Radiology Flashcards

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1
Q

What is first imaging modality for localized form at ovary?

A

Endometrioma

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2
Q

First image for highly suspicious renal stone

A

Ct abdo KUB noncontrast for male

Ultrasound for female if unsure if preg or not.

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3
Q

Where do stones like to get caught

A

UPJ, UVJ, and where ureter crosses iliac vessels

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4
Q

What % of people have radiolucent stones.

A

40%
Hiv -ovir treatment can get stones.
Gout

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5
Q

On those with known renal stones, what is another option, and to look for filling defect?

A

IVP

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6
Q

What is the modality of choice for preg woman?

What is twinkle artifAct?

A

Ultrasound. Can’t see very distally from kidney though.
MRI is another good one.
Twinkle artifact means stone.

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7
Q

What is best imaging for pyelonephritis.

A

Wedge shaped deck enhance striated areas on coronal. And

CT contrast

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8
Q

Renal abscess imaging?

A

ContrSt ct

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9
Q

Imaging on renal cancers?

A

Ct with or without contrast.

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10
Q

What is beta HCG number that SOMETHING should be seen in the uterus?

A

> 1500 (1500-2000)

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11
Q

What to start with in us opof genitogyne tract?

A

Start w transabdo…. See if you can see uterus, gestation. Orient, etc.
then Transvag us which is diagnostic of ectopic if outside uterus.

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12
Q

For ruptured ectopic, what pouch can look at distantly to assess for free fluids?

A

Morrison pouch

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13
Q

Ddx for T1 vag bleed?

A

Subchorionic hemorrhage…. Between amnion and uterus wall.
Small is 50%.

Fo,lowed by gyne to ensure it resolves.

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14
Q

Young woman w thyroid mass. First imaging modality?

A

Ultrasound. And order TSH!

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15
Q

Diff btwn iodine 123 and 131?

A

123 for diagnosis. (Some place Tc 99)

131 for TREATMENT ie ablation,

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16
Q

What would you want to biopsy a thyroid nodule for?

A

If it doesn’t look like a perfect little cyst.

If cold on diagnostic scanneed to go on to FNAB r/o malignancy

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17
Q

If no uptake, what to considere?

A

Serum thyroglobulin…. If inc the thyroiditis, if dec the thyrotoxicosis.

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18
Q

Where does RA back pain usually present?

A

Cervical spine

19
Q

Ruq pain w fever, n and v. first line imaging?

A

Ultrasound as per ACR appropr criteria… Look for stones, bile duct obs.

20
Q

Finding on acute cholecystitis

A

Thickened gb wall
Stone… 5% can be acalculous
Peri gb Edema.

21
Q

Initial test for choledococystitis

A

US . If pos then proceed to ercp.

Check slide!!

22
Q

For acute hepatitis what is the starry night on black sky background?

Check slide!

A

On us dec echogenitocy check slide!

23
Q

What is the imaging algorithm for sbo?

A

Check slide!

24
Q

How to locate transition point?

A

Slide

25
Q

How to distinguish sbo vs lbo?

A

Slide

26
Q

Distinguishing lbo vs sbo vs ileus.

A

Slide

Ileus air proportionately thru small bowel. Colon and into rectum.

27
Q

What is important to distinguish in oldus?

A

Slide

28
Q

Describe gallstone ileus

A

Slide

29
Q

What is Riglers triad in gallstone ileus ct?

A

Bowel obstruction
Pneumobilia
Ectopic gallstone.

30
Q

What is a distinction between pneumo ilia vs venous portal gas?

A

Pneumobilia is more central hepatic distribution.

Portal venous gas is more peripheral,.

31
Q

Volvulus findings on abdominal film?

A

Slide

32
Q

Coffee bean sign

A

Sigmoid volvulus

33
Q

Kidney bean sign

A

Cecal volvulus

34
Q

Approach to CHF

A

Vasculature –> interstitium –> alveoli –> beyond (pleural effusions)

35
Q

What is fleischer sign on pe CXR?

A

Enlarged Pulm art.

36
Q

Who gets vq scan?

A

Pregnant

37
Q

What distinguishes chronic vs acute pe

A

Polo mint sign.

4 things listen to lecture at 1115.
Central,

38
Q

On a supine film for a pneumothorax, what to look for?

A

Deep sulcus sign. On right.

Relieved by a chest tube.

39
Q

Do the debakey and Stanford dissection categorizations count if traumatic?

A

NO!!! because it is trauma will want to do surfi all exploration.

40
Q

What are pneumatocoeles?

A

Slide

41
Q

For undiffd chest pain, initial imaging?

A

Or not classic for acs, no clinical marker, etc. do CXR

42
Q

In the unstable of w acs, what is the go to imaging?

A

Ct for pts with low or intermediate probability of cad,

Coronary CT angiography. High NPV.

43
Q

When is CXR used in acs

A

Stable, rule out other conditions, secondary signs to mi.

44
Q

Approach to rib # imaging?

A

Traditionally had been CXR, rO tsn pneumo, hemothorax, flail chest, etc.

Cr now preferred for polytrauma

More readily detect spine and cv injuries
Better detection of lung parenchyma.