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Archives
of Quizzes: Contents of Volume 8
The
Archives of volumes 1-8 - ie till Dec 2006, are available as a CD. The CD contains
around 360 quizzes that were put up on the REF site in the years 1999-2006. For
details on purchasing the CD, click
here.
Section
Editors :
Abdominal
| Question |
Answer |
A 42 year old man presented
with left lower abdominal pain. A CT scan was performed.
| Colo-Vesical
Fistula due to Diverticulitis |
A 53-years old man presented with abdominal pain. An ultrasound showed an epigastric
mass.A CT scan was performed.
|
GIST - Gastrointestinal Stromal Tumor |
A 19-year old body presented with severe pain in the abdomen. USG done a week
before had shown biliary dilatation. An MRCP was performed.
|
Ascariaris - Round-Worms in the Jejunum and Right Posterior Hepatic Duct |
|
The following are the USG and CT images of an otherwise asymptomatic 46-year old
man with icterus |
Biliary Cystadenoma | |
A 47-year old lady presented with acute right upper quadrant abdominal pain
|
Segmental Omental Infarction |
A 53-year old lady presented with chronic abdominal pain and fever
|
Inflammatory Bowel Disease with Systemic Thrombo-Embolism (IVC Thrombosis and
Pulmonary Thrombo-Embolism) |
A 70-year old lady presented with abdominal pain, distension and weight loss.
|
IVC Leiomyosarcoma |
A 32-years old man with a history of procto-colectomy for familial adenomatous
polyposis, came with the following CT appearance on post-operative scanning.
|
Mesenteric Fibromatosis | |
A
52-year-old lady presented with left lower quadrant pain. A USG was performed.
|
A 52-year-old lady presented with left lower quadrant pain. A USG was performed.
|
Cardiac
| Question |
Answer |
|
A 45-year old man had giant inverted T waves on a routine ECG during a health
check-up. A cardiac MRI was performed |
Apical
Hypertrophic Cardiomyopathy | |
A 66-years old man had been earlier operated for mitral and aortic valve replacements
with a CABG as well. He came with chest pain and a cardiac CT was performed .
|
Left Atrial Appendage Thrombus | |
A 32-year old lady presented with evidence of pulmonary hypertension, on the echocardiogram.
A CT was performed to rule out pulmonary thrombo-embolism.
|
Sinus Venosus ASD Anomalous Return of the Right Superior Pulmonary Vein into the
SVC Pulmonary Hypertension | |
A
52-year old man came for a cardiac CT. He had a history of CABG done 2 years ago.
| Cohn
H type LIMA-LAD graft | |
A 56-years old man came for a cardiac CT .
|
Malignant Lt Main - Lt Main Arising from Rt Coronary Sinus, with an Inter-Arterial
Course |
A 62-year-old man with a prior history of a bypass surgery came with angina. A
cardiac CT was performed
|
Left Subclavian Artery Stenosis Proximal to the Origin of the LIMA-LAD |
Chest
| Question |
Answer |
|
An adult female presented with the chief complaints of fever and cough. A contrast
enhanced CT scan of the thorax was performed
|
Scimitar Syndrome .
| |
A 45-year old man presented with progressive dyspnea. A chest radiograph (Fig.
1) and a CT scan (Figs. 2-6) were performed
|
Silicosis / Coal-worker's Pneumoconiosis .
| |
A 50-year old man presented with dyspnea. An HRCT was performed
|
Alveolar Microlithiasis .
| |
This 65-year old lady eventually was proved to have a malignant neoplasm in the
right lower lobe |
Broncho-alveolar Carcinoma .
| |
This 22-year old patient came with fever and incessant cough. A plain radiograph
showed superior mediastinal widening and a CT scan was performed, along with a
virtual bronchoscopy study, because of the CT scan findings.
|
Broncho-Nodal Fistula
| |
This 66-year old lady had two radiographs, in May 2005 and July 2005. |
a. Malignant
b. Doubling Time .
| |
This 40-year old smoker, smoking 1 pack/day for 20 years, asymptomatic, came for
a screening lung CT scan.
