis
String sign (GI)
Crohns
Massive circumferential thickening, without obstruction (GI)
Lymphoma
Multiple small bowel target signs
Melanoma
Obstructing old lady hernia (GI)
Femoral hernia
Sac of bowel
Paraduodenal hernia
Scalloped appearance of the liver
Pseudomyxoma Peritonei
HCC without cirrhosis
Hepatitis B
Capsular retraction (GI..liver)
Cholangiocarcinoma
Periportal hypoechoic infiltration + AIDS
Kaposi’s
Sparing of the caudate lobe (GI)
Budd Chiari
Large T2 bright nodes + budd chiari
Hyperplastic nodules
Liver high signal in phase, low signal out phase
Fatty liver
Liver low signal in phase, high signal out phase
Hemochromatosis
Multifocal intrahepatic and extrahepatic strictures
PSC
Multifocal intrahepatic and extrahepatic strictures + papillary stenosis
AIDS cholangiopathy
Bile ducts full of stones
Recurrent pyogenic cholangitis
Gallbladder comet tail artifact
Adenomyomatosis
Lipomatous pseudohypertrophy of the pancreas
CF
Sausage shaped pancreas
Autoimmune pancreatitis
Autoimmune pancreatitis
IgG4
IgG4 (GI)
RP Fibrosis ,
Sclerosing Cholangitis,
fibrosing medianstinitis,
inflammatory pseudotumor.
Wide duodenal sweep
Pancreatic cancer
Grandmother pancreatic cyst
Serous cystadenoma
Mother pancreatic cyst
Mucinous
Daughter pancreatic cyst
Solid pseudopapillary
Bladder stones
Neurogenic bladder
Pine cone appearance (GU…bladder)
Neurogenic bladder
Urethra cancer
Squamous cell CA
Urethra cancer - prostatic portion
Transitional cell CA
Urethra cancer - in a diverticulum
Adenocarcinoma
Vas deferens calcifications
Diabetes
Calcifications in a fatty renal mass
RCC
Protrude into the renal pelvis
Multilocular cystic nephroma
No functional renal tissue
Multicystic dysplastic kidney
Multicystic dysplastic kidney
Contralateral renal issues (50%)
Emphysematous pyelonephritis
Diabetic
Xanthogranulomatous Pyelonephritis
Staghorn stone
Papillary necrosis (renal)
Diabetes
Shrunken calcified kidney
TB
Bilateral medulla nephrocalcinosis
Medullary Sponge Kidney
Big bright kidney with decreased renal function
HIV
History of lithotripsy
Page kidney
Cortical rim sign (renal)
Subacute renal infarct
History of renal biopsy
AVF
Reversed diastolic flow (renal)
Renal vein thrombosis
Sickle cell trait (renal)
Medullary RCC
Young adult, renal mass + severe HTN
Juxtaglomerular cell tumor
Squamous cell bladder CA
Schistosomiasis
Entire urinary bladder calcified
Schistosomiasis
Urachus (GU)
Adenocarcinoma of the bladder
Long stricture in the urethra
Gonococcal
Short stricture in the urethra
Straddle Injury
IVC greater than 28mm (IR)
Mega Cava
Mega Cava (IR)
Birds Next Filter
Hairpin turn - during bronchial angiography (IR)
Anterior medullary (spinal cord) artery
Fever, WBC, nausea, and vomiting after uterine Artery embolization
Post Embolization Syndrome (obviously could also be infection)
Most medial vessel in leg
Posterior tibial
The source of 85% of upper GI Bleeds
Left gastric
The source of bleeding from a duodenal ulcer
GDA
Pulmonary AVM (IR)
HHT
Most feared complication of bronchial artery embolization
Spinal cord infarct
High risk of bleeding for liver transplant (IR)
Transjugular approach
Most feared complication of brachial arterial access
Compartment syndrome
Cold painful fingers during dialysis
Steal Syndrome
Ulcer on medial ankle (IR)
Venous stasis
Ulcer on dorsum of foot (IR)
Ischemia or infected ulcer
Ulcer on plantar surface of foot (IR)
Neutropenic ulcer
Unicornuate uterus
Look at the kidneys
T-shaped uterus
DES Related or Vaginal Clear Cell CA
Marked enlargement of the uterus
Adenomyosis
Adenomyosis (repro)
Thickening of the junctional zone (>12mm)
Wolffian duct remnant
Gartner Duct Cyst
Theca Lutein Cysts
Moles and multiple gestations
Theca Lutein Cysts + pleural effusions
Hyperstimulation Syndrome (patient on fertility meds)
Low level internal echoes (repro)
Endometrioma
T2 shortening (repro)
Endometrioma- “shading sign”
Fishnet appearance (repro)
Hemorrhagic cyst
Ovarian fibroma + pleural effusion
Meigs Syndrome
Snow Storm Uterus
Complete mole - 1st trimester
Serum B-hCG levels that rise in the 8-10 weeks following evacuation of molar pregnancy
Choriocarcinoma
