UA Imaging Pics Flashcards
Pathology
Cleidocranial Dysplasia
Pathology
Fibrous Dysplasia
Most significant finding
Abdominal Aortic Aneurysm
-Need abdominal ultrasound and referral out to vascular surgeon
Most significant finding
Absence of Posterior Arch of C1
Pathology
Degenerative Disc Disease
- evaluated using Modic Type changes
- This is an example of Modic Type II (T1 = bright/gray, T2 = dark/gray)
MT 1 = (T1 = dark, T2 = bright)
MT 3 = (T1 = dark, T2 = dark)
Old or new fracture?
New
T1 = shows low signal meaning low bone marrow
T2 = shows high signal meaning edema
If old = apparent fracture would look just like other segments of the spine on T1 and T2, it would just be malformed
Most significant diagnosis
Ossification of the Posterior Longitudinal Ligament
-causing spinal stenosis
DISH is also noted, but it is common and not likely to cause neurologic problems
Pathology
-What is the next appropriate step?
Bladder Stone (Calculi)
-Refer to Urologist and get a UA (concurrent care)
Pathology
Multiple Myeloma
“Rain Drop Skull”
What is the finding?
-What is the correct differential?
Collapse Fracture
DDx: Osteoporosis, Lytic Metastasis, and Multiple Myeloma
Pathology
-40 year old male with no history of cancer
Multiple Myeloma
Patient with right shoulder pain
-What is the Dx?
Probably Gallstones, but could also be kidney stones
-Needs labs and history to correlate
NOTE: If seen on left side, can NOT be gallstones and therefore is probably kidney stones
Pathology
Renal Cell Carcinoma
What is causing this patients low back pain?
Fractured TVP of L2 and L3
Is this a gall stone?
NO!!!
- On left side, therefore it can NOT be a gall stone
- Kidney stone is most likely
Lateral X-ray shows all the calcific densities appear to be inside the vertebral bodies.
-What is the Dx?
Kidney Stones
- Kidneys are retroperitoneal and would appear inside the vertebrae if kidney stones
- The gallbladder is peritoneal and would appear anterior to the vertebral bodies if a gall stone.
What type of x-ray technique is being used?
-What is its main function?
Intravenous Pyelogram (IVP)
-Used to determine the size of the kidneys (checking for hydronephrosis)
Pathology
Staghorn Calculus
Pathology
Kidney Stone
Findings?
Diagnosis?
-Dx if HLA-B27 is (-)
Bilateral Sacroilitis
Dx is seronegative arothropathies like AS or Enteropathic Arthritis
if HLA-B27 is (-), then it could be caused by Gout if uric acid levels are high
