Case of the Week 14 Case of the Week 13 September 2021 1 / 2 On the axial and coronal noncontrast CT images provided the findings are indicative of Xanthogranulomatous pyelonephritis Emphysematous pyelonephritis Medullary sponge kidney Ureteropelvic junction obstruction 2 / 2 All of the following are true about this entity except It is more common in uncontrolled diabetics It is more common in male patients It is a necrotizing infection of the kidney Associated thrombocytopenia is associated with a poor prognosis Your score is The average score is 39% LinkedIn Facebook Twitter 0% Restart quiz Previous Week Cases 45 Case of the Week 6 September 2021 1 / 2 Findings that would suggest that the hemorrhage seen on this noncontrast CT image is neoplastic is/are Lesion at grey-white matter interface White matter hypodensity disproportionate to the size of the bleed Multiple lesions All of the above 2 / 2 Hemorrhagic cerebral metastases are most commonly from all except Melanoma Colonic neoplasms Thyroid papillary carcinoma Renal cell Carcinoma Your score is The average score is 51% LinkedIn Facebook Twitter 0% Restart quiz 53 Case of the Week 30 August 2021 1 / 2 The CT study demonstrates all the findings except Pneumothorax Pneumomediastinum Left pleural effusion Right pleural effusion 2 / 2 The syndrome depicted is Behcets syndrome Boerhaave Syndrome Budd Chiari Syndrome Brown Sequard Syndrome Your score is The average score is 72% LinkedIn Facebook Twitter 0% Restart quiz 50 Case of the Week 23 August 2021 1 / 2 The CT finding depicted is Blowout fracture Globe rupture Orbital emphysema All of the above 2 / 2 Findings of globe rupture include all except Change in globe contour Gas in the globe Optic nerve thickening Hazy globe outline Your score is The average score is 78% LinkedIn Facebook Twitter 0% Restart quiz 40 Case of the Week 16 August 2021 1 / 3 What is the location of the stone? Ureterovesical junction Ureteropelvic junction Free in the bladder Not a stone, its actually a phlebolith 2 / 3 This scan is done in Supine position Prone position Left lateral decubitus Right lateral decubitus 3 / 3 The physical phenomenon underlying this case is Pressure Gravity Momentum Inertia Your score is The average score is 60% LinkedIn Facebook Twitter 0% Restart quiz 40 Case of the Week 9 August 2021 1 / 2 The finding demonstrated on the CT images is Right renal mass Left adrenal hematoma Gastric outlet obstruction Splenic infarct 2 / 2 All the following are true except Trauma is a common cause When bilateral it is associated with significant mortality When unilateral it is commonly symptomatic Anticoagulation may predispose Your score is The average score is 61% LinkedIn Facebook Twitter 0% Restart quiz 54 Case of the Week 2 August 2021 1 / 2 The findings seen on this radiograph include all except Pneumomediastinum Pneumothorax Air within the deep spaces of the neck Air in the soft tissues of the supraclavicular fossa 2 / 2 Etiologies for these findings include all except Violent retching Attempted central line placement Corrosive ingestion Deep vein thrombosis Your score is The average score is 43% LinkedIn Facebook Twitter 0% Restart quiz 58 Case of the Week 26 July 2021 1 / 2 The diagnosis is Vertebral burst fracture Sacral fracture Manubriosternal dislocation Urinary bladder rupture 2 / 2 All of the following are true about this injury except It is a common injury seen in motor accidents It typically requires high force injury It is difficult to diagnose on a frontal radiograph It can be associated with life-threatening vascular injury Your score is The average score is 54% LinkedIn Facebook Twitter 0% Restart quiz 60 Case of the Week 19 July 2021 1 / 2 The sign (lipohydrohemarthrosis) demonstrated on this CT of the knee joint is also eponymously called (based on its resemblance to a French pastry) Perfect sign Parfait sign Prospect sign Prescott sign 2 / 2 The etiology of this finding is Patellar fracture Tibial plateau fracture Femoral condyle fracture Tibial spine fracture Your score is The average score is 66% LinkedIn Facebook Twitter 0% Restart quiz 106 Case of the Week 12 July 2021 1 / 2 The noncontrast CT in this patient who is post cardiac arrest (left image current, right image prior for comparison) shows all the following signs except: Effacement of sulci, ventricles and basal