Radio L.1 Flashcards
(30 cards)
What is the most important point to be considered during during imaging modality?
Patient history
During plan radiograph, calcification could be seen showing multiple tooth-like structures. What is the diagnosis?
Ovarian dermoid
When you see calcification on plain radiograph. What should you think of?
1) uterine fibroid
2) ovarian dermoid
3) ovarian carcinoma
4) tuberculosis pyosalpinx
A 36 year old Indian female with infertility presents with pulmonary symptoms. What would you suspect?
Pulmonary TB
Patient presented with abdominal mass and ovarian carcinoma. What could be the cause?
Ovarian carcinoma
Pleural effusion: case of ovarian carcinoma
What is the best way to diagnose fibroid?
Ultrasound
Usually you don’t need to but if too big or aren’t sure of the diagnosis —> use MRI
On transvaginal untrasound you find multiple cysts in ovary. What could be your differential diagnosis
Congregated ovarian cysts
Polycystic ovarian syndrome
- This is not enough to diagnose PCOS.
Types of ovarian cysts:
1) simple cysts
2) congregated ovarian cysts
3) PCOS
What is the first step in order to diagnose PCOS?
A. Ultrasound
B. Biochemical
C. Clinical presentation
D. MRI
C
A woman comes to you complaining if her inability to get pregnant after trying for years. You want to assess for infertiliity and to demonstrate the normal patency of her fallopian tubes. What would diagnostic procedure would you use?
Hysterosalpingography
A woman comes to you complaining of recurrent abortions. You would like a diagnostic procedure that would demonstrate any congenital anomalies of the uterine cavity. What would you do?
Hysterosalpingography
What would a Hysterosalpingography demonstrate in a patient?
1) Shape of uterus —> recurrent abortions
2) patency of fallopian tubes —> infertility
What are the contraindications of hysterosalpingography?
1) pregnancy
2) sensitivity to contrast media
3) the week prior and the week after menstruation
4) Acute pelvic sepsis
5) Recent dilatation and curattege
Why can’t we see the ovaries during HSG?
Because the contrast media is injected into the uterine cavity and the ovaries are not directly connected to the uterine cavity
My words: I think it means that the ovaries are connect to the uterine cavity through the fallopian tubes, so “not directly” and that’s why the media would reach the tubes first and the ovaries won’t get it.
During hysterosalpingography, the left hydrosalphinx is very dilated. What would you expect the fertility status of this patient?
This patient can’t get pregnant because the ovum won’t be able to move
What diagnostic exam would you use for staging of malignant gynecological tumors?
CT scan
(Not for ovaries or uterus)
What is the first investigation for ovarian mass?
Ultrasound
FYI
investigation of choice for staging of ovarian mass= CT
What is the best investigation for congenital anomalies of the uterus?
MRI
On an MRI of the uterus, you find that at its junctional zone there is diffuse or focal thickness, what most likely os the diagnosis?
Adenomyosis
What imaging would we use for local staging of malignant conditions?
MRI
IMPO!
Focal staging —> MRI
Complete staging —> CT
What is the gold standard for adenomyosis?
MRI
An MRI of a 52 year old woman shows an enlarged uterus with multiple hyperintense foci in the myometrium. What could this be?
Hyperintense =appears bright = blood
Multiple hyperintense foci= hemorrhage in myometrium
Enlarged uterus = think adenomyosis
Answer= adenomyosis
What imaging is the best choice for visualizing testicles?
Ultrasound.
MRI looks better but it takes time. We need to rule out testicular torsion within 30min. So US is best