Midline cystic structure near the back of a bladder of a man
Prostatic utricle
Lateral cystic structure near the back of the bladder of a man
Seminal vesicle cyst
Isolated orchitis
Mumps
Onion skin appearance (repro )
Epidermoid cyst
Multiple hypoechoic masses in the testicle
Lymphoma
Cystic elements and macro-calcifications in the testicle
Mixed germ cell tumor
Homogenous and microcalcifications (repro, testicle)
Seminoma
Gynecomastia + testicular tumor
Sertoli Leydig
Fetal macrosomia
Maternal diabetes
One artery adjacent to the bladder (repro)
Two vessel cord
Painless vaginal bleeding in the third trimester
Placenta previa
Mom doing cocaine (repro)
Placenta abruption
Thinning of the myometrium - with turbulent doppler
Placenta creta
Mass near the cord insertion , with flow pulsating at the fetal heart rate
Placenta chorioangioma
Cystic mass in the posterior neck - antenatal period
Cystic hygroma
Pleural effusions, and ascites on prenatal US
Hydrops
Massively enlarged bilateral kidneys (repro)
ARPKD
Twin peak sign (repro)
Dichorionic diamniotic
Obliteration of Raider’s Triangle (chest)
Aberrant right subclavian
Flat waist sign (chest)
Left lower lobe collapse
Terrorist + mediastinal widening
Anthrax
Bulging fissure (chest)
Klebsiella
Dental procedure gone bad, now with jaw osteo and pneumonia
Actinomycosis
Culture negative pleural effusion, 3 months later with airspace opacity
TB
Hot-tub (chest)
Hypersensitivity pneumonitis
Halo sign (chest)
Fungal pneumonia - invasive aspergillosis
Reverse halo or atoll sign (chest)
COP
Finger in glove (chest)
ABPA
ABPA (chest)
Asthma
Septic emboli + jugular vein thrombus (chest)
Lemierre
Lemierre (chest)
Fusobacterium necrophorum
Paraneoplastic syndromes with SIADH (chest)
Small cell lung CA
Paraneoplastic syndromes with PTH (chest)
Squamous cell CA
Small cell lung CA + proximal weakness (chest)
Lambert Eaton
Cavity fills with air , post pneumonectomy
Bronchopleural fistula
Malignant bronchial tumor
Carcinoid
Malignant tracheal tumor
Adenoid cystic
AIDS patient with lung nodules, pleural effusion, and lymphadenopathy
Lymphoma
Gallium negative (chest)
Kaposi
Thallium negative (chest)
PCP
Macroscopic fat and popcorn calcifications (chest)
Hamartoma
“Bizarre shaped cysts “ (chest)
LCH
Lung cysts in a TS patient
LAM
Panlobular emphysema - NOT alpha 1
Ritalin lung
Honeycombing (chest, lung)
UIP
“The histology was heterogenous” (chest, lung)
UIP
Ground glass with subpleural sparing
NSIP
UIP lungs + parietal pleural thickening
Asbestosis
Cavitation in the setting of silicosis
TB
Air trapping seen 6 months after lung transplant
Chronic rejection / bronchiolitis obliterans Syndrome
“Crazy Paving” (chest)
PAP
History of constipation (chest)
Lipoid pneumonia - inferring mineral oil use/aspiration
UIP + air trapping
Chronic hypersensitivity pneumonitis
Dilated esophagus + ILD
Scleroderma (with NSIP)
Shortness of breath when sitting up (chest)
Hepatopulmonary syndrome
Episodic hypoglycemia
Solitary fibrous tumor of the pleura
Pulmonary HTN with normal wedge pressure
Pulmonary veno-occlusive disease
Yellow nails (chest)
Edema and chylous pleural effusions (Yellow Nail Syndrome)
Persistent fluid collection after pleural drain/tube placement
Extrapleural hematoma
Displaced extrapleural fat
Extrapleural hematoma
Massive air leak, in the setting of trauma (chest)
Bronchial or tracheal injury
Hot on PET - around the periphery (chest)
Pulmonary infarct
Multi-lobar collapse (chest)
Sarcoid
Classic bronchial infection
TB
Panbronchiolitis
“Tree in bud” (not centrilobular or random nodules)
Bronchorrhea
Mucinous BAC
ALCAPA
Steal Syndrome
Supra-valvular Aortic Stenosis (cardiac)
Williams Syndrome
Bicuspid Aortic Valve and Coarctation
Turners syndrome
Isolated right upper lobe edema (cardiac)
Mitral regurgitation
Peripheral pulmonary stenosis
Alagille Syndrome
Box shaped heart
Ebsteins
Right arch with mirror branching (cardiac)
Congenital heart
Hand/thumb defects + ASD
Holt Oram
Ostium primum ASD (or endocardial cushion defect)
Downs
Right sided PAPVR (cardiac)
Sinus venosus ASD
Calcification in the left atrium wall (cardiac)
Rheumatic heart disease
Difficult to suppress myocardium
