Imaging of Endocrinology Flashcards

(46 cards)

1
Q

What imaging technique is best to view the pituitary gland

A

MRI

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2
Q

What plane is best to view the pituitary on CT

A

Axial

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3
Q

What structure does the pituitary gland sit in

A

The sella turcica

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4
Q

What connects the brain and the pituitary gland

A

Pituitary stal

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5
Q

What lies immediately posterior to the pituitary

A

The optic chiasm

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6
Q

What is found lateral to the pituitary gland

A

Carotid arteries

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7
Q

The pituitary gland is inferior to what structure

A

Hypothalamus

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8
Q

What is sometimes describes as a snowman on MRI

A

Pituitary macroadenoma

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9
Q

What is the most common problem affecting the pituitary gland

A

micro-adenoma

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10
Q

What do micro-adenomas do to the pituitary

A

Alter the endocrine function but do not cause compression symptoms
e.g. high prolactin

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11
Q

Why do thyroid images not always require IV contrast

A

They still return a relatively high attenuation compared to other structures

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12
Q

The thyroid gland is superficial to the strap muscles. True or false ?

A

False it is deep to them

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13
Q

What structures appear larger on CT, internal jugular veins or common carotid arteries

A

Internal jugular veins

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14
Q

What structures are at risk in thyroid surgery

A

Parathyroid glands and

Recurrent laryngeal nerves

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15
Q

What does the Right recurrent larygenal nerve swoop round

A

The right subclavian artery

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16
Q

What does the Left recurrent larygenal nerve swoop round

A

The aortic arch

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17
Q

If the patient has been diagnosed with something, is there any point in imaging?

A

Yes - to establish the origin of the problem - whether it is diffuse or focal

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18
Q

What are some Diffuse causes of hypothyroidism

A

Grave’s

Thyroiditis

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19
Q

What are some focal causes of hypothyroidism

A

Dominant nodule

20
Q

What scans are performed to differentiate between diffuse and focal

A

Ultrasound and Radioisotope studies

21
Q

What type of structures are adrenal glands

A

Retroperitoneal

22
Q

What are adrenal glands seen as in CT scans

A

Y shaped structures

23
Q

What imaging technique is best to view the adrenal glands

A

MRI in axial or coronal planes

24
Q

What are the two limbs of the adrenal glands

A

Medial and lateral

25
The right adrenal lies posterior to what structure
IVC
26
Adrenal metastasis are most commonly seen in what type of cancer
Lung
27
If there is fat present in a CT scan of an adrenal gland, what is this highly suggestive of ?
Adenoma
28
What is the diaphysis of a bone
Shaft
29
What is the metaphysis of a bone
Changing part of the bone (flared part)
30
What is the epiphysis of a bone
Cartilaginous part that sits on top of the bone
31
Describe the cortex of bone
densely packed bone
32
Describe the medulla of bone
Cylindrical central part of the bone
33
Describe the trabeculae of bone
Thin white lines that make up the normal pattern of bone
34
What is poorly seen in MRI scans
Trabeculae and medullary bone
35
What do we not see very well on radiographs unless it is diseased
Periosteum
36
What do osteoblasts replace the cartilage with
Osteoid
37
What do asteroids mineralise to form
Bony trabeculae
38
Where do cartilaginous bones ossify (primarily and then secondarily)
Primarily - diaphysis | Secondarily - epiphysis
39
What are some common diffuse bone abnormality
Osteoporosis Rickets Pagets fibrous displasia
40
What is osteoporosis
Brielle bones that are prone to fracture due to a reduction in trabecular density
41
What is a pathological fracture
Normal force through an abnormal bone
42
What are some secondary causes of osteoporosis
Steroids Early menopause Anorexia
43
What conditions result in soft bones
Rickets Osteomalacia Paget's disease
44
What causes Rickets
Vitamin D deficiency
45
How do patients normally present with Rickets
Bowed legs and at the age of starting to walk
46
What causes Paget's disease
Increased bone turnover with unknown cause / origin