| |  |
Archives
of Quizzes: Contents of Volume 1
The
Archives of volumes 1-7 - ie till Dec 2005, are available as a CD. The CD contains
around 313 quizzes that were put up on the REF site in the years 1999-2005. For
details on purchasing the CD, click
here. Section
Editors :
Abdominal
| Question |
Answer |
| | A
69 years old lady with recurrent severe abdominal pain for the last four months.
A barium study (Fig. 1) and CT images (Figs. 2,3) are available. |
|
| | Carcinoid
of the Small Bowel | |
| | A
2 ½ months old child presented with hepatomegaly. Ultrasound (Figs. 1, 2) and
CT (Figs. 3, 4) | |
| | Infantile
Hemangioendothelioma (IH) | |
| | A
26-years old patient came with a history of pain in the abdomen, abdominal distension
and vomiting for 3 days. A plain radiograph of the abdomen (Fig. 1) and a barium
examination were performed (Fig. 2). | |
| | Focal
jejunal pneumatosis (due to SMV thrombosis) | |
| | A
40-years old man presented with dysphagia. This is a transparent, color, volume
rendered image of the upper abdomen, simulating a common conventional radiologic
procedure. | |
| | Squamous
Cell Carcinoma of the Gastro-Esophageal Junction | |
| | A
20-years old man presented with sudden onset pain in the right iliac fossa. A
barium enema was performed. | |
| | Appendicular
Intussusception | |
| | A
young lady presented with episodic pain in the abdomen. She had a discharging
sinus in the anterior abdominal wall related to a previous surgery. While doing
a CT to evaluate intra-abdominal extension of the sinus, a finding was seen which
may have actually been the cause of her episodic upper abdominal pain (Fig. 1,
2) | |
| | Roundworm
in a Jejunal Loop | |
| | A
middle-aged man presented with acute abdomen. A plain radiograph and CT scans
were obtained. What is the complete diagnosis? | |
| | Spigelian
Hernia with Obstruction and Gangrene | |
| | A
22 years-old lady presented in an emergency with cramping pain in the abdomen,
vomiting and constipation. She had undergone lung transplantation in the past.
On examination, the abdomen was tender with guarding. A contrast enema with water-soluble
iodinated contrast (Figs. 1,2) and a CT (Figs. 3,4) were performed. |
|
| | Pancreatic
Atrophy and Fat Infiltration and Small-Bowel Obstruction due to Inspissated Mucus
in a patient with Cystic Fibrosis | |
| | A
45 years old man visited the hospital for mild left flank discomfort. CT and MR
were performed. A left renal lesion was seen. What is the most likely diagnostic
consideration? | |
|
| | A
55 years old man came with pain in the abdomen and low grade fever. CT (not available)
was performed and the patient was referred for a guided FNAC. MR (Figs 1-3) was
performed prior to the biopsy. | |
| | Retroperitoneal
Arterio-Venous Malformation | |
| | A
35-years old lady presented with dull aching in the right hypochondriac region.
Screening USG showed a hypoechoic mass in the right lobe of the liver. The patient
was subjected to MR for characterization of this mass. Pre-contrast T1W and T2W
images and dynamic multi-phase, post-contrast T1W images are provided. |
|
| | Focal
Nodular Hyperplasia | |
Chest
| Question |
Answer |
| | A
40-years old man presented with a history of dull aching right sided chest pain
for 15 days. There was a past history of pulmonary tuberculosis. His ECG and vital
parameters were within normal limits. His chest radiographs revealed a well-defined
nodular opacity with a differential density in the medial segment of the right
middle lobe (Figs. 1, 2). Subsequent investigations were performed to obtain the
diagnosis | |
| | Pulmonary
Arterio-Venous Malformation (PAVM) |
|
| | A
middle-aged woman presented with a 3-months history of left arm pain. No other
significant history was available. | |
| | Left
Apical Neuroma with Dextrocardia | |
| | A
25-years old man presented with low grade fever, cough and mild dyspnea on exertion
for three months. | |
| | Hypersensitivity
Pneumonitis | |
| | A
50 years old man presented with a history of hemoptysis. Chest radiographs are
available (Figs. 1, 2) | |
| | Apergilloma
(fungal ball) in a Tuberculous Cavity | |
| | A
12-years old girl presented with breathlessness and cough. Chest radiographs (Figs.
1,2) and ultrasound (Fig. 3) were obtained. | |
| | Terato-Dermoid
- Posterior Mediastinal | |
| | A
23 years old lady presented with cough and recurrent pneumonia. A CT was performed
(Figs. 1-3). | |
| | Broncho-esophageal
Fistula due to Tuberculosis | |
| | A
30-years old lady presented with repeated attacks of cough and fever over a period
of six months. A chest radiograph and CT were obtained. | |
|
| | A
5-years old girl presented with a swelling in the left lower chest wall and upper
abdominal wall. A chest radiograph was obtained (Fig. 1). | |
|
| | A
46-years old man had a history of recurrent episodes of dyspnea since childhood
and was being treated as an asthmatic. A chest radiograph was performed (Fig.