Amyloid
Blood pool suppression on delayed enhancement (cardiac)
Amyloid
Septal bounce
Constrictive pericarditis
Ventricular interdependence (cardiac)
Constrictive pericarditis
Focal thickening of the septum - but not hypertrophic cardiomyopathy
Sarcoid
Ballooning of the left ventricular apex (cardiac)
Tako-Tsubo
Fat in the wall of a dilated right ventricle (cardiac)
Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC)
Kid with dilated heart and mid wall enhancement
Muscular dystrophy
Cardiac rhabdomyoma
Tuberous sclerosis
Bilateral atrial thrombus (cardiac)
Eosinophilic cardiomyopathy
Diffuse LV Subendocardial enhancement not restricted to a vascular distribution
Cardiac amyloid
Glenn procedure (cardiac)
Acquired pulmonary AVMs
Pulmonary vein stenosis
Ablation for A-fib
Multiple cardiac myxomas
Carney’s Complex
Vessel in the fissure of the ligamentum venosum (vascular)
Replaced left hepatic artery
Vessel coursing of the pelvic brim (vascular)
Corona Mortis
Ascending aorta calcifications
Syphilis and Takayasu
Tulip bulb aorta
Marfans
Really shitty Marfan’s variant
Loeys-Dietz
Tortuous vessels (vascular)
Loeys-Dietz
Renal artery stenosis with HTN in a child
NF-1
Nasty looking saccular aneurysm, without intimal calcifications
Mycotic
Tree bark intimal calcifications (vascular)
Syphilitic (Luetic) aneurysm
Painful aneurysm in smoker, sparing the posterior wall
Inflammatory aneurysm
Turkish guy with pulmonary artery aneurysm
Behcets
GI bleed with early opacification of a dilated draining vein
Colonic Angiodysplasia
Spider web appearance of hepatic veins on angiogram
Budd Chiari
Non-decompressible varicocele (vascular)
Look in the belly for badness
Right sided varicocele (vascular)
Look in the “below” (typo?? Maybe belly??) for badness
Swollen left leg (vascular)
May Thurner
Popliteal aneurysm
Look for the AAA (and the other leg)
Most dreaded complication of popliteal aneurysm
Distal emboli
Great saphenous vein on the wrong side of the calf - lateral side
Marginal vein of servelle —which is supposedly pathognomonic for Klippel-Trenaunay Syndrome.
“Asian” (vascular)
Takayasu
Involves the aorta (vascular. Duh.)
Takayasu
Kids with vertigo and aortitis
Cogan Syndrome
Nasal perforation + cavitary lung lesions
Wegners
Diffuse pulmonary hemorrhage (vascular)
Microscopic polyangitis
Smoker + hand angiogram
Buergers
Construction worker + hand angiogram
Hypothenar hammer
Unilateral tardus parvus in the carotid
Stenosis of the innominate
Bilateral tardus parvus in the carotids
Aortic stenosis
Bilateral reversal of flow in carotids
Aortic regurg
Lack of diastolic flow on carotid US
Brain death
Hot clumps of signal in the lungs on Liver Spleen sulfur colloid
Too much Al in the Tc
HOT spleen (NM)
WBC Scan or Octreotide (sulfur colloid will be warm spleen)
Bone scan with Hot skull sutures
Renal osteodystrophy
Bone scan with focal breast uptake
Breast CA
Bone scan with renal cortex activity
Hemochromatosis
Bone scan with liver activity
Either too much Al,
amyloid,
hepatoma, or
liver necrosis
Bone scan with sternal lesion
Breast CA
Bone scan with diffusely decreased bone uptake
Free Tc or bisphosphonate therapy
Tramline along periosteum of long bones
Lung CA
Super hot mandible in adult (NM)
Fibrous dysplasia
Super hot mandible in child (NM)
Caffeys
Periarticular uptake of delayed scan (NM)
RSD
Focal uptake along lesser trochanter (NM)
Prosthesis loosening
Tracer in the brain on VQ study
Shunt
Tracer over the liver on ventilation with xenon
Fatty liver
Gallium negative, Thallium positive (NM)
Kaposi
High T3, high T4, low TSH -low thyroid uptake
Quervains (Granulomatous thyroiditis)
Persistent tracer in the lateral ventricles > 24 hours (NM)
NPH
Renal uptake on sulfur colloid
CHF
Renal transplant uptake on sulfur colloid
Rejection
Filtered renal agent (NM)
DTPA (or GH)
Secreted renal agent (NM)
MAG-3
PET with increased muscle uptake (NM)
Insulin
Diffuse FDG uptake in the thyroid on PET
Hashimoto
I see the skeleton on MIBG
Diffuse neuroblastoma bone mets
Cardiac tissue taking up FDG more intense than normal myocardium
Hibernating myocardium
Made with a generator (NM)
Tc99 and Rubidium
