VRU 2015 Flashcards
Does water increase or decrease the visibility of the nasal turbinates on CT?
Decrease significantly
What type of kernal showed the best visibility of nasal turbinates in an aerated nasal slab?
High frequency (bone)
What type of kernal showed the best visibility of nasal turbinates in a canine water-filled nasal slab?
Medium frequency (H50) —- this was equal to a high frequency kernal in cats
Britany et al: Radiographic appearance of dorsal tracheal membran in large/small dogs, A dorsal tracheal membrane occupies more of the tracheal lumen in what other disease process?
Tracheal collapse
Kaye et al; CT, Rad, Endoscope of tracheal dimensions in English bulldog, What is the trachea diameter:Third rib ratio?
<2.0 is considered hypoplastic
Kaye et al; CT, Rad, Endoscope of tracheal dimensions in English bulldog, Where was the trachea the narrowest in all modalities?
Thoracic inlet
Kaye et al; CT, Rad, Endoscope of tracheal dimensions in English bulldog, What measurement correlated and which ones didn’t?
CT and rads tracheal diameter: thoracic inlet correlated
CT and rads tracheal diameter:3rd rib DID NOT correlate
Endoscopic evaluation DID NOT correlate with anything
Kaye et al; CT, Rad, Endoscope of tracheal dimensions in English bulldog, CT measurements were on average how much greater than rads?
19%
Kaye et al; CT, Rad, Endoscope of tracheal dimensions in English bulldog, mean CT Tracheal diameter:Thoracic inlet and Tracheal diameter:3rd rib were?
TD:TI = 0.26 (previous 0.12)
TD:3rd rib: 2.27 (previous 2.0)
Mai et al: CT and MRI features of paragangliomas dogs, what was the most commonly affected breed and why?
Boston Terrier - likely brachycephalic
Mai et al: CT and MRI features of paragangliomas dogs, what were the contrast characteristics of these masses?
Strong and heterogeneous contrast enhancement on both CT and MRI
Mai et al: CT and MRI features of paragangliomas dogs, the majority of the dogs saw the mass invade surrounding structures… which ones?
Base of the skull - 6/16
External carotid artery entrapment - 7/16
Invasion into the ICA - 3/16
Invasion into external jugular, maxillary and linguo-facial - 1/16
Mai et al: CT and MRI features of paragangliomas dogs, What are the characteristics of these masses?
Large
Centered around the carotid bifurcation
Strong heterogeneous contrast enhancement
Invasion into surrounding tissues (base of the skull, ICA, jugular vein)
Entrapment of the external carotid.
Mai et al: CT and MRI features of paragangliomas dogs, Where else can carotid body tumors lurk?
Jugulo-tympanic
Mai et al: CT and MRI features of paragangliomas dogs, what percentage does it mets too and where does it have a apparant predisposition?
30% mets with predisposition to vertebrae
Mai et al: CT and MRI features of paragangliomas dogs, what are differentials for tumors in this region?
Ectopic thyroid tumore
Parathyroid carcinoma
Mai et al: CT and MRI features of paragangliomas dogs, what are common neurologic signs associated with paragangliomas?
Horner’s
Facial nerve paralysis
Hypoglossal nerve deficits
Johnson et al: MRI features of inflammatory versus neoplastic medial retro LN in cats/dogs, What MRI characteristics of MRLN are more commonly seen in inflammatory lesions?
Perinodal contrast enhancement (66% PPV and 69% NPV)
Local muscle contrast enhancement (77% PPV and 72% NPV)
Johnson et al: MRI features of inflammatory versus neoplastic medial retro LN in cats/dogs, What MRI features were more common in neoplastic lesions?
Greater width and height.
Johnson et al: MRI features of inflammatory versus neoplastic medial retro LN in cats/dogs, What clinical characteristics are more likely seen in inflammatory disease?
Young animal
Lethargy
Pyrexia
Neck pain.
Leukocystosis
What are the MRI characteristics of clinically relevant internal hydrocephalus vs asymptomatic ventriculomegaly?
Ventricle/brain index >0.6 with an elevated corpus callosum
Flattening of the interthalamic adhesion
Periventricular edema
Dilation of the olfactory recess
Thinning of the cortical sulci/Subarachnoid space
Disruption of the internal capsule adjacent to the caudate nucleus
**Deminished suprasellar cistern** not part of it but there.
What are some clinical signs of hydrocephalus?
Blindness
Attitude change.
Ataxia
Vestibular dysfunction.
What is a unique imaging characteristic of an abscess and why is it made?
The unique capsule that is T1 hyperintense and T2 hypointense… created by free radicals in the WBC in this region.
What is a cholesteatoma?
Keratinizing mass secondary to chronic otitis media - same as an epidermoid cyst
Vander Hart et al: Initial right or left lateral recumbency on abdominal rads: What lateral projection was it more significantly likely to have duodenal gas on the subsequent VD and right lateral projection?
Placed in left lateral first was more significant to have duodenal gas
This made pseudoulcers commonplace to be seen (image).
Vander Hart et al: Initial right or left lateral recumbency on abdominal rads: what are three signs noted in duodenum that is effected by pancreatitis?
- Lateral displacement of the duodenum
- Widening of the pyloroduodenal angle
- Abnormal gas distention of the duodenum
Tamura et al: CT myelogram and MRI evaluating intradural discs: What modality was the best in finding intradural discs and correctly idenifying their location as intradural?
CT myelogram
- Leakage of contrast suggesting dural tear
- Golf-tee sign
- Filling defect
Pollard et al: Prevlaence of incidental thyroid nodules on dogs with hypercalcemia: What percentage of dogs had thyroid nodules?
15%
- Thyroid cysts
- Thyroid adenoma
- Thyroid adencarcinoma
- Nodular hyperplasia
Pollard et al: Prevlaence of incidental thyroid nodules on dogs with hypercalcemia: What was the mean size of the thyroid nodule?
1.5cm x 1.0cm 0.75cm
Pollard et al: Prevlaence of incidental thyroid nodules on dogs with hypercalcemia: What is this study saying?
Thyroid nodules can be present in hypercalcemic dogs.
Peterson et al: Thyroid scintigraphy in 2096 cats with hyperthyroidism: The majority (>96%) had thyroid:salivary and thyroid:background ratios of what?
>1.5 T:S
>6.1 T:B
Peterson et al: Thyroid scintigraphy in 2096 cats with hyperthyroidism: The majority of cats had what type of disease; unilateral, bilateral symmetric, bilateral asymmetric or multifocal?
Bilateral (63%) with bilateral asymmetric around 50%
Multifocal ~4%
Peterson et al: Thyroid scintigraphy in 2096 cats with hyperthyroidism: What percentage of cats had carcinoma and ectopic thyroid disease?
Ectopic - 4%
Carcinoma - 2%
Parzefall et al: Prevalence of small tympanic spicules in the middle ear of dogs: What percentage of hyperostotic tympanic bone spicules was seen on CT?
50% in random necropsy dogs
20% on retrospective study
Parzefall et al: Prevalence of small tympanic spicules in the middle ear of dogs: What are hyperostotic tympanic bone spicules and where do they arise from?
Likely physiological bone growth in the septum bullae and represent osseous proliferation of small tympanic bone spicules.
Mesquita et al: CT findings withi eosinophilic bronchopneumopathy; What are the CT signs of Eosinophilic bronchopneumopathy?
- Lung parenchymal lesions
- Bronchial wall thickening
- Bronchial plugging
- Lymphadenopathy (60%)
- Bronchietasis
- Pulmonary nodules
One dog had a big mass.
Mesquita et al: CT findings withi eosinophilic bronchopneumopathy; What parasite should be looked for in dogs that can mimic this?
Angiostronglyus vasorum
Also, heartworm as occult heartworm can cause this!
Mesquita et al: CT findings withi eosinophilic bronchopneumopathy; what are the signs on CT of bronchiectasis?
Lack of tapering of the bronchial lumen
Bronchi within 1.0cm of the lung margin
Bronchoarterial ratio >2.0
Mesquita et al: CT findings withi eosinophilic bronchopneumopathy; what are the types of bronchiectasis?
- Cylindrical
- Saccular
- Varicose (segmental)
Mesquita et al: CT findings withi eosinophilic bronchopneumopathy; what is the age range in this study?
7mo - 11years (4 year was the mean)
Lim et al: US features of the uterus masculinus in dogs: What is another word for uterus masculinus and what is it a remnant of?
Persistent mullerian duct
It is a remnant of the paramesonephric duct
Lim et al: US features of the uterus masculinus in dogs: What are the clinical signs?
Dysuria, incontinuence, tenesmus and urehtral obstruction.
Lim et al: US features of the uterus masculinus in dogs: Where does the uterus masculinus exist? Some pathophysiology.
It passes through the craniodorsal aspect of the prostate and enters the prostatic urethra via the colliculus seminalis.
It can be seen as a single or bi-horned structure at the craniodorsal aspect of the prostate.
The Testes produce anti-mullerian hormone produced by the sertoli cell.
Lim et al: US features of the uterus masculinus in dogs: Concomitant prostatomegaly and UTI was seen in how many dogs?
84% - Prostatomegaly
50% - UTI
What is this?
Bi-cornual uterus masculinus
Di Ianni et al: Diagnostic sensitivity of US, Rad, CT for gender determination of lizards: What is the best modality to sex (identify the hemipenes) in lizards?
CT using contrast in the cloaca 100%
Rads was next 95%
Gregori et al: Comparison of CT adrenal neoplasia in dogs: What neoplasia was associated with invasion?
Pheochromocytoma
Gregori et al: Comparison of CT adrenal neoplasia in dogs: What does peripheral contrast enhancment on delayed CT images associated with? What about heterogenous contrast patten?
Peripheral CE - fibrous encapsulation
Heterogeneous pattern - associated with hemorrhage and infarct
Nakamura et al: CEUS in pancreatic insulinomas: CEUS reliably did what with the pancreatic nodules?
Reliably increased conspicuity
Nakamura et al: CEUS in pancreatic insulinomas: The contrast pattens of the 3 nodules were what?
Variable -
1 = marked hyperechoic for 5s
2 = slightly hyperechoic for 1s
3 = clearly hypoechoic for over 30s
SO only good to find the lesion.