Case of the Week Case of the Week 0% 15 Case of the Week 03 March 2025 1 / 2 All the following findings are seen in the above MRI images, except Altered marrow signal Abnormal enhancement at the amputation stump Soft tissue abnormality at the base of the metatarsal Soft tissue abscess 2 / 2 Which of the following is a common location for diabetic foot osteomyelitis First metatarsal head Tibia Calcaneus Fibula Your score isThe average score is 53% LinkedIn Facebook VKontakte 0% Restart quiz Previous Week Cases 0% 25 Case of the Week 24 February 2025 1 / 2 Which imaging feature differentiates sternoclavicular septic arthritis from osteomyelitis of the clavicle Bone marrow edema Soft tissue abscess formation Cortical irregularity of the clavicle Joint space involvement with erosions 2 / 2 Which of the following is potential complication of untreated sternoclavicular septic arthritis Pulmonary embolism Mediastinitis Brachial plexopathy Rotator cuff tear Your score isThe average score is 62% LinkedIn Facebook VKontakte 0% Restart quiz 0% 46 Case of the Week 17 February 2025 1 / 2 The finding demonstrated on this multiphasic CT is Renal calcification Arterial contrast extravasation Oral contrast extravasation Urinary contrast extravasation 2 / 2 Detection of collecting system injury requires Arterial phase imaging Venous phase imaging 5–10 minute postcontrast delay imaging Prone imaging Your score isThe average score is 61% LinkedIn Facebook VKontakte 0% Restart quiz 0% 21 Case of the Week 10 February 2025 1 / 2 What is the preferred imaging modality for diagnosing a retained stone in the cystic duct remnant? Abdominal X-ray Contrast-enhanced CT scan Magnetic Resonance Cholangiopancreatography (MRCP) Colonoscopy 2 / 2 Which of the following CT findings is most suggestive of a retained stone in the cystic duct remnant? Hypodense lesion with peripheral enhancement in the liver Hyperdense focus in the cystic duct remnant with possible biliary dilatation Diffuse colonic wall thickening Pancreatic head mass with calcifications Your score isThe average score is 67% LinkedIn Facebook VKontakte 0% Restart quiz 0% 19 Case of the Week 03 February 2025 1 / 2 The CT images of the chest show all the findings except Pneumomediastinum Subcutaneous emphysema of neck Double bronchial wall sign Pneumothorax 2 / 2 All of the following are signs of pneumomediastinum except Ring around artery sign. Tubular artery sign. Double bronchial wall sign. Double diaphragm sign. Your score isThe average score is 50% LinkedIn Facebook VKontakte 0% Restart quiz 0% 14 Case of the Week 27 January 2025 1 / 2 Pumice stone sign is seen in which of the following Lymphangiomatosis of bone Intraosseous pneumatocyst Emphysematous osteomyelitis Osteonecrosis 2 / 2 Which of the following important features favors the diagnosis of osteomyelitis over neuropathy osteoarthropathy Presence of bone erosion Presence of subchondral cysts Preservation of the subcutaneous fat Transcutaneous spread of disease Your score isThe average score is 54% LinkedIn Facebook VKontakte 0% Restart quiz 0% 9 Case of the Week 20 January 2025 1 / 2 What imaging finding on that case would most strongly indicate the need for angioembolization in a splenic hematoma? Splenic capsular enhancement Perisplenic fluid collection Active contrast extravasation ("blush") Splenomegaly 2 / 2 Which of the following is a risk factor for spontaneous splenic hematoma in a non-traumatic setting? Hypertension Anticoagulant therapy Diabetes mellitus Chronic kidney disease Your score isThe average score is 61% LinkedIn Facebook VKontakte 0% Restart quiz 0% 17 Case of the Week 13 January 2025 1 / 2 What is the most likely diagnosis? Choroid plexus cyst TORCH infection Intracranial mass Germinal matrix hemorrhage 2 / 2 Which of the following is not a usual site of germinal matrix hemorrhage? Caudo-thalamic groove Lateral Ventricle Periventricular brain parenchyma Pituitary gland Your score isThe average score is 65% LinkedIn Facebook VKontakte 0% Restart quiz 0% 28 Case of the Week 06 January 2025 1 / 2 The CT images of the abdomen and pelvis show all the findings except Fecaloma in sigmoid colon Peri sigmoid colonic fat stranding, mucosal sloughing and sigmoid colon wall discontinuity Extraluminal air loculi + extruding fecal content from the perforation site of sigmoid colon Gas in the urinary bladder 2 / 2 The most common locations for stercoral perforation are all except The anterior rectum (just proximal to the