cisterns Loss of gray-white matter differentiation Pontine hemorrhage Pseudo Subarachnoid hemorrhage sign 2 / 2 The physiologic basis for these changes in the given setting includes Ruptured aneurysm resulting in Subarachnoid hemorrhage Hypoxic injury resulting in cerebral edema Vascular occlusion resulting in cerebral infarct Dehydration resulting in Dural sinus thrombosis Your score is The average score is 57% LinkedIn Facebook Twitter 0% Restart quiz 127 Case of the Week 5 July 2021 1 / 2 Which rare congenital anomaly is depicted in the images? Cystic hygroma Teratoma Occipital meningoencephalocele Occipital encephalocele 2 / 2 Common associated anomalies are all except- Arnold Chiari malformation Dandy Walker malformation Meckel Gruber syndrome Fahr’s syndrome Your score is The average score is 52% LinkedIn Facebook Twitter 0% Restart quiz 94 Case of the Week 28 June 2021 1 / 2 History: 13/y male with pain in right hip and walking difficulty.What is the diagnosis? Perthes disease Slipped capital femoral epiphysis Tuberculous arthritis Juvenile rheumatoid arthritis 2 / 2 What is the main role of MRI in assessment of disease? Early diagnosis Cartilaginous involvement Assessment of joint congruence and containment All of the above Your score is The average score is 77% LinkedIn Facebook Twitter 0% Restart quiz 119 Case of the Week 21 June 2021 1 / 2 The abscess is in the Sublingual space Submandibular space Tonsillar fossa Retropharyngeal space 2 / 2 When this kind of abscess is caused by dental infection, the term given to this entity is Frederik Angina Johann Angina Ludwig Angina Wolfgang Angina Your score is The average score is 66% LinkedIn Facebook Twitter 0% Restart quiz 111 Case of the Week 15 June 2021 1 / 2 This CT image shows all the following findings except Left renal laceration Left perinephric hematoma Vascular contrast extravasation Renal collecting system injury 2 / 2 Which of the following is true about renal trauma Penetrating trauma is more common than blunt trauma Most cases require surgical intervention Pre-existing renal anomalies do not increase the risk of renal injury Hematuria is a common finding Your score is The average score is 50% LinkedIn Facebook Twitter 0% Restart quiz 118 Case of the Week 7 June 2021 1 / 2 The thrombus is in the Left atrium Left ventricle Right atrium Right ventricle 2 / 2 Risk factors for this entity include Mitral valve disease Atrial fibrillation Clotting disorder All of the above Your score is The average score is 81% LinkedIn Facebook Twitter 0% Restart quiz 148 Case of the Week 1 June 2021 1 / 2 Radiologic signs of mesenteric ischemia visible on this image include all of the following except Small bowel wall thickening Mesenteric vascular gas Mesenteric hyperemia SMA occlusion 2 / 2 Of the following, the most specific sign of mesenteric ischemia is Fluid levels in the bowel Bowel wall thickening Pneumatosis of the bowel wall Free intraperitoneal air Your score is The average score is 58% LinkedIn Facebook Twitter 0% Restart quiz 141 Case of the Week 24 May 2021 1 / 2 In a young female with right pelvic pain the findings most likely represent Hydrosalpinx Appendicitis Ovarian torsion Diverticular abscess 2 / 2 The common organisms involved in PID are all except Chlamydia Gardnerella Neisseria Meningococcus Your score is The average score is 70% LinkedIn Facebook Twitter 0% Restart quiz 163 Case of the Week 17 May 2021 1 / 2 In this CT of the chest on a pedestrian struck by a car the findings include all except Aortic pseudoaneurysm Mediastinal hematoma Left hemothorax Pneumomediastinum 2 / 2 The diagnosis is Traumatic aortic rupture Tracheobronchial injury Tension pneumothorax Boerhaave Syndrome Your score is The average score is 63% LinkedIn Facebook Twitter 0% Restart quiz 165 Case of the Week 11 May 2021 1 / 2 On this sagittal reformatted CT of the knee in a patient with sudden onset of pain and inability to extend the knee, the likely diagnosis is Patellofemoral dislocation Patellar tendon rupture Tibial spine fracture Osgood Schlatter disease 2 / 2 The patellar abnormality is referred to as Patella Alta Patella Baja Chondromalacia patellae Nail patella syndrome Your score is The average score is 51% LinkedIn Facebook Twitter 0% Restart quiz 300 Case of the Week 3 May 2021 1 / 2 The positive finding in this 35 year old female with