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48 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Megaesophagus
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Achalasia
Scleroderma Dilitation - tumor or stricture Chagas's dz Neuropathy (DM or EtOH) bulbar palsy |
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Esophageal contrast extrav
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Esophagitis
Tumor Mallory-Weiss Boerhaave's TE fistuka Bronchopulmonary foregut malformation |
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Esophageal solitary filling defect
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Leiomyoma (50%)
Pedunculated fibrovascular polyp (25%) Cysts, papilloma, fibroma, hamangioma SCC Adenomcarcinoma Lymphoma Mets Foreign Bodies Varices Extrinsic compression |
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Thickened esophageal folds
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Esophagitis (early)
Lyphoma Varicoid Carcinoma Varices |
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Esophageal air-fluid Level
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Hiatal Hernia
Esoph diverticulum Lesion cause motility disorder or stricture |
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Target (Bulls Eye) Lesion in stomach
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Ulcer
Aphtoid Ulcer Submucosal mets If very large, leiomymoma, sarcoma |
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Gastric Filling Defect
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Tumors
Endometriosis Carcinoid GIST Extramedullar hematopoesis ectopic pancreas polyps varices |
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Giant Rugal Folds
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Lymphoma
Menetrier's ZE Gastritis (pancreatitis) Bile reflux Eosinophilic gastritis |
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Linitis Plastica Differential
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TUMOR: Scirrhous Cancer
Lymphoma Mets (Breast most common) Pancreatic CA (direct inv) INF: Erosive Gastritis, Radiotherapy Infiltrative: Sarcoid, Amyloid, Intramural Ga hematoma INfection: TB, syphilis |
Tumor, Inflammation, Infiltrative, Infection
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Gastric Antral Lesions
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Tumor: Adeno CA, Lymphoma, Met
Inflam: Chrons,PUD, TB, Sarcoid Other: Pyloric stenosis, pylorospasm, antral web |
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Free Intraperitoneal Air
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Surgery
Perforated ulcer Cecal perf Pneumatosis coli Air through genital tract (F) Perf bowed |
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Duodenal Filling Defects - Neoplastic
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Benign (first portion):adenoma, leiomyoma, carcinoid, villous adenoma (malignant potential)
Malignant (distal): Adeno cA, MEts |
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duodenal bulb filling defects
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Ectopic gastric mucosa
prolapsed antral mucosa Brunner gland hyperplasia Varices |
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Distal duodenal filling defects
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Benign lymphoid hyperplasia
Ectopic panc Annular panc Papilla of Vater Tumor Edema Choledococele |
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Liklihood of malignancy of duodenal lesion based on location
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Bulb: 90% benign
4th portion: 90% malignant (In between is 50/50) |
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Causes of post bulbar narrowing
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Neoplastic: Adeno Ca, Mets, Lymphoma
Inf: Ulcer, Crohns, duodenitis, pancreatitis Other: Annular panc, intramural tic, duplication cyst, hematoma, aortic aneurysm, SMA syndrome |
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Papillary enlargement
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Choledococele
Pancreatitis Duodenal Ulcer Impacted Stone Ampullary Cancer |
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Mechanical SBO
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Adhesions, Hernias, Tumors, Gallstones, Strictures
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Malabsorption Patterns: Thick Folds
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WAG CLEM
Whipple's Amyloid Giardiasis Cryptosporidiosis Lymphoma Eosinophilic Gastroenteritis MAC |
WAG CLEM
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Malabsorption Patterns: Dilated Loops
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SOSO
Sprue Obstruction or ileus Scleroderma Other *Meds, Vagotomy) |
SOSO
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Thick small bowel folds without malabsoprtion pattern (Pinky printing pattern)
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Submucosal Edema (Ischemia, enteritis, GVH)
Sumbmucosal Tumor Submucosal Hemorrhage (Henoch-Schonlein, HUS, Coags, Thrombocytopenia) |
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Small bowel nodules
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Mastocystosis
Lymphoid Hyperplasia Lymphoma Mets Polyps Chrohn's |
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Small bowel Tumors - Benign
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Adenoma (most)
Leiomyoma (2nd) Lipoma Hemangioma Neurofibroma Brunner Gland hyperplasia Heteroptopic Panc |