peritoneal reflection) The antimesenteric border of the rectosigmoid junction The sigmoid colon The cecum Your score isThe average score is 38% LinkedIn Facebook VKontakte 0% Restart quiz Case of the Week 30 December 2024 1 / 2 The hallmark of Fournier gangrene is Subcutaneous emphysema Subcutaneous fluid collection Skin ulceration Subcutaneous fat induration 2 / 2 All are characteristics of Fournier gangrene, except Necrotising fasciitis of the perineal, perianal and genital area A surgical emergency Polymicrobial infection Testis are often involved Your score isThe average score is 72% 0% Restart quiz 0% 19 Case of the Week 23 December 2024 1 / 2 The orbital CT scan demonstrates all the findings except Orbital abscess Proptosis Periorbital cellulitis Erosion of right lamina papyracea 2 / 2 Complications of orbital cellulitis include Intracranial abscess Superior ophthalmic vein thrombosis Cavernous sinus thrombosis All of the above Your score isThe average score is 55% LinkedIn Facebook VKontakte 0% Restart quiz 0% 15 Case of the Week 16 December 2024 1 / 2 The CT scan demonstrates all of the findings except Complex free fluid Oral contrast extravasation. Free air Abscess. 2 / 2 All of the following are true about gastric perforation except: Perforation of the stomach is a full-thickness injury of the wall of the organ. Perforations occurring over a prolonged period may be contained locally Most gastric perforations are linear and found high in the stomach and along the greater curvature. Management is usually medical/conservative Your score isThe average score is 37% LinkedIn Facebook VKontakte 0% Restart quiz 0% 9 Case of the Week 09 December 2024 1 / 2 The CT images of the abdomen show all the findings except Splenic subcapsular hematoma Perisplenic hematoma Hemoperitoneum Active contrast extravasation 2 / 2 All of the following statements are true about abdominal injury except Splenic injury is more common in the setting of splenomegaly. AAST grading system is used to grade solid organ injury in abdominal trauma. Penetrating injury is more common than blunt injury. Contrast blush indicates active hemorrhage. Your score isThe average score is 44% LinkedIn Facebook VKontakte 0% Restart quiz 0% 11 Case of the Week 02 December 2024 1 / 2 What is the diagnosis? Acute infarction of the left basal ganglia. Subarachnoid hemorrhage in the tentorium. Intraparenchymal hemorrhage in the left frontal lobe. Skull fracture 2 / 2 What is the name of the sign? Dural tail sign Reversal sign Molar tooth sign Hyperdense MCA sign Your score isThe average score is 32% LinkedIn Facebook VKontakte 0% Restart quiz 0% 18 Case of the Week 25 November 2024 1 / 2 What is the most likely diagnosis? Pancreatic mass Small bowel tumor Colo-Colic intussusception Abdominal abscess 2 / 2 What is the most common cause of intussusception in adults? Tumor (malignant in large bowel and benign in small bowel) Hypertrophic lymphoid tissue following infection Duplication cyst Malrotation Your score isThe average score is 69% LinkedIn Facebook VKontakte 0% Restart quiz 0% 15 Case of the Week 18 November 2024 1 / 2 What is the most likely diagnosis? Glioblastoma Multiforme Oligodendroglioma Meningioma Cerebral abscess 2 / 2 Which of the following is not a feature of an extra-axial mass lesion? Narrow dural base CSF cleft Dural tail White matter buckling Your score isThe average score is 47% LinkedIn Facebook VKontakte 0% Restart quiz 0% 26 Case of the Week 11 November 2024 1 / 2 A 71 year female presents with sudden right flank pain, nausea and vomiting. A selected image of CT abdomen is shown, what is the most likely diagnosis Acute pyelonephritis Renal lymphoma Renal infarction Nephritis 2 / 2 All of the following are true about renal infarct except All of the following are true about renal infarct except It should be considered in patients who develop sudden abdominal or flank pain with reduced renal function Due to collateral circulation even late detection followed by reperfusion therapy carries a good prognosis The cortical rim sign is a CT feature that can help make the diagnosis. Your score isThe average score is 50% LinkedIn Facebook VKontakte 0% Restart quiz 0% 9 Case of the Week 04 November 2024 1 / 2 What is the likely diagnosis? Intracardiac thrombus Pericardial effusion Cardiac myxoma Pericardial cyst 2 / 2 Which of the following is a false statement regarding cardiac myxoma? Cardiac myxomas are the most common primary cardiac tumor in adults. The