Revise Radiology Breast & OG

Question 1

MRI limitations in ovarian tumours

Answer 1

Less useful than CT to assess for metastatic disease

Question 2

Complication of large CPAM prenatally

Answer 2

Hydrops fetalis

Question 3

Bilateral, sharply marginated oval tumours preserving ovarian contours

Answer 3

Krukenberg tumours

Question 4

Ectopic pregnancy vs corpus luteum cyst

Answer 4

Both ring of fire
Ectopic: RI <0.4 or >0.7, thick echogenic ring, moves away from ovary

Question 5

Benign microcaclification

Answer 5

Stable for 2 years

Question 6

O-RADS 3

Answer 6

5-10cm
Homogenous low level internal echos
no solid components or doppler flow

Question 7

Thick membrane separating 2 gestational sacs

Answer 7

Dizygotic dichorionic diamniotic

Question 8

MRI contrast in pregnancy

Answer 8

Gd based contrast crosses the placenta membrane and circulates through amniotic fluid

Question 9

cervical cancer causing hydronephrosis

Answer 9

Suggests pelvic sidewall invasion, T3b

Question 10

T2 bright multilocular cystic mass in ovary, no solid components

Answer 10

Cystadenoma

Question 11

Mucinous vs serous cystadenoma of ovaries

Answer 11

Mucinous are larger and more often multiloculated with fewer papillary projections

Question 12

FDG positive result (adrenal)

Answer 12

Adrenal lesion > liver

Question 13

Chemical shift MRI for adrenal lesions

Answer 13

> 40% decrease suggests benign (adenoma)
<20% suggests malignancy

Question 14

Accoustic shadowing suggests (breast)

Answer 14

Malignancy

Question 15

O-RADS 2

Answer 15

<10cm
Smooth walls
No septations, solid components or doppler

Question 16

Pre-eclampsia causes

Answer 16

Small placenta

Question 17

duct extension vs echogenix psuedocapsule

Answer 17

duct extension is malignant and echogennic psuedo capsule is benign

Question 18

trans wiomen breast screening

Answer 18

transwomen on prolonged hrt have mammograms every three years

Question 19

Breas cancer commonly associated with pagets

Answer 19

DCIS

Question 20

homogogenously high t1 and t2 complex mass in ovar

Answer 20

endometriosis

Question 21

sbowstorm appearance

Answer 21

complete mole

Question 22

commoest cause of interuterine death

Answer 22

placental pathologies

Question 23

Gas in heart (sign)

Answer 23

roberts sign

Question 24

Spalding ign

Answer 24

overlapping cranial bones

Question 25

Ovarian cyst with distinct echogenic nodule

Answer 25

Mature cystic teratoma

Question 26

Large, solid high T2 mass with homogenous enhancement, causing precoucious puberty

Answer 26

Granulosa cell tumour

Question 27

Rim of enhancement on MRI breast

Answer 27

Suggests malignant lesion

Question 28

Cluster of grapes appearance, echogenic lesion with innumerable cystic spaces filling the uterine cavity

Answer 28

Invasive hydatiform mole

Question 29

Infiltrative heterogenous mass invading myometrium, post D&C for mole

Answer 29

Gestational choriocarcinoma

Question 30

Ipsilatetal supraclacivular nodal involvement in breast cancer stage

Answer 30

M1

Question 31

Complete hydatiform mole Rx

Answer 31

Endometrial suction curettage under US guidance

Question 32

well defined, oval, anechoic fluid filled structire adjacent to the uterus, incomplete septae

Answer 32

Hydrosalpinx

Question 33

Negative biopsy but suspicious imaging findings

Answer 33

Repeat biopsy

Question 34

Urethral diverticula associated with

Answer 34

Skene duct inflammation

Question 35

Septate vs bicornate uterus

Answer 35

Bicornate demonstrates clear fundal cleft

Question 36

Commonest appearane of unicornuate uterus

Answer 36

Single uterine horn with rudementary horn which may contain endometrial tissue