Revise Radiology Cardiology

Question 1

Cardiomegaly, pulmonary plethora, wide mediastinum

Answer 1

Truncus arteriosus or TAPVR

Question 2

Aneurysm with thrombus vs thrombosed dissection

Answer 2

Thrombus in aneurysm will be on inner side of calcifications

Question 3

Atrial myxoma MRI

Answer 3

Darker than myocardium on T1, brighter on T2, heterogenous enhancement

Question 4

Drug toxicity post transplant

Answer 4

2 weeks post transplant, scattered ground glass and reticular changes

Question 4

Melanoma mets on MRI

Answer 4

T1 and T2 bright

Question 5

Peri-infarct ischaemia

Answer 5

Reduced perfusion adjacent to old infarct at rest, increased perfusion with stress

Question 6

Transposition CXR appearance

Answer 6

Egg on string

Question 7

Chest findings associated with NF1

Answer 7

Lower zone fibrosis

Question 8

Left atrial appendage thrombus

Answer 8

Low density in non-dependent part of left atrial appendage

Question 9

Pericardial effusion with known MI

Answer 9

Aortic dissection (extending into coronary arteries)

Question 10

Eisenmenger age distribution

Answer 10

Usually develops before puberty

Question 11

Invasive aspergillosis post transplant

Answer 11

2-3 weeks post transplant.
Multiple groundglass nodules with some cavitating and peribronchiolar consolidation

Question 12

TAVR protocol CT

Answer 12

ECG gated retrospective cardiac CT.
Non gated pre and post contrast angiogram of aorta and iliofemoral vessels

Question 13

Boorhave vs Mallory Weiss

Answer 13

Mallory Weiss is at the OG junction, no contrast outside the oesophagus

Question 14

Commonest cause of figure of 8 on CXR

Answer 14

TAPVR type 1

Question 15

Gold standard Ix to assess left atrial appendage thrombus

Answer 15

Transoesophageal Echo

Question 16

Best sequence (MRI) to assess neck tumour and neurovascular involvement

Answer 16

Axial T1

Question 17

Malignant origin of coronary arteries

Answer 17

Interarterial (between aorta and pulmonary arteries).

Question 18

Bicuspid valve associated with

Answer 18

Coarctation, aortic stenosis, aortic regurg, ascending aneurysms

Question 19

Right sided arch with mirror branching most associated with

Answer 19

Tetralogy of fallot

Question 20

Smooth stenoses of abdominal aorta and it’s branches

Answer 20

Mid aortic syndrome

Question 21

Associated with best outcome in uterine fibroid embolisation

Answer 21

Submucosal location

Question 22

Thickening of the interatrial septum >6mm

Answer 22

Amyloid

Question 23

Sjogren syndrome chest CT

Answer 23

Bilateral lower lobe bronchiectasis