left ventricle is the most common site for cardiac myxoma Cardiac myxomas are benign neoplasms Prolapse through the AV valve is a differentiator between myxoma and thrombus Your score isThe average score is 78% LinkedIn Facebook VKontakte 0% Restart quiz 0% 21 Case of the Week 28 October 2024 1 / 2 What is the diagnosis? Orbital mass Retinal detachment Orbital cellulitis Vitreous hemorrhage 2 / 2 Which of the following is a diagnostic sign of open globe injury. V shaped collection in the posterior segment of the globe Alteration/ defect in globe contour Any focus of intra-ocular hemorrhage Intra-orbital air loculi Your score isThe average score is 45% LinkedIn Facebook VKontakte 0% Restart quiz 0% 10 Case of the Week 21 October 2024 1 / 2 What is the diagnosis in a patient with a neck lump? Thyroglossal duct cyst Branchial cleft cyst Delphian adenopathy Laryngocele 2 / 2 Which of the following is the most characteristic feature of a thyroglossal duct cyst? Lateral neck location Associated with branchial cleft anomalies Midline location of the neck mass Contains hair and sebaceous material Your score isThe average score is 90% LinkedIn Facebook VKontakte 0% Restart quiz 0% 9 Case of the Week 14 October 2024 1 / 2 What is the most likely diagnosis? Sarcoidosis Submandibular sialadenitis Acute parotitis Odontogenic abscess 2 / 2 In case of antero-medial displacement of the parapharyngeal space, what will be the likely site of origin of the lesion? Parotid space Masticator space Pharyngeal mucosal space Carotid space Your score isThe average score is 50% LinkedIn Facebook VKontakte 0% Restart quiz 0% 10 Case of the Week 07 October 2024 1 / 2 What is the diagnosis of this 29-year-old male patient with diffuse abdominal pain nausea vomiting and diarrhea? Infectious Colitis Ulcerative colitis Ischemic colitis None of the above 2 / 2 What are the findings? Colonic wall thickening Colonic polyps Ahaustral colon All of the above Your score isThe average score is 75% LinkedIn Facebook VKontakte 0% Restart quiz 0% 7 Case of the Week 30 September 2024 1 / 2 What type of hernia is seen on the CT images? Busoga hernia Amyand hernia De Garengeot hernia Littre hernia 2 / 2 All of the following are true about Amyand hernia except: The term applies to inguinal hernia containing appendix regardless of whether there are complications such as appendicitis. Amyand hernias are a common form of inguinal hernia. The appendix may remain in an inguinal hernia without symptoms. It may mimic an incarcerated inguinal hernia. Your score isThe average score is 71% LinkedIn Facebook VKontakte 0% Restart quiz 0% 3 Case of the Week 23 September 2024 1 / 2 Identify catheter position: A left internal jugular venous catheter is seen with its tip in the thoracic aorta. A left internal jugular venous catheter is seen with its tip in the left subclavian vein. A nasogastric catheter is malpositioned with its tip in the left main bronchus. A left internal jugular venous catheter is seen with its tip in the left upper lung zone. 2 / 2 What is the probable cause of the misplaced internal jugular catheter in the left upper lung zone in this patient? Catheter placement error occurred due to improper technique, leading to entry into the left lower lobe bronchus. The catheter tip is positioned in the left subclavian vein, which is misinterpreted as the left upper lung zone on X-ray. The catheter has been misplaced into the anomalous pulmonary vein of the left upper lobe, likely due to partial anomalous pulmonary return All the above. Your score isThe average score is 67% LinkedIn Facebook VKontakte 0% Restart quiz 0% 11 Case of the Week 16 September 2024 1 / 2 All are true about odontoid fracture except Commonly occurs due to extension injury. There are 3 grades in Odontoid fractures. Can be associated with atlantoaxial instability. Classification is done based on the level of fracture line. 2 / 2 All of the following are the differential diagnosis of odontoid fracture except Os odontoideum Persistent ossiculum terminale Hypoplasia of the odontoid process None of the above Your score isThe average score is 55% LinkedIn Facebook VKontakte 0% Restart quiz 0% 13 Case of the Week 9 September 2024 1 / 2 The CT images of the abdomen demonstrate Small densely enhancing/calcified spleen H shaped vertebrae Both of the above Neither of the above 2 / 2 Imaging features of sickle cell anemia commonly include all except Splenic infarction and autosplenectomy Gallstones H shaped