1). | | |
| | A
35-years old lady presented with pain in the chest. A chest radiograph (Fig. 1)
and CT (Figs. 2, 3) were obtained. What is the most likely diagnosis? |
| |
Head
& Neck
| Question |
Answer |
| | A
12 years old boy presented with a gradually increasing mass in the left cheek
(Fig. 1) | |
| | Mandibular
Osteochondroma | |
| | A
21-years old man presented with a swelling in the submandibular region. CT (Figs.
1, 2) and ultrasound (Fig. 3) were performed. | |
| | Sublingual
Space Epidermoid | |
| | A
23-years old man presented with pain and swelling in the right cheek. An OPG (Figs.
1, 2) and a CT (Figs. 3, 4) were obtained. | |
|
| | A
24 years old lady presented with pain in the left orbit with redness for a period
of 4 days. An ultrasound of the orbit was performed (Fig. 1). A lesion was found
in relation to the lateral rectus muscle. | |
| | Cysticercus
Granuloma of the Lateral Rectus Muscle | |
| | A
65-years old hypertensive lady, non-diabetic, presented with ataxia. MRI of the
brain showed a cerebellar infarct. In addition, another lesion was seen. |
| |
| | A
20-years old lady presented with a painful, hard swelling over the upper jaw that
had been present for 6 months. A CT scan was obtained. What is the most likely
diagnosis? | |
| | Infra-orbital
Nerve Schwannoma | |
| | A
5-years old girl presented with a swelling in the left lower chest wall and upper
abdominal wall. A chest radiograph was obtained (Fig. 1). | |
| | Giant
Cell Reparative Granuloma (GCRG) / Giant cell Tumor (GCT) | |
Musculoskeletal
| Question |
Answer |
| | A
1 year old child presented with sudden pain and swelling in the right knee. The
radiograph of the right knee was obtained in the AP and lateral view. |
|
| | Scurvy
with Subperiosteal Hemorrhage | |
| | A
6-years old boy presented with a history of swelling of the right ankle for six
months duration. | |
| | Tuberculous
Arthritis of the Ankle | |
| | A
36-years old man presented with with pain in the abdomen and puffiness of face.
Biochemical and clinical profiles revealed renal failure. A radiograph of the
chest (Fig. 1) and an ultrasound of the abdomen (Fig. 2) were performed as baseline
investigations. | | |
| | A
14 years old boy presented with pain in the left groin after his school sports
day. A radiograph of the pelvis was obtained (Fig. 1) | |
| | Avulsion
of the Ischial Tuberosity Apophysis | |
| | A
20-years old Muslim lady presented with chronic fatigue and backache. A spine
series and a pelvis with both hips were obtained. | |
| | Osteomalacia
due to Vitamin D Deficiency | |
| | A
37 years-old man presented with a history of pain along the plantar aspect of
the right foot since 2 years. There was no history of trauma or fever. On examination
there was severe tenderness along the plantar aspect of the calcaneum, posteromedially.
No local warmth or swelling was noted. The opposite foot was normal. An MR was
performed. | | |
Neuro
| Question |
Answer |
| | A
31-years old man presented with fever, altered sensorium, headache and one episode
of right focal convulsions | |
| | Cortical
Vein Thrombosis with Venous Infarct | |
| | A
three-months old boy presented with seizures. He was born of a non-consanguineous
marriage and was a full-term normal delivery. There was no history of birth asphyxia
or any perinatal insult. | |
| | Menke's
Kinky Hair Syndrome | |
| | An
eight-years old girl presented with gradual onset of paraparesis of 3 months duration.
MR of the dorso-lumbar spine was performed (Figs. 1, 2). | |
| | Hydatid
Cyst - Extradural | |
| | A
40 years old man presented with convulsions. CT and MR of the brain were performed
(Figs. 1-3). | | |
| | A
15-years old boy presented with sudden headache and double vision. An MR was performed. |
| |
| | A
six-years old boy, operated at birth for a myelomeningocele, presented with mental
retardation, ataxia and seizures refractory to medication and a neurogenic bladder.
An MR of the brain was performed. | |
| | Neuronal
Migrational Anomaly with Arnold-Chiari II Malformation | |
| | These
images belong to a 30-year old African-American male who was a chronic consumer
of alcohol and heroin and presented with increased fatigue, inordinate weight
gain (30-40 pounds in 5 months), increasing thirst, blurring of vision and increased
frequency of urination. | |
|
Pelvis
| Question |
Answer |
| | A
forty-two years old lady who had been seeing a gynecologist for chronic pelvic
pain and menorrhagia was referred for transvaginal ultrasound of the uterus and
adnexa. Subsequently an MR was also performed (Figs 1-3). | |
|
| | A
43-years old researcher presented with episodes of low abdominal pain lasting
for 3-4 hours along with a palpable pelvic mass. MR images are provided to make
a diagnosis. | | |
| 
|
|
