Radiology Live Unit 4

Question 1

Best sequence for assessing morphology of breast cancer

Answer 1

T2

Question 2

Submucosal fibroid appearance on HSG

Answer 2

Irregular filling defect with sharp angles

Question 3

Benign adenoma on unenhanced CT adrenal

Answer 3

HU <10

Question 4

Grouped amorphous calcifications on mammogram

Answer 4

Sus for DCIS, needs biopsy

Question 5

Medullary sponge kidney size

Answer 5

Normal

Question 6

Endometrioma vs complex ovarian cyst - useful MR sequence

Answer 6

T1 fat sat (high on endometrioma, variable on complex cyst)

Question 7

Complete duplex kidney

Answer 7

2 separate ureters entering the bladder

Question 8

MCDK reduction in kidney size

Answer 8

Often normal, continue US monitoring

Question 9

Duplex kidney, lower vs upper moiety

Answer 9

Lower is posteriomedial to upper

Question 10

Golf club appearance on HSG

Answer 10

Endometriosis

Question 11

MCDK contralateral kidney usual findings

Answer 11

Normal

Question 12

T2 dark spots in myometrium

Answer 12

Adenomyosis

Question 13

MRI sequence best to detect bladder cancer fat invasion

Answer 13

T1 fat sat post contrast

Question 14

Galactocele on US, next step

Answer 14

Mammo

Question 15

Visible renal pelvis and calyces on DMSA

Answer 15

Not normal, suggestive of obstruction or reflux

Question 16

Complex ovarian cyst vs endometrioma

Answer 16

Complex cysts have enhancing solid components

Question 17

Egg shell calcifications on mamogram

Answer 17

Oil cysts

Question 18

Reduce infectious complications of prostate biopsy

Answer 18

Rectal swab and culture to guide prophylactic Abx

Question 19

AMLs are not associated with

Answer 19

VHL

Question 20

Myometrial cysts (appearance on US and association)

Answer 20

Small anechoic areas in myometrium, specific for adenomyosis

Question 21

Cervical cancer stage with direct extension to adjacent pelvic organs

Answer 21

FIGO stage 4A

Question 22

Normal renal transplant RI

Answer 22

<0.7

Question 23

Commonest type of uterine fibroid degeneration during pregnancy

Answer 23

Red degeneration

Question 24

Most significant marker of renal artery aneurysm severity

Answer 24

Size >2cm

Question 25

Asymmetrical thickening of junctional zone

Answer 25

Adenomyosis

Question 26

TS, multiple AMLs, most appropriate follow up

Answer 26

Annual MRI

Question 27

Horseshoe kidney, most increased risk calculi

Answer 27

Struvite

Question 28

Symptomatic bartholin cyst Rx

Answer 28

Aspiration and sclerotherapy in >3cm

Question 29

Limitation for breast MRI in evaluating newly diagnosed Ca disease extent

Answer 29

Overestimation of tumour size

Question 30

Hypoechoic, irregular mass in cervix on TVUS

Answer 30

Sus for cervical cancer, perform colposcopy and biopsy

Question 31

HSG: Single uterine cavity with smooth concave indentation at the fundus measuring 7mm

Answer 31

Likely arcuate uterus, MRI recommended

Question 32

Macroscopic areas of fat on adrenal lesion

Answer 32

Suggest myelolipoma, reassure

Question 33

US shows complete hydatiform mole, next Ix to look for mets

Answer 33

CXR