vertebrae Lung cavities Your score isThe average score is 42% LinkedIn Facebook VKontakte 0% Restart quiz 0% 8 Case of the Week 2 September 2024 1 / 2 The signs demonstrated are respectively Coffee bean sign, beak sign, whorl sign Football sign, wing sign, twist sign Rigler sign, claw sign, loop sign Continuous diaphragm sign, feather sign, curl sign 2 / 2 All of the following are true about Sigmoid volvulus except Is the commonest type of colonic volvulus Can be treated endoscopically if uncomplicated Is more common in Africa It is seen more commonly in young people Your score isThe average score is 44% LinkedIn Facebook VKontakte 0% Restart quiz 0% 5 Case of the Week 26 August 2024 1 / 2 What type of Salter Harris injury does this represent. Type 1: Separation through the physes Type 2: Fracture through a portion of the physes that extends through the metaphyses Type 3: Fracture through a portion of the physes that extends through the epiphyses and into the joint. Type 4: Fracture through the metaphyses, physes and epiphyses 2 / 2 Is this a stable or unstable injury? Stable because of faster healing rates in pediatric age group. Stable because fragments are undisplaced. Unstable because of injury to the growth plate/physes Unstable because of intra-articular extension Your score isThe average score is 10% LinkedIn Facebook VKontakte 0% Restart quiz 0% 2 Case of the Week 19 August 2024 1 / 2 The CT scan of the abdomen and pelvis in a patient with right lower quadrant pain shows Acute appendicitis Epiploic appendagitis Rectus sheath hematoma Terminal ileitis 2 / 2 Contrast Extravasation within a soft tissue hematoma is evidence of Recent trauma Active hemorrhage Underlying tumor Developmental anomaly Your score isThe average score is 75% LinkedIn Facebook VKontakte 0% Restart quiz 0% 1 Case of the Week 12 August 2024 1 / 2 What is the diagnosis? Flipped lateral meniscus Root tear of the lateral meniscus Discoid lateral meniscus Lateral meniscus extrusion. 2 / 2 Which of these statements about flipped meniscus is false? Most flipped menisci occur on the lateral side. It is a type of bucket handle tear. The ACL prevents the meniscal fragment from completely migrating into the intercondylar notch. Meniscus within meniscus sign is seen. Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 1 Case of the Week 5 August 2024 1 / 2 What is the diagnosis? Complete rupture of brachialis tendon Partial rupture of brachialis tendon Complete rupture of distal biceps tendon Partial rupture of distal biceps tendon. 2 / 2 Which of these is true about the attachment of the short head of the distal biceps tendon onto the bicipital tuberosity? Short head attaches anteriorly and distally Short head attaches posteriorly and distally Short head attaches anteriorly and proximally Short head attaches posteriorly and proximally. Your score isThe average score is 50% LinkedIn Facebook VKontakte 0% Restart quiz 0% 2 Case of the Week 17 July 2024 1 / 2 What is the the likely diagnosis? Encrusted ureteric stent Uterine calcified fibroid Calcified vesical mass Peritoneal loose body 2 / 2 What are the potential complications of an encrusted ureteric stent? Urinary tract infection/urosepsis Dislodgement of stent Stent blockage All of the above Your score isThe average score is 75% LinkedIn Facebook VKontakte 0% Restart quiz 0% 2 Case of the Week 8 July 2024 1 / 2 What is the most likely diagnosis in this 29-year-old male patient with diffuse abdominal pain nausea vomiting and diarrhea? Tubercular colitis Ulcerative colitis Ischemic colitis Amoebic colitis 2 / 2 What are the findings? Colonic wall thickening Pericolonic hyperemia Ahaustral colon All of the above Your score isThe average score is 75% LinkedIn Facebook VKontakte 0% Restart quiz 0% 1 Case of the Week June 27, 2024 1 / 2 The CT images of the chest show all the findings except Mediastinal hematoma Penetrating foreign body Hemopericardium Aortic injury 2 / 2 All of the following statements are true about penetrating cardiac injury, except Penetrating cardiac injuries are uncommon and represent a small fraction of penetrating trauma overall. Penetrating Cardiac Injury can result in Cardiac Tamponade, shock and death Iatrogenic penetrating cardiac trauma is most often seen following pericardiocentesis. Beck’s Triad (muffled heart sounds, jugular venous distension and hypotension) and Kussmaul’s sign (jugular venous distension with inspiration) are seen in the majority of patients who present