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Small Bowel Tumors - Malignant
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Mets (melanoma, kidney, breast, kaposi)
Lymphoma Carcinoid Sarcoma Adeno CA (RARE) |
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Nonneoplastic Colonic Mass lesions
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Pneumatosis Coli
Colitis Cystica Profunda Amyloidosis Endometriosis Ischemic Colitis |
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Superficial (Aphthoid)Ulcers - Colon
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Chrons
Amebiasis Behcet's syndrome CMV Herpes |
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Deep Colonic ulcers
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Inflammatory Colitis
Infectious: Emebiasis, TB, Salmonella, Shigella, Histo AIDS: Candida, herpes, CMV |
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Bowel Wall Thickening (thumbprinting)
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Infectious colitis, IDB
Tumor (Lymphome, leukemia) Hemorrhage (Ischedia, Henoch-Schonlein, DIC, Coagulopathies) |
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Long Segment Colonic Narrowing (>10 cm)
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Scirrhous AdenoCA
Lymphoma UC Crohn's Ischemic Stricture Radiation |
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Ahaustral Colon
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Cathartic Abuse (right colon)
UC, Crohns Amebiasis Aging (Left Colon) |
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Pneumatosis Cystoides (large, cyst like)
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COPD
Patients on vent Mucosal Injury Scleroderma Steroid Chemotherapy |
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Pneumatosis Intestinalis
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Infarcted Bowel
NEC Toxic Megacolon Typhlitis |
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Fleischner's Sign
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Narrowing of Cecum with TB
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Stierlin's Sign
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Narrowing of terminal ileum with TB
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Increased Liver Density
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Hemachromatosis
Glycogen Storage Disease Wilson's Amiodarone, Cisplatin (may seem increased in patients with anemia) |
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Decreased Liver density
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Fatty liver (obesity, EtOH, DM, Steroid, Chemo)
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Hypervascular Liver Lesions
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Hemangioma
Hypervascular Mets Intrahepatic Cholangiocarcinoma HCC |
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Hperechoic Liver Lesions
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Hemagioma
Mets, Calcified Mets HCC (and fibrolamellar) Focal Fat Gaucher's disease |
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Multiple Hyperechoic Liver Lesions
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Mets, Lymphoma, Multifocal HCC
Abscessses, Echinococcus, Candidiasis, Schistosomiasis Regenerative nodules, Sarcoid, Extramedullary hematopoesis, Hematomas, Hemangioma |
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Gas in Liver
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biliary
Portal Venous Abscess Emphysematous Cholecystitis |
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Extrahepatic biliary ductal Dilitation
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Intrapanc: Pancreatic CA, Calculus, Chronic Pancreatitis
Suprapanc: primary ductal CA, met LN Portal: Invasive GB CA, Surgical, Hepatoma, Cholangio |
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Diffuse Gallbladder Wall Thickening
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>3mm
Nonfasting GB Acute cholecystitis Chronic chole portal hypertension hypoalbuminemia hepatitis AIDS Ascites |
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Focal Gallbladder Wall Thickening
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GB carcinoma
Polyps Adenomyomatosis tumefactive adherent sludge AIDS |
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Hyperechoic Foci in GB Wall
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Stone
Polyp, Cholesterol Enphysematous cholecystitis Porcelain GB |
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Dense GB (CT)
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Vicarious excretion
Stones Milk of calcium refluc of oral cont Hemorrhage |
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Cystic Pancreatic Lesion
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Benign: Microcystic Adenoma
(Pre)Malignant: mucinous cystadenoma, cystadenocarcinoma, IPMT, epithelial Cysts: simple, pseudocyst, VHL, duct ectasia |
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Hyperechoic Pancreas
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CF
Pancreatic lipomatosis |
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Focal Splenic Lesions
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Tumor: Mets (melanoma, ovary), Hemangioma, Lymphangioma, Hamartoma
Infection: Abscess, candida, TB, Schisto, PCP Other: Infarct,hematoma, Cysts, Fatty nodules in Gaucher's |
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