Spot cases 2019 Part 2 Flashcards
Adamantinoma–tibia(cystic + extensive soft tissue components + fluid-haemorrhagiclayering)
# DD: (for Fluid-fluid level):
*Telagiectaticosteosarcoma(less diaphyseal, more bone destruction).
*ABC & Simple bone cyst & GCT: (NOsoft tissue components).
Agenesis of Corpus Callosum
AnaplasticAstrocytoma
Asbestos-Related Pleural Dz.[plaques en face (white arrows) and in profile (black arrows)]
Astrocytoma
Hyperparathyroidism Brown tumour(lyticexpansilemulti-septatedmass right maxillary sinus)
#DD Giant cell tumour
Cavernoma-Angioma(hemosiderinrim)
ChiariI malformation
Chronic Anaemia(egThalassemia)(diffusely osteopenic, with expansion of the medullaryspaces & cortical thinning)
Cod-fish vertebra(or simply just fish vertebra)( Biconcave like fish vertebrae)# seen in :Osteoporosis,Hyperparathyroidism,sickle cell Dz
Hyper-parathyroidismdiffuse marked Osteoclerosis( more with 2ry hyperpara. egdtrenal osteodystrophythan with 1ry hyperparathyroidism)
Emphysematous Bullae
Eosinophilicgranulomaof lung(LangerhansHistiocytosis)
EpiphrenicOesophagealDiverticulum
Extra-medullaryHematopoeisis(paravertebralmass with or without fat signal)
Gastric cancer(Rough contour and narrowing of lumen)
Gastric cancer(Rough contour and narrowing of lumen)
GnathicOsteosarcoma(Lt maxillary fullness, pterygoidplate involvement and mandibulardestruction + sunburst appearance of periostealreaction + soft tissue swelling)
Gout-Olecranonbursitis
Hair-on-end appearancein chronic anaemia
Hair-on-end appearancein chronic anaemia
Hyperparathyroidism(Subperisotealbone resorption+ brown tumours(lyticexpansile) + osteosclerosis+ prominent trabeculae(the remaining after resorptionappear more prominent)
Hyperparathyroidism(Brown tumour+ pathological fracture) in humerusof an obese patient
Hyperparathyroidism(Brown tumours+ Subperiostealreactions)
Hyperparathyroidism
Hyperparathyroidism(A)lyticexpansilebrown tumourin 3rd metacarpal.(B) After parathyroidectomy, remineralizationof the brown tumour.
Hyperparathyroidism
Hypo-Parathyroidism(calcifications at basal ganglia -cerebellum-periventricularWM)
Left Common iliac aneurysm(true, uncomplicated)
Left posteriorSterno-ClavicularDislocation
Leriche Syndrome(complete occlusion of infrarenalaorta (red arrows) by thrombus extending into both CIAs (yellow) + calcifications (white)
Lymph-angio-leio-myomatosis
Medulloblastoma
Multiple Myeloma(in skeletal survey)
Multiple myeloma with expansilerib lesions
Osteitisfibrosacystica(of hyperparathyroidism)(extensive ostelyticlesion) + pathological fracture
Osteochondritisdissecans(BM edema & osteochondraldefect)X-Ray & T1 & STIR
Osteopetrosis* May be adult form (not always a child)*if early»_space; looks like Roger-jersey of spine.
Osteopetrosis* May be adult form (not always a child)*if early»_space; looks like Roger-jersey of spine.
Osteosarcomaof fibula(sunburst periostealreaction with an ill-defined aggressive lesion)
Osteosarcomaof tibia[ wide zone of transition,osteoidmatrix,periostealelevation (Codman’s Triangle) &Sunburst periost. reaction ]
Pancoasttumouraka Superior sulcustumour
Plasmacytomaof rib(NB: as solitary don’t say multiple myeloma)
Porencephaliccyst
Psoriatic Arthritis(pencil-in-a-cup deformity of both thumbs & erosion of DIP joint of left middle finger )
Ricketslong standing (neglected) with bowing
Rickets(metaphysealsplaying, cupping and fraying + generalized osteopaenia)
Rugger-jersey spine(Renal osteodystrophy)
Rugger-jersey spine(Renal osteodystrophy)
Rugger-jersey spine(Renal osteodystrophy)
Rugger-jersey spine(Renal osteodystrophy)
Sickle Cell Anemia(multiple bone infarctions)
Sickle Cell Anemia(multiple bone infarctions)
Sickle Cell Anemia(multiple bone infarctions)
Sickle Cell Anemia(multiple bone infarctions)
Sickle cell Dz(bilateral sickle cell dactylitis)(soft tissue swellings+metatarsal & phalangealexpansion +multiple osteopenicpatches)
Sliding hiatalhernia(white arrow)+Schatzki(B)ring (red)+Disordered tertiary contractions (green)
Sub-ependymalGM heterotopia
Thymo-lipoma
Abdominal Aortic AneurysmTrue, Uncomplicated, infra-renal(asks about classifications)
Tuberous Sclerosis
Unilateral (Right) closed-lip schizencephaly
Vein of Galen Malformation
Zenker’s oesophageal Diverticulum