with pericardial tamponade Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 1 Case of the Week June 13, 2024 1 / 2 What is the diagnosis? Intestinal obstruction Distal CBD calculus and biliary obstruction Pancreatic cancer and biliary obstruction Portal vein thrombosis 2 / 2 What is the associated complication? Liver abscess Acute cholecystitis Pneumoperitoneum None Your score isThe average score is 50% LinkedIn Facebook VKontakte 0% Restart quiz 0% 5 Case of the Week 3 June 2024 1 / 2 What is the most likely diagnosis based on the given AP chest XR image? Mediastinal mass Right sided thoracic aorta Thyroid enlargement Thoracic aortic aneurysm 2 / 2 Which among the following is true of this pathology? Thymoma is located in the middle mediastinum Unlike lung lesions, a mediastinal mass will not contain air bronchograms A mediastinal mass will sit under the surface of the mediastinum and create acute angles with the lung. Mediastinal lipoma may contain fluid Your score isThe average score is 30% LinkedIn Facebook VKontakte 0% Restart quiz 0% 2 Case of the Week 27 May 2024 1 / 2 What is your diagnosis? Hematometra Hematocolpos. Hematometrocolpos. Uterus didelphys 2 / 2 What are the diagnostic features of this case? Distension of the uterine cavity and cervical canal. Distension of the vagina. High density fluid content. All of the above. Your score isThe average score is 25% LinkedIn Facebook VKontakte 0% Restart quiz 0% 3 Case of the Week 10 May 2024 1 / 2 What is the diagnosis? Gastritis. Cholecystitis. Acute necrotizing pancreatitis Omental infarction. 2 / 2 What is the associated complication? Bowel perforation. Splenic vein thrombosis. Active hemorrhage. Bowel obstruction. Your score isThe average score is 33% LinkedIn Facebook VKontakte 0% Restart quiz 0% 1 Case of the Week 26 March 2024 1 / 2 What’s your diagnosis? Small bowel obstruction. Internal hernia. Cecal volvulus Ileus. 2 / 2 Which of the following are diagnostic clues in such a case Haustral folds in distended bowel loop. Whirl sign of mesentery. Coffee bean sign. All of the above. Your score isThe average score is 100% LinkedIn Facebook VKontakte 0% Restart quiz 0% 0 Case of the Week 27 Feb 2024 1 / 2 In a patient with sore throat and fever, the CT scan of the neck demonstrates a small Retropharyngeal abscess Peritonsillar abscess Bezold abscess Parotid abscess 2 / 2 The traditional name for this condition was Dropsy Quinsy Flimsy Banksy Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 0 Case of the Week 6 Feb 2024 1 / 2 In a patient with paroxysmal cough and left anterior chest pain the images likely represent Rib fracture Costal cartilage fracture Sternal fracture Clavicle fracture 2 / 2 The associated finding is Pneumothorax Pneumomediastinum Chest wall hematoma Hemopericardium Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 3 Case of the Week 29 Jan 2024 1 / 2 All are seen on the scan except Colonic obstruction Colonic wall pneumatosis Rectal wall thickening Ruptured aneurysm 2 / 2 Pneumatosis is a sign of Infarcted bowel Penetrating trauma Bowel obstruction Gastrointestinal hemorrhage Your score isThe average score is 50% LinkedIn Facebook VKontakte 0% Restart quiz 0% 1 Case of the Week 11 Jan 2024 1 / 2 The vascular lesion demonstrated is most likely a Penetrating Aortic Ulcer Aortic Dissection Intramural Hematoma Aortic Pseudoaneurys 2 / 2 Differentiators between Penetrating Aortic Ulcer (PAU) and Aortic Dissection (AD) are related to PAU occurs in older patients with atherosclerosis PAU more commonly occurs in the distal thoracic aorta PAU can be classified by the Stanford classification PAU may occur as an incidental finding Your score isThe average score is 50% LinkedIn Facebook VKontakte 0% Restart quiz 0% 1 Case of the Week 2 Jan 2024 1 / 2 What is the diagnosis? Ruptured aortic aneurysm Endoleak Saccular pseudoaneurysm Hemorrhagic cyst 2 / 2 Which of the following is not correct regarding endovascular leak ? Type I endoleak leakage of blood between stent-graft and one of Type II endoleak: reflux of blood into aneurysm sac through collateral vessels, most commonly lumbar or inferior mesenteric arteries Type III endoleak: leakage of blood through defect in stent-graft wall. Type III is the most common type Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 1 Case of the Week 07 Dec 2023 1 / 2 Which of the following is the most common predisposing factor for emphysematous cystitis? Prolonged catheterization. Diabetes mellitus. Neurogenic bladder Immunocompromised state 2 / 2 The main diagnostic feature of emphysematous cystitis on imaging is Gas within the urinary bladder wall. Wall thickening. Perivesical fat stranding. Intraluminal gas. Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 2 Case of the Week 15 Nov 2023 1 / 2 What diagnosis best fits the above images? Metastatic carcinoid tumor. Small bowel obstruction due to intussusception. Colon carcinoma with colonic obstruction. Impacted fecal matter and stercoral colitis. 2 / 2 All the following are true except In small bowel obstruction, abdominal pain is described as intermittent and colicky but improves with vomiting, while the pain associated with LBO is continuous. The vomiting in small bowel obstruction tends to be more frequent, in larger volumes, and bilious, which is in contrast to vomiting during an large bowel obstruction, which typically presents as intermittent and feculent when present. Abdominal distention is marked in large bowel obstruction with obstipation more commonly present Large bowel obstruction will mimic small bowel obstruction if the ileocecal valve is competent. Your score isThe average score is 25% LinkedIn Facebook VKontakte 0% Restart quiz 0% 2 Case of the Week 16 Oct 2023 1 / 2 Which is the most likely etiology based on the reformatted image? Ureterocele. Retroaortic left renal vein Bladder Neoplasm Trauma 2 / 2 What is the most likely diagnosis for the renal finding? Left pyelonephritis. Obstructed left ureter Left renal vein thrombosis Left renal artery stenosis Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 3 Case of the Week 25 Sept 2023 1 / 2 What is the diagnosis? TORCH infection AVM Sturge weber syndrome Healed cortical infarct 2 / 2 Which of the following is not CT findings in sturge weber syndrome subcortical calcification (seen at an earlier age than plain film) and associated parenchymal volume loss Tram-track sign of cortical and subcortical calcification ipsilateral choroid plexus may be enlarged Ventriculomegaly Your score isThe average score is 33% LinkedIn Facebook VKontakte 0% Restart quiz 0% 2 Case of the Week 19 Sept 2023 1 / 2 What is the diagnosis? Retroperitoneal rhabdomyosarcoma Retroperitoneal extramedullary hematopoiesis Retroperitoneal fibrosis Abdominal aorta thrombosed aneurysm 2 / 2 Which of the following is a false statement regarding retroperitoneal fibrosis? Which of the following is a false statement regarding retroperitoneal fibrosis? It causes medial deviation of the middle third of the ureters. It develops around the renal hila and spreads downwards where it can envelop the aortic bifurcation. On MRI, the soft tissue mass is usually dark on T1W and T2W unless there is an active inflammation whereby the T2W images can be hyperintense. Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 2 Case of the Week 4 September 2023 1 / 2 In this patient with head trauma the most likely diagnosis is Epidural hematoma Subdural hematoma Diffuse Axonal Injury Duret Hemorrhage 2 / 2 Features of DAI include all except The mechanism is commonly a shear injury The neurologic manifestations are disproportionate to the imaging findings Hemorrhages commonly involve the grey-white interface and corpus callosum CT is superior to MRI in evaluation Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 3 Case of the Week 28th August 2023 1 / 2 What is the diagnosis? Lacunar infarcts Prominent Virchow Robin space Carbon monoxide poisoning Neurogenic cyst 2 / 2 Which of the following is a false statement regarding carbon monoxide poisoning? Carbon monoxide poisoning may result in an anoxic-ischemic encephalopathy, with acute as well as delayed effects. Carbon monoxide strongly binds to hemoglobin and the resultant carboxyhemoglobin in the bloodstream can cause profound hypoxic/anoxic injury Treatment consists of administering 100% oxygen which accelerates the elimination of carboxyhemoglobin 9. CT is considered the most sensitive and specific imaging modality for diagnosis. Your score isThe average score is 17% LinkedIn Facebook VKontakte 0% Restart quiz 0% 2 Case of the Week 7 August 2023 1 / 2 The most likely diagnosis in this patient with uncontrolled hypertension and headache is Multiple sclerosis Leukodystrophy PRES Cerebral infarct 2 / 2 All of the following are true about PRES except It can present with visual disturbance Risk factors include pre-eclampsia/eclampsia, renal failure and cytotoxic agents Treatment is supportive and involves