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Differential diagnosis > Ultrasound > Flashcards

Flashcards in Ultrasound Deck (26):
1

An enlarged ovary

1. Ovarian torsion
2. Ovarian neoplasm
3. Pelvic inflammatory disease/Tubo-ovarian abscess
Additional diagnostic considerations:
1. Haemorrhagic cyst

2

An enlarged ovary with multiple peripheral follicles

1. Ovarian torsion
2. Polycystic ovarian syndrome (Stein Leventhal syndrome)
3. Ovarian hyperstimulation syndrome
Additional diagnostic considerations:

3

A hyperchoic liver mass

1. Haemangioma
2. Focal fatty infiltration
3. Hepatocellular carcinoma
Additional diagnostic considerations:
1. Metastatic disease
2. Focal nodular hyperplasia
3. Hepatic adenoma

4

A complex extra-testicular fluid collection

1. Varicocele
2. Haematocele
3. Pyocele
Additional diagnostic considerations:

5

A hyperechoic renal mass

1. Angiomyolipoma
2. Renal cell carcinoma
3. Complex cyst
Additional diagnostic considerations:

6

A complex cystic adnexal mass with positive HCG

1. Ectopic pregnancy
2. Corpus luteal cyst
3. Haemorrhagic cyst
Additional diagnostic considerations:

7

A heterogeneous uterus

1. Diffuse leiomyomas
2. Adenomyosis
3. Endometrial carcinoma
Additional diagnostic considerations:

8

A thickened endometrial stripe

1. Endometrial hyperplasia
2. Endometrial polyps
3. Endometrial carcinoma
Additional diagnostic considerations:
1. Submucosal fibroids
2. Retained products of conception
3. Gestational trophoblastic disease

9

A uterine anomaly

1. Bicornuate uterus
2. Didelphus uterus
3. Septated uterus
Additional diagnostic considerations:
1. Arcuste uterus

10

A starry sky liver

1. Acute hepatitis
2. Hepatic congestion
3. Infiltrating neoplasm (HCC & diffuse metastatic disease)
Additional diagnostic considerations:
1. Toxic shock syndrome
2. Biliary or portal venous gas

11

Target lesions in the liver

1. Hepatocellular carcinoma
2. Metastatic disease
3. Lymphoma
Additional diagnostic considerations:
1. Hepatic abscesses
2. Hepatic pseudotumour from focal fatty sparing

12

Portal vein thrombosis

1. Tumour thrombus (primary or metastatic disease)
2. Hepatic cirrhosis with portal hypertension
3. Periportal infection/inflammation (pancreatitis)
Additional diagnostic considerations:
1. Hypercoagulable conditions
2. Trauatic/iatrogenic

13

A cystic adnexal mass with negative HCG

1. Ovarian neoplasm
2. Haemorrhagic cyst
3. Tubo-ovarian abscess
Additional diagnostic considerations:
1. Endometrioma

14

Multiple hypoechoic liver masses

1. Neoplasm (multifocal HCC & metastatic disease & lymphoma)
2. Multifocal abscesses
3. Candidiasis
Additional diagnostic considerations:
1. Haematoma
2. Diffuse fatty infiltration with focal fatty sparing

15

A hypoechoic renal mass

1. Simple or complex renal cyst
2. Lymphoma
3. Renal abscess
Additional diagnostic considerations:
1. Renal cell carcinoma
2. Metastatic disease

16

An hyperechoic foci in gall bladder wall

1. Porcelain gall bladder
2. Emphysematous cholecystitis
3. Adenomyomatosis
Additional diagnostic considerations:

17

An enlarged painful testicle

1. Testicular torsion
2. Epididymo-orchitis
3. Testicular haematoma/fracture
Additional diagnostic considerations:

18

Diffuse gallbladder wall thickening

1. Acute cholecystitis
2. Gallbladder wall oedema (CHF)
3. Secondary inflammation (HIV & hepatitis)
Additional diagnostic considerations:

19

Focal gallbladder wall thickening

1. Gallbladder carcinoma
2. Gall bladder polyp
3. Adenomyomatosis
Additional diagnostic considerations:

20

A right lower quadrant mass in a child

1. Appendicitis
2. Intussusception
3. Enteric duplication cyst
Additional diagnostic considerations:
1. Adnexal mass in a female
2. Meckel diverticulum
3. Mesenteric adenitis

21

A thyroid mass

1. Benign thyroid nodule
2. Thyroid carcinoma
3. Parathyroid adenoma
Additional diagnostic considerations:
1. Thyroglossal duct cyst

22

Multiple splenic hypoechoic foci

1. Fungal abscess (candidiasis)
2. Diffuse lymphoma
3. Granulomatous disease
Additional diagnostic considerations:
1. Metastatic disease

23

Periventricular cysts

1. Periventricular leukomalacia
2. Subependymal cysts
3. Infection (TORCH & parasitic)
Additional diagnostic considerations:
1. Choroid plexus cysts
2. Porencephaly

24

Periventricular hyperechoic foci

1. Germinal matrix haemorrhage
2. Intraventricular/intraparenchymal haemorrhage
3. Early periventricular leukomalacia
Additional diagnostic considerations:
1. Hypoxic-ischaemic brain injury
2. CNS infection

25

Common bile duct dilatation

1. Cholecocholithiasis
2. Malignancy (pancreatic adenocarcinoma & cholangiocarcinoma)
3. Chronic pancreatitis
Additional diagnostic considerations:
1. Cholangitis
2. Choledochal anomaly

26

An enlarged painless testicle

1. Testicular neoplasm
2. Lymphoma/leukaemia
3. Testicular cysts
Additional diagnostic considerations: