Top 3 Flashcards
Dense liver
Iron deposition
Amiodarone
Glycogen storage disease
Also consider Gold, Thorotrast
Nodular liver contour
Cirrhosis
Treated mets
Budd-Chiari
Also consider: Schistosomiasis, confluent hepatic fibrosis
Esophogeal diverticulum
Proximal pulsion - Zenker, Kilian Jamieson
Distal pulsion - epiphrenice
Mid traction
Also consider intramural pseudodiverticulosis
Solitary hypodense, hypovascular liver mass
Cyst, solitary met, abscess
Also consider: cholangiocarc, biliary cystadenoma, trauma
Multiple hypodene liver lesions
Cyst, mets, abscesses
Also consider cholangiocarc
RUQ cystic mass child
Choledochal, pseudocyst, duplication cyst or diverticulum
Also consider: ovarian cystic lesion, mesenteric cyst
Esophageal submucosal masses / thickened folds
Varices, reflux, caricinoma
Esophageal dilatation
Achalasia, scleroderma, gastric or oesophageal Ca.
Also consider: esophagitis with stricture, post surgical vagotomy
Esophageal pseudodiverticuli
Reflux oesophagitis, candida oesophagitis, superficial spreading carcinoma
Also consider: drug-induced oesophagitis
Esophageal ulcers
Reflux oesophagitis, viral oesophagitis (CMV, HIV, HSV), Drug induced oesophagitis
Also consider: caustic, cancer
Solid pancreatic mass
Adeno, islet cell, SPEN
Also consider: lymphoma, mets
Linitis plastica
Gastric Ca, Mets, lymphoma
Also consider: Crohn’s
Gastric ulcer
PUD, ca, lymphoma
Also consider: mets, Zollinger-Ellison
Thickened gastric folds
Hypertrophic gastritis, Ca, lymphoma
Also consider: menetriers, mets
Caecal mass
Appendicitis/abscess, Caecal/appendiceal Ca, appendiceal mucocele
Also consider, lymphoma, adnexal mass
Mesenteric mass
Mets, carcinoid, desmoid (Fibrosing mesenteritis)
Also consider: reactive lymphadenopathy (TB, MAC, Whipples), mesothelioma
Terminal Ileum thickening
IBD, infection (TB, bacterial), lymphoma
Also consider ischaemia, mets
Colon wall thickening
Infection, IBD, Ca.
Also consider Ischaemia
Small bowel wall thickening
Crohns, lymphoma, haemorrhage
Also consider: mets, amyloid, Whipples
Short segment oesophageal stricture
Reflux, drug-indiced, Ca
Long segment oesophageal stricture
Iatrogenic (NG), caustic, radiation
Small bowel dilatation
Obstruction, ileus, coeliac sprue
Also consider scleroderma
Cystic pancreatic mass
Pseudocyst, mucinous, serous
Also consider IPMN, SPEN
Hypervascular liver mass
Haemangioma, FNH, HCC
Also consider adenoma, mets
Multiple splenic masses
Mets, lymphoma/leukamia, abscesses
Also consider granulomas (TB, sarcoid), infarcts
Intrahepatic biliary ductal strictures
PSC, ascending cholangitis, AIDS cholangiopathy
Also consider neoplasia, posttransplant ischaemia
Solitary renal mass
RCC, oncocytoma, AML
Also consider TCC, lymphoma
Multiple bilateral renal masses
Lymphoma, infection, RCC
Also consider: AML, mets
Cystic renal mass
Complex cyst, cystic neoplasm (RCC adult, Wilms child), multilocular cystic nephroma
Also consider: MCDK (focal), abscess
Retroperitoneal mass
Retroperitoneal haemorrhage, lymphadenopathy, abscess
Also consider retroperitoneal fibrosis, sarcoma
Cortical nephrocalcinosis
Acute renal cortical necrosis, chronic glomerulonephritis, oxalosis
Also consider transplant rejection, Alports
Medullary nephrocalcinosis
Hypercalcuria, MSK, RTA (type 1)
Also consider: papillary necrosis (analgesic nephropathy, furosemide (newborn), TB
Striated nephrogram
Infection, urinary obstruction, renal vein thrombosis
Also consider contusions, hypotension
Papillary necrosis
Diabetes, analgesics, infection especially TB
Also consider sickle cell, obstruction, renal vein thrombosis
Renal cortical defect
Reflux, chronic infection, infarct
Also consider: vasculitis, partial nephrectomy
Renal pelvic mass
TCC, multilocular cystic nephroma, medullary carcinoma
Also consider other RCC
Medially deviated ureters
Retroperitoneal fibrosis, psoas muscle hypertrophy, pelvic lipomatosis
Also consider retrocaval uterer (unilateral), post-op
Ureteral filling defect
TCC, radiolucent calculi, ureteritis cystica
Also consider blood clot, fungal ball, mets
Bladder filling defect
TCC, fungal ball, blood clot
Also consider calculus, extrinsic compression
Bilateral renal cysts
ADPKD, ESRF (haemodialysis), VHL
Also consider: TS
Pear-shaped bladder
Pelvic haematoma, lymphadenopathy, pelvic lipomatosis
Also consider: psoas hypertrophy, iliac artery aneurysm
Prostate enlargement
BPH, ca, prostatitis
Bladder wall calcification
TCC, Shisto, cystitis (cytotoxin or radiation)
Also consider TB, urachal Ca
Adrenal mass
Adenoma, mets, haemorrhage
Also consider: phaeo, myelolipoma, cortical carcinoma
Fatty retroperitoneal mass
AML, adrenal myelolipoma, liposarcoma
Also consider RCC
Dilated ureter
Obstruction, reflux, primary megaureter
Also consider: Prune-Belly
Ureteric stricture
Post-trauma, post-infection / inflammation, neoplasia