|
Respiratory Bronchiolitis .
|
This 45-years old man came with progressive breathlessness.
|
Silicosis with Progressive Massive Fibrosis .
| |
This 7-year-old girl has a chest tube on the left for a month.
|
Broncho-Pleural Fistula Causing a Persistent Hydropneumothorax .
|
Head
& Neck
| Question |
Answer |
A 42-year
old lady presented with acute odynophagia and a stiff neck. A plain radiograph
(Fig. 1) was obtained, followed by an MRI (Figs. 2-4)
|
Acute Longus Colli Calcific Tendinitis | | A
52-year old man being treated for classic multiple myeloma, came with pain in
the right upper jaw and an oro-antral fistula. A CT was performed, with dental
CT reconstructions. |
Maxillary Osteonecrosis secondary to Bisphosphonate Therapy |
| A
23-years old lady came with proptosis. CT and MRI were performed. |
Cysticercosis of the Inferior Rectus | | A
11-year old came with left sided sensorineural hearing loss. |
Mondini Malformation | | A
63-year-old man came for a dental CT of the upper jaw for pre-implant evaluation.
|
Sinus Lift Procedure |
Musculoskeletal
| Question |
Answer |
A
30 year old woman comes with a 2-days history of trauma and inability to move
the shoulder. Plain radiographs were obtained. |
Subcoracoid
Anterior Glenohumeral Dislocation | | A
54 year old male presented with gradually increasing swelling of right arm. Plain
radiographs (Fig. 1) and an axial CT scan (Figs. 2, 3) of the right arm were obtained.
|
Parosteal Osteosarcoma | | A
45 year old lady presented with a mass in the forearm. Plain radiographs and a
CT scan were performed. |
Parosteal Lipoma | | A
19-year old boy presented with non-specific ankle pain. An MRI was performed. |
Non-Ossifying Fibroma / Fibrous Cortical Defect |
A 45-year old lady presented with pain in the right shoulder
|
Osteonecrosis Humerus | | A
52-year old man presented with backache. An MRI was performed, which showed a
lesion in S1. Two month later, the lesion had increased in size (Figs. 1-4). A
whole body STIR and a bone scan showed no other lesion. All other tumor markers
and a whole body PET were normal as well. A CT was also performed prior to a biopsy
(Figs. 5-7). |
Lymphoma | | A
50-year old man presented with acute pain and swelling in the upper calf after
climbing a flight of stairs vigorously. An MRI was performed. |
Tennis Leg
| | A
36-year old man had left shoulder pain. A plain radiograph was obtained. |
Synovial Osteochondromatosis | | A
14-year old girl presented with right knee pain. She had a past history of injury. |
Flip-Flop Tear of the Lateral Meniscus | | A
62-years old smoker, presented with bilateral leg pains for the last 1-2 weeks,
of acute onset, without history of trauma. |
Hypertrophic Osteoarthropathy | | A
23-year- old woman presented with a painful swelling in the upper arm. A USG (Figs.
1,2) was performed. | Cysticercus
Granuloma | | A
33-year- old man came with severe backache. |
a. Discogram
b. L4/5 Annular Tear causing a Postero-Central Herniation |
Neuro
| Question |
Answer |
| A
three and half year old male child presented with a recent onset of progressive
weakness of the right upper and lower limb. A plain MRI of the brain was performed
|
Leigh's Disease | | A
56-year old man presented with recurrent TIAs. A specialized MRI study was performed |
1. Carotid plaque study
2. Lipid core |
| A
2- 1/2 years old boy had a history of fever at the age of one year, followed by
progressive loss of milestones. |
Metachromatic Leukodystrophy | | A
39-years old lady presented with headache. MRI with MRV were performed. |
Occipital Sinus |
Pelvis
| Question |
Answer |
| A
32-years old man came with a discharging focus in the left perineal region.
| Gd
II Inter-Sphincteric Fistula with a Secondary Tract |
Vascular
& Interventional
| Question |
Answer |
| This
is a 46-year old man undergoing a CT-guided interventional procedure |
Lumbar Sympathectomy |
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