Spot Cases 1 Flashcards
1
Q
Diagnosis?
A
Bilateral choanal atresia
2
Q
@# Diagnosis?
A
Empyema
SPLIT PLEURA SIGN
3
Q
A
Osteomyelitis
4
Q
?? @# Diagnosis?
A
Spigelian hernia
5
Q
@# Diagnosis?
A
Retinoblastoma
6
Q
A
Endometrial polyp
7
Q
Phase?
A
Proliferative endometrium
8
Q
@# Diagnosis?
A
Osteogenesis Imperfecta Type 4
9
Q
@# Diagnosis?
A
Osteogenesis Imperfecta Type 1
10
Q
@#
A
Proximal Focal Femoral Deficiency
11
Q
A
Single umbilical artery
12
Q
A
Cesarean scar niche
13
Q
@#
A
Right Femoral Neck fracture
14
Q
A
15
Q
A
Fibromatosis Coli
16
Q
A
Osteosarcoma of left distal femoral diaphysis (arrow).
Site / sites of metastases?
No Mets
17
Q
Finding ?
A
Absent septum pellucidum
18
Q
Finding ?
A
Absent nasal bone
19
Q
A
Osteochondrosis: Osgood-Schlatter Disease Etiology: Avulsive stress on developing apophysis
20
Q
?? @#
A
Posterior Impingement “Os Trigonum Syndrome”
21
Q
A
Acute appendicitis
22
Q
?? @# Aortic aneurysm
A- Spurarenal
B Infrarenal
A
B Infrarenal
23
Q
Choose:
A- ACR a
B-ACR b
C- ACR C
A
B-ACR b
24
Q
@# Bi-RADS Category?
A
BI-RADS 4
25
@#
Left Orbital foreign body
26
Avid splenic lesion.
Name other site / sites of avid lesions?
No other avid lesions. Other sites
for uptake === physiological
27
@# Choose:
A- Renal mass
B-Suprarenal mass
B-Suprarenal mass
28
Choose:
A Non-enhancing renal mass
B-Moderately enhancing renal mass
A Non-enhancing renal mass
29
@# Diagnosis?
Name the arrowed structure?
Carotid cavernous Fistula.
Superior ophthalmic vein
30
CT coronary angiography: Name the arrowed vessel?
LAD
31
@#
Left bony Cervical rib
32
Site of abnormality
A-Medial meniscus
B- Lateral meniscus
A-Medial meniscus
33
Club foot
34
@#
Scleroderma
35
The mass lesion is:
A- Intra-ventricular
B-Extra-ventricular
B-Extra-ventricular
36
@# Finding??
Thickening and edema (enhanced) aortic wall denoting active inflammation
37
@# Neonatal spinal US.
Name the arrowed structure?
Central echocomplex
38
Which pattern of interstitial lung disease?
crazy paving pattern
39
?? @# Choose: Mostly:
A- Ependymoma
B-Astrocytoma
B-Astrocytoma
40
@# Choose:
A- capillary hemangioma
B- Cavernous hemangioma
A- capillary hemangioma
41
?? @#
Band heterotopia
42
?? @#
Periventricular leukomalacia
43
@#
Diffuse Adenomyosis
44
@# Evidences of proper operative correction of Fallot's Tetralogy.
What is the main evidence?
1- The main evidence is restoration of good pulmonary blood flow
2- Other evidences are considerable size of the
pulmonary artery and relative restoration of the cardiac shape
45
Abnormality?
Right subarachnoid hemorrhage
(Small hyperdensities smearing the cortical
sulci)
46
@# Choose:
A- Endometriotic fluid
B- Proteinaceous fluid
C- Fat or lipid containing fluid
A- Endometriotic fluid
47
Choose:
A Pulmonary alveolar protenosis
B-Pulmonary lymphangioliomyomatosis
C- Alveolar pulmonary edema
A Pulmonary alveolar protenosis
48
@#
Right Pulmonary Embolism
49
Choose:
A-Omphalocele
B- Gastroschisis
A-Omphalocele
50
@#
Tuberous sclerosis
51
Possible diagnosis?
Retrosternal Goitre
52
@#
The Spalding sign:
= A sign of intra-uterine fetal death
= It refers to the overlapping of the fetal skull bones caused by
collapse of the fetal brain.
= This finding was originally described by Alfred Baker Spalding (1874- 1942), an American obstetrician
= It appears usually a week or more after fetal death.
53
@# Name of the sign
Roberts sign:
= It refers to the presence of a gas shadow within the heart or the greater vessels, in cases of fetal death in utero.
= It is caused by postmortem blood degeneration
= It usually seen 1-2 days after death; and may be seen as early as 12 hours
Tip:
Try to avoid to mention the possible time passed after fetal death (the duration between the occurence of fetal death and its diagnosis by US) for medico-legal purposes
Just, enumerate features of intra-uterine fetal death
54
@#
Vesico-vaginal Fistula
55
Scurvy
56
@#
Twin-Twin Transfusion Syndrome (TTTS) in mono-chorionic -diamniotic twins (MC-DA twins)
57
@#
Choose: Mostly:
A-Glioma
B- Medulloblastoma
C- Ependymona
A-Glioma
58
@#
Arterioportal shunt
simultaneous enhancement of the intrahepatic portal veins and hepatic artery in the arterial phase. Main causes: liver cirrhosis. HCC and congenital
59
@# The most likely diagnosis?
Neuroblastoma
Posterior mediastinal paraspinal mass with calcification in a child (the shape of the spine is for a pediatric patient)
60
Left subacute subdural large hematoma with mass effect
61
@#
Bilateral carotid cavernous fistulae
62
History of previous caeserian section done three years ago. The main possible diagnosis?
Scar Endometriosis
63
@#
Neurocysticercosis
64
@# Thyroid FNAC.
Arrow refers to needle.
Which type of needle positioning?
Perpendicular positioning
65
@# The indication of lung window in this study?
Detection of gas collection in abnormal
location eg.
1- Pneumoperitoneum
2- Diverticular
3- Gas in bowel wall
66
?? @# Spastic paraplegia Diagnosis?
Periventricular leukomalacia
(PVL)
67
@#
Adenomyomatosis with gall stones
68
Twin-twin transfusion syndrome.
The arrowed fetus is:
A-The donor
B-The recipient
A-The donor
69
@# Name of reference line?
Pubococcygeal line
70
Adenomyosis
71
Normal
72
@# Mostly:
A- Breast abscess
B-Neoplastic lesion
B-Neoplastic lesion
73
@#
Partially thrombosed aneurysm
74
@# Fracture name?
Smith fracture
75
@# Breast MRI:
Diagnosis?
An inflammatory LN
76
Scrotal US.
Diagnosis?
Pyocele
77
@# Sign?
Significance?
Chilli sign:
It describes normal tapering of sacrum on sagittal MRI sequence resembling that of Chilli
Significance ?
This normal tapering of sacrum (chilli sign) is consistently visualised in all normal fetal MRI === so, it helps to rule out sacral agenesis.
78
@# Barium swallow.
Cause of esophageal abnormalities?
Epiphrenic esophageal traction diverticulum
79
@#
Pagets disease of the right clavicle
80
@#
Left renal abscess with enhanced wall and perinephric inflammatory changes
81
Finding?
Lytic and sclerotic spinal lesions probably metastatic deposits
82
@# Diffuse axonal injury. Which grade?
Grade 3
Brain stem involvement
83
@# Pre and post-delivery groin pain. Diagnosis?
Bileteral transient osteoporosis
84
?? @# The most likely diagnosis?
A-TB meningitis.
B- Sarcoidosis
B- Sarcoidosis
85
Finding?
Cardiomegaly
86
@# A 13-month-old baby girl with hypotonia. Diagnosis?
Basilar artery thrombosis
87
Mass origin?
Left parotid gland
88
?? @#
Right pulmonary agenesis
89
Scrotal US. Diagnosis?
Fournier gangrene
90
@#
Spinal AVM
91
The most likely diagnosis?
Hemophiliac arthropathy
92
@# The most likely diagnosis?
Lymphoma
93
@#
Ulcerative colitis
94
Gastric Lymphoma
95
@#
Draped aorta sign
(Aortic rupture)
96
Choose:
A-False Lumen
B- True Lumen
A-False Lumen
97
Bronchiectasis
98
TREE-IN-BUD SIGN
Causes:
- infection (bacterial, fungal, viral) - congenital disorders (cystic fibrosis, Kartagener syndrome)
- idiopathic disorders (obliterative bronchiolitis)
- aspiration
99
@#
·
Left lower lobe collapse
100
@# Coronary angiography.
The cause of abnormality to the arrowed vessel? .
Myocardial bridging
101
@#
Omental Infarction
102
Suspected appendicitis.
There is a possibility for the arrowed structure to be an inflamed
terminal ileum.
A- Yes
B-No
B-No
103
@# Diaphragmatic US.
Name the parameter assessed in this image?
Diaphragmatic excursion
Normal diaphragmatic excursion should be 3–5 cm, but can be increased in well-conditioned persons to 7–8 cm.
104
Finding?
Left apical opacity
105
@# 46 years old male.
Possible diagnosis based on these measurements?
* Bilateral main pulmonary arteries embolism
* Normal pulmonary trunk to ascending aorta ratio <1
106
@#
Normal
107
@# Finding?
Left suprarenal mass and Chilaiditi's sign
108
@#
Scheuermann disease
109
@# Technical error?
The speculum obscures the lower portion of the uterine cavity as it's plades are superimposed on each other. The proper position is to be paraellel as in the image
110
Specific diagnosis?
Aspergilloma
111
@# The main possible diagnosis?
Oligodendroglioma
112
The proper term is:
A-Diffuse goiter with nodules
B-Nodular goiter
A-Diffuse goiter with nodules
113
Study name?
CT virtual HSG
114
@#
Severe form of bilateral open lip Schizencephaly
115
@#
TB ARTHRITITIS
116
@#
Wandering acetabulum
TB ARTHRITITIS
117
@#
DDH
118
ARDS
The typical findings are >>>>>>>
>>
1- Ground glass opacification of both lungs
with air bronchogram
2- ill-definition of the cardiac borders
3- Reduced both hemithoraces
119
Vesicular Mole
120
@#
121
@#
122
Pattern?
123
@# Name of the sign
HILUM CONVERGENCE SIGN
124
@# Name of the sign
DEEP SULCUS SIGN
The costophrenic angle is abnormally deepened when the pleural air collects laterally, producing the deep sulcus sign
125
@# Causes?
126
@# Label?
1- Conus Medullaris
2- Tip of CM
3- Cauda equina
127
@# Name of the sign
Winking owl sign
Absent pedicle sign
