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28 Cards in this Set
- Front
- Back
saw tooth
stack of coins appearance small bowell wall thickening |
edema
hematoma crohn's radiation |
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Distal Stricture
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Peptic Stricture
Lower Esophageal Ring Barrett's |
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Muucosal Esophageal Lesions
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Squamous Papilloma
Adenoma Glycogenic Acanthosis |
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Intramural Esophageal Lesions
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Fibrovascular Polyp
Leiomyoma Granular Cell Tumor Duplication Cyst Idiopathic Varix |
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Bull's Eye Lesions
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Carcinoid
Mets Kaposis Lymphoma Adenocarcinoma Ectopic Pancreas |
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Low-attenuation abdominal lymphadenopathy differential diagnosis.
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Whipple’s disease, mycobacterial infection cavitary mesenteric lymph node syndrome, l
ymphoma, necrotic metastases, germ cell tumors. |
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DDX Hemangioma
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Peripheral Intrahepatic Cholangiocarcinoma
Mets |
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RUQ cystic mass
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Hepatic cyst
Echinococcus cyst Bronchogenic cyst Lymphangioma Diaphragmatic mesothelial cyst |
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differential for a cystic pancreatic mass
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serous cystadenoma, mucinous cystadenoma, intraductal papillary mucinous neoplasm (IPMN)
pancreatic pseudocysts |
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DDX hypervascular lesion in the pancreas
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islet cell tumor
solid and papillary epithelial neoplasm metastatic disease from melanoma, breast carcinoma, renal cell carcinoma, and bronchogenic carcinoma. A potential pitfall could also be a splenic artery pseudoaneurysm |
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DDX calcific areas of high attenuation in the abdomen include
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dropped gallstones, dropped appendicolith, calcified epiploic appendagitis, dropped surgical clips, and calcified mesenteric lymph nodes.
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DDX adult intususceptions
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Polyp,
leiomyoma, lipoma, adenocarcinoma, metastasis, lymphoma may all cause adult intussusception |
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DDX Gallbladder wall thickening
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Classic (acalculous or calculous) cholecystitis
Nonbiliary causes of gallbladder wall thickening include cardiac and renal failure, hepatitis, hypoalbuminemia, pancreatitis, and interleukin-2 treatment |
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focal liver lesions that contain fat
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(lipoma, myelolipoma, xanthoma, hepatic adrenal rest tumor) or rarely contain macroscopically visible fat (adenoma)
hemangiomas never contain fat |
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Benign fat-containing lesions include .
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focal or geographic fatty change (steatosis), pseudolesions due to postoperative packing material (omentum), adenoma, focal nodular hyperplasia, lipoma, angiomyolipoma, teratoma, hepatic adrenal rest tumor, pseudolipoma of Glisson's capsule, and xanthomatous lesions in Langerhans' cell histiocytosis
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Malignant liver lesions that can contain fat include
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hepatocellular carcinoma
primary or metastatic liposarcoma |
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differential diagnosis for bulky gastric tumors
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gastric lymphoma,
sarcomatous invasion of the stomach, gastric carcinoma submucosal lipoma |
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differential diagnosis for gastric GISTs
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includes other mesenchymal neoplasms, such as true leiomyomas, leiomyosarcomas, schwannomas, neurofibromas, and neuroendocrine neoplasms (solitary gastric carcinoids). Because all of these neoplasms arise in the gastric wall, their imaging features may be similar to those of GISTs
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Most cases of primary hyperparathyroidism are due
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solitary parathyroid adenoma
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ddx entities causing the colon cutoff sign
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acute pancreatitis, entities that can cause focal colonic narrowing at the splenic flexure include pancreatic and gastric carcinoma, splenic artery hemorrhage, abdominal aortic aneurysm rupture, and postpancreatic stricture.
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DDX Meckel's Diverticulum
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Appendicitis, colonic diverticula, acute mesenteric lymphadenitis (clinical differential)
Small intestinal diverticulum Communicating enteric duplication Pseudosacculations (Crohn’s disease) |
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differential diagnostic considerations for groove pancreatitis include
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focal pancreatic adenocarcinoma, focal acute pancreatitis, and true cysts of the duodenal wall.
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DDX Incidental adrenal mass
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adenomas account for 50%–80% of such masses, with metastatic disease, pheochromocytomas, adrenal cortical carcinomas, and myelolipomas also not uncommonly observed
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DDX Obstructive Jaundice
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Cholangiocarcinoma
Cholelithiasis Ascending cholangitis Biliary stricture Primary sclerosing cholangitis |
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DDX retroperitoneal mass
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retroperitoneal mass include lymphoma, paraganglioma, metastatic disease, sarcoma, and pancreatic masses such as adenocarcinoma. Other less common considerations can include infectious or inflammatory lymphadenopathy, nerve sheath tumors (schwannomas and neurofibromas), malignant fibrohistiocytoma, extramedullary hematopoiesis, and chordoma.
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DDX Omental Infarction
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Hemangioma
Omental infarction Omental carcinomatosis Sclerosing mesenteritis (desmoid) Carcinoid (metastatic to lymph node) |
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DDX lesion in the region of the pancreatic head with fluid and/or gas
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pancreatic cystic lesions, such as pseudocysts and mucinous cystadenomas,
perforated duodenal ulcer duodenal diverticulum. |
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DDX Bilateral adrenal gland enlargement
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adrenal hyperplasia,
adrenal hemorrhage, adrenal adenomas, adrenal lymphoma, metastases, granulomatous disease. |