COVID-19 infection and left lower quadrant pain is Aortic thrombus IVC thrombus Left gonadal vein thrombus Left renal vein thrombus 2 / 2 The incidence of thrombotic events in patients with COVID-19 is reported to be in the range of approximately 2% 20% 40% 60% Your score is The average score is 52% LinkedIn Facebook Twitter 0% Restart quiz 246 Case of the Week 26 April 2021 1 / 2 The lesion is in the Left Frontal lobe Right temporal lobe Cerebellum Brainstem 2 / 2 The most likely diagnosis is Glioma Infarct Central pontine myelinolysis Sarcoid Your score is The average score is 76% LinkedIn Facebook Twitter 0% Restart quiz 239 Case of the Week 19 April 2021 1 / 2 What are the findings seen on the MRI brain images? Reduction in quantity of periventricular white matter Deep and prominent sulci closely abutting the ventricles without interposed white matter Irregular outline of the lateral ventricles and ventriculomegaly All of the above 2 / 2 What is the diagnosis? Periventricular nodular heterotopia Schizencephaly Periventricular leukomalacia Adrenoleukodystrophy Your score is The average score is 59% LinkedIn Facebook Twitter 0% Restart quiz 208 Case of the Week 12 April 2021 1 / 2 In a patient with bloody diarrhea, the CT findings include Colonic wall edema Pneumatosis coli Portal venous gas All of the above 2 / 2 The diagnosis is most likely Ulcerative colitis Ischemic colitis Amebic colitis None of the above Your score is The average score is 76% LinkedIn Facebook Twitter 0% Restart quiz 186 Case of the Week 05 April 2021 1 / 2 Based on the findings on the examination the most likely diagnosis is Ruptured abdominal aortic aneurysm Ruptured iliac artery aneurysm Aortic Dissection Penetrating aortic ulcer 2 / 2 The CT sign of impending rupture of an aneurysm is Hyperdense crescent sign Mural thrombus sign Displaced duodenum sign Contrast blush sign Your score is The average score is 39% LinkedIn Facebook Twitter 0% Restart quiz 304 Case of the Week 29 March 2021 1 / 3 Incidentally detected finding in an asymptomatic patient What is the diagnosis? PCOM aneurysm ACOM aneurysm Basilar tip aneurysm None of the above 2 / 3 What is the most common complication of the above finding? Subdural hematoma Subarachnoid hemorrhage Intraventricular hemorrhage None of the above 3 / 3 What is the most common symptom of a ruptured aneurysm? Intractable headache Cranial nerve palsies Seizures All of the above Your score is The average score is 42% LinkedIn Facebook Twitter 0% Restart quiz 230 Case of the Week 22 March 2021 1 / 2 What is the clinical diagnosis of the lesion with classic features in the pelvis? Endometriotic cyst Hemorrhagic cyst Pedunculated leiomyoma of the uterus Ovarian dermoid cyst 2 / 2 What are the radiological features to suggest malignant transformation? Size greater than 10 cm Presence of enhancing irregular soft tissue components /cauliflower excrescences Recent change in morphology of the lesion All of the above Your score is The average score is 81% LinkedIn Facebook Twitter 0% Restart quiz 225 Case of the Week 15 March 2021 1 / 2 In a patient presenting with sudden onset of abdominal pain, the findings above are most suggestive of a Sigmoid volvulus Cecal volvulus Gastric volvulus Intusussception 2 / 2 All of the following are correct except: Cecal volvulus accounts for approximately 50% of all intestinal volvulus Cecal volvulus generally occurs in somewhat younger patients than with a sigmoid volvulus In the absence of bowel wall ischemia, the treatment can be performed endoscopically If unrecognized and untreated, it can result in bowel perforation and fecal peritonitis Your score is The average score is 31% LinkedIn Facebook Twitter 0% Restart quiz 283 Case of the Week 8 March 2021 1 / 4 What are the findings in the above images? Intramural gas Dilated bowel loops Air fluid levels All of the above 2 / 4 Which is the most concerning etiology of pneumatosis intestinalis? Ischemia and infarction Inflammation Infection None of the above 3 / 4 What is the site of extraluminal air in image 3? Intraperitoneal free air Mesenteric venous gas Portal venous gas None of the above 4 / 4 Where is the location of gas in the bowel wall? Mucosa/serosa Submucosal and subserosal Muscular layer None of the above Your score is The average score is 70% LinkedIn Facebook Twitter 0% Restart quiz