correcting the underlying cause Prognosis is poor and the minority of patients recover Your score isThe average score is 25% LinkedIn Facebook VKontakte 0% Restart quiz 0% 3 Case of the Week 31 July 2023 1 / 2 What is the finding seen in given images? portal vein thrombosis superior mesenteric vein thrombosis inferior mesenteric vein thrombosis left gonadal vein thrombosis 2 / 2 What is the pathology usually associated with this finding? appendicitis diverticulitis epiploic appendagitis gastritis Your score isThe average score is 33% LinkedIn Facebook VKontakte 0% Restart quiz 0% 1 Case of the Week 24 July 2023 1 / 2 The most likely diagnosis on this noncontrast head CT is Brainstem glioma CP angle meningioma Vertebral artery aneurysm AV malformation 2 / 2 Vertebral artery aneurysm can present with Subarachnoid hemorrhage Medullary compression Cranial neuropathy All of the above Your score isThe average score is 50% LinkedIn Facebook VKontakte 0% Restart quiz 0% 0 Case of the Week 17 July 2023 1 / 2 The type of hernia demonstrated is a/an Inguinal hernia Femoral hernia Obturator hernia Ventral hernia 2 / 2 CT features of an incarcerated hernia typically include all except Dilated bowel with transition at the hernia neck Mesenteric vascular congestion in the hernia Fluid in the hernia sac Retroperitoneal hemorrhage Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 1 Case of the Week 10 July 2023 1 / 2 The most likely diagnosis in this patient with right lower quadrant pain is Appendicitis Transverse colon diverticulitis Meckel’s diverticulitis Salpingitis 2 / 2 The most common location for diverticulitis is Ascending colon Transverse colon Descending colon Sigmoid colon Your score isThe average score is 50% LinkedIn Facebook VKontakte 0% Restart quiz 0% 0 Case of the Week 3 July 2023 1 / 2 The pattern of hemorrhages seen in the head CT indicate a mechanism of Shear injury Venous infarct Ruptured aneurysm Cerebral amyloidosis 2 / 2 All of these statements are true about Diffuse Axonal Injury except It is caused by shear forces (sudden deceleration injury) The pattern consists of multiple small hemorrhages at the grey white interface, corpus callosum and brainstem Post-traumatic coma may last a considerable time CT is more sensitive than MRI Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 0 Case of the Week 26 June 2023 1 / 2 What are the findings in the above image? Hemothorax Mediastinal shift to the left Small focus of active hemorrhage in the intercostal region All of the above. 2 / 2 What are the complication of hemothorax Hypotension/shock Empyema Chronic fibrothorax All of the above. Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 0 Case of the Week 19 June 2023 1 / 2 What are the CT findings seen in this unresponsive patient, post cardiac arrest? Diffuse sulcal effacement Loss of grey-white differentiation Pseudosubarachnoid hemorrhage All of the above. 2 / 2 What is the diagnosis? Hypoxic ischemic encephalopathy Posterior Reversible Encephalopathy Syndrome (PRES) Creutzfeldt Jakob Disease Status Epilepticus Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 1 Case of the Week 12 June 2023 1 / 2 What is the diagnosis on this contrast CT image of the abdomen and pelvis? Rectus Sheath Hematoma with active contrast extravasation Desmoid Tumor of abdominal wall Spindle cell tumor Cesarean scar Endometriosis. 2 / 2 Rectus sheath hematoma develops due to which of the following causes? Tearing of fibres of the rectus abdominis muscle Direct blunt abdominal trauma. Rupture of epigastric arteries All of the above. Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 0 Case of the Week 5 June 2023 1 / 2 What is the diagnosis? Gallbladder mucocele Liver abscess Emphysematous cholecystitis Acute acalculous cholecystitis 2 / 2 Which of the following is a false statement regarding emphysematous cholecystitis? Vascular compromise of the cystic artery is thought to play a significant role in causing emphysematous cholecystitis. Women are affected twice as commonly as men. It is a surgical emergency and treatment is emergent surgical intervention. CT is considered the most sensitive and specific imaging modality for identifying gas within the gallbladder lumen or wall. Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 0 Case of the Week 29 May 2023 1 / 2 What is the diagnosis? Sinding-Larsen-Johansson disease Osgood-Schlatter disease Jumper’s knee Infrapatellar bursitis 2 / 2 Which of these is not an MRI finding of Osgood-Schlatter disease? Thickening and edema of the distal patellar tendon Bone marrow edema at the tibial tuberosity Prepatellar bursitis Deep infrapatellar bursitis Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 0 Case of the Week 22 May 2023 1 / 2 What is the finding seen in the given CT images Pancreatic pseudocyst Gastric outlet obstruction with pneumatosis of gastric wall Toxic megacolon with pneumatosis coli Bezoar 2 / 2 Causes of gastric wall pneumatosis may include Ingestion of corrosives Gastric outlet obstruction Gastric volvulus All of the above Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 0 Case of the Week 15 May 2023 1 / 2 The maxillofacial CT scan demonstrates Orbital floor blowout fracture Lamina papyracea blowout fracture Tripod fracture Hemosinus 2 / 2 Complications of this injury may include Extraocular muscle entrapment Enopthalmos Hypoglobus All of the above Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 1 Case of the Week 8 May 2023 1 / 2 In the above given frontal and lateral wrist radiograph, identify the fracture Normal radiograph. No fracture identified. Torus fracture involving distal radial metaphysis. Greenstick fracture involving the distal radial metaphysis. Salter Harris type V involving the distal radial epiphysis. 2 / 2 Which among the following is true regarding above depicted fracture. Also known as buckle fractures, are incomplete fractures of shaft of long bones better characterized by bulging of the cortex. They result from trabecular compression due to an axial loading forces along the long axis of the bone. Usually seen in children, frequently involving the distal radial metaphysis. All of the above Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 0 Case of the Week 24 April 2023 1 / 2 What is the complete diagnosis? Occlusion of the right common carotid artery Occlusion of the right internal carotid artery Occlusion of the right vertebral artery Segmental occlusion of both vertebral arteries 2 / 2 Which of these is false about the vertebral artery? PICA is a paired artery originating from V4 segment of the vertebral artery Most common cause of vertebral artery thrombosis is vertebral artery dissection Vertebral artery dissection is encountered in older patients than internal carotid artery dissection Rotational vertebral artery occlusion syndrome (bow hunter’s syndrome) is a rare form of vertebrobasilar insufficiency secondary to dynamic compression of the usually dominant vertebral artery. Your score isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 0% 1 Case of the Week 17 April 2023 1 / 2 What is the diagnosis? Non-ketotic hyperglycaemic hemichorea (NHH)/ hemichorea – hemiballismus syndrome Hypertensive hemorrhages Basal ganglia calcifications Tuberous sclerosis. 2 / 2 Which of these is false about non-ketotic hyperglycaemic hemichorea Non-ketotic hyperglycaemic hemichorea is always bilateral CT brain initially is normal, but later can demonstrate hyperdensity in the Caudate nuclei and Putamen. MRI brain is the diagnostic modality of choice Findings tend to be contralateral to the body side affected by hemiballistic, hemichoreic movements. Symptoms and imaging findings resolve upon normalization of glucose levels. Your score isThe average score is 100% LinkedIn Facebook VKontakte 0% Restart quiz 0% 2 Case of the Week 10 April 2023 1 / 2 What is the diagnosis? Pneumatosis intestinalis Emphysematous cholecystitis. Hepatic abscess. Pneumatosis coli. 2 / 2 What is the major complication leading to a high mortality rate? Pancreatitis Pericholecystic abscess. Perforation Cystic duct obstruction Your score isThe average score is 50% LinkedIn Facebook VKontakte 0% Restart quiz 0% 2 Case of the Week 03 April 2023 1 / 2 What is the diagnosis? Aspiration pneumonia Aspiration pneumonia secondary to esophageal dilatation esophageal dilatation secondary to neoplasm at the GE junction and aspiration pneumonia Impacted food bolus at the gastroesophageal junction with esophageal obstruction and aspiration pneumonia 2 / 2 Which of these is FALSE about impacted food bolus? Cannot be identified at all on plain radiograph Depending on the ingested content, the bolus may be visible on plain radiograph. CT helps in identifying the site of impaction and complications Treatment less invasive than endoscopy includes effervescent crystals, carbonated drinks, glucagon and muscle relaxant. Your score isThe average score is 75% LinkedIn Facebook VKontakte 0% Restart quiz
