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143 Cards in this Set

  • Front
  • Back

Edh

Swirl sign

Acute SDH

Right sided

Left sided chronic hypodense SDH


Right sided subacute isodense

Intraventricular blood - SAH

Visualize cisterns fissures

Sylvian fissure hge SAH focal

Herniation of brainstem /cerebellum


Arnold chiari malformation - both type 1 n 2 have tonsilar herniation


~posterior pituitary is seen in sagittal t1 weighted MRI


~loss of this bright spot - central diabetes insipidus

T2 coronal MRI

Dwi adc

Infarct

Epidermoid cyst

Canavan disease

Ring enhancing lesion


Spectroscopy


NAA higher than choline and creatine_normal


Choline higher than creatine

Scolex

Extra peak - TB diagnostic


Lipid Lactate peak with ring enhancing lesion

Normal

2nd image - Tuberous sclerosis

Ts

X

1 dense MCA sign

1 delta sign - ncct - venous sinus thrombosis


3 empty delta sign - cect - venous thrombosis


2. Pseudo empty delta sign - SAH - NCCT

2 - oligodendroglioma


1 gBm - involves both hemispheres of cerebrum - butterfly tumor


3 craniopharyngioma


4

Cerebellar vermis medulloblastoma

Tonsilar herniation


Posterior fossa tumor


Ependymoma - along lining of 4th ventricle it extends

NF 2


B/l acoustic neuroma

Classical Basal meningitis

Dawson finger MS

Xx

Popcorn pattern cavernous sinus angioma

1 DWI - caudate and lentiform nucleus Infarct


3 perfusion MRI shows umbra and penumbra regions

Dwi - watershed Infarcts

Normal


Diffuse Cerebral edema - white Cerebellar sign/dense Cerebellar sign/reversal sign- sign of global ischemia - poor prognosis - loss of white grey differentiation


Aaa

Anencephaly

Dandy Walker

Normal- ice cream cone appearance


Incudomalleal joint


Middle ear HRCT

Apple in plate appearance of cochlea


Normal HRCT

Developmental venous angioma


Mc developmental venous anomaly


Medusa head appearance

Pancake brain


Alobar holoprosencephaly

Salt and pepper appearance (any paraganglioma)


Glomus jugulare

Tram track appearance

1 molar tooth appearance


2 bat wing appearance on CT



jobert syndrome

Tigroid pattern


Metachromatic leukodystrophy

Hot Cross bun

Face of panda Wilson

Dandy Walker variant


Keyhole appearance


Cisterna magna communicates with 4th ventricle


If cyst present - Dandy Walker malformation

light bulb appearance


Acute Infarct on DWI

Bag of worms


No signal in MRI - signal void


AV malformation

Face coronal section


CT scan PNS


IOC for PNS lesion


Spur at beginning of nasal septum - crista galli

Opacification of right max, frontal and r nasal cavity - antrochoanal polyp - expansion also seen

CT PNS coronal plane


Soft tissue window


Hyperdense secretions - fungal sinusitis of R maxillary sinus (Hyperdense compared to left)


Bone erosion

Water's view - maxillary sinus


Waters with open mouth - sphenoid sinus


best view for sphenoid sinus - lateral view

Air fluid level

USG eye - retinal detachment


Classical - Y or V pattern

Normal mammogram

Macro calcification


Popcorn


Birad 2


Routine screening

Pleomorphic microcalcification


1 anechoic - cyst - posterior acoustic shadow


2 hypoechoic - lateral edge shadow - marker of fibroadenoma

USG breast irregular taller

Hypoechoic irregular - malignant

Pleural effusion

Normal CT lung window


T5 level

CT lung mediastinal window


Below aorta - SVC

Left pneumothorax with mild left sided collapse

Deep sulcus sign

CECT


Pericardial effusion


Pleural effusion


Pericardial thickening

Inflamed pleura


Split pleura sign


Empyema

Pulm embolism


Mint polo sign

Pulm oedema

Bronchogenic cancer causing right upper lobe collapse


Golden S sign

Miliary nodules


Hematogenous dissemination of disease

Honey combing


ILD esp Idiopathic pulm Fibrosis

Air crescent sign


Aspergilloma


Hydatid cyst


Tumor ball in cavity


Blood in cyst

Tree in bud pattern - multiple nodular


-TB (mcc)


- bronchiolar impaction


-other causes - RSV (esp) , CMV pneumonia

Conglomerated necrotic lymph nodes of mediastinum


TB - necrotic Ln peripherally enhancing

Cavitatory lesion in lung


TB/malignancy

Pulm alvelolar proteinosis

Pneumopericardium


-Outlining of air by pericardium


-continuous diaphragm sign - specific for pneumomediastinium


Staph pneumonia


Pneumatocele

Corona radiata sign - malignant


Cavity - thick walled, malignant

Benign and malignant calcification patterns

Left lung collapse


Mass in trachea

CT angiography

Achalasia

Esophageal varices - serpigonous filling defect

Hiatus hernia

Dysphagia lusoria


Aberrant right subclavian artery origin

Supine and erect


Normal erect x ray abdomen

Multiple air fluid levels

Air under right dome of diaphragm


~sensitivity only around 70%


~Then send for CT


~IF NO CT, LEFT LATERAL decubitus - most sensitive x ray position (90%)

Wriggler sign - pneumoperitoneum supine xray

Severe small bowel obstruction


String of bead appearance


Air bubbles get trapped at mucosal outline

Small bowel feces sign


On CT


Distal obstruction of small bowel

CT abdomen


Axial


3 pancreas


7 IVC


9 portal vein

Comb sign - ileocaecal involvement


Crohn's disease - dilation of vasa recta which supply mesentry


TB - mimics Crohn's

CT virtual colonoscopy - can see proximal bowel also

Double bubble sign


-duodenal atresia


-annular pancreas

T tube cholangiogram

1 Multiple stones in gall bladder


2 MRCP image showing filling defect in GB ie stone

Cartwheel sign in liver


Hydatid cysts - USG

1. MR


2 MRCP - fluid containing structures seen in white

-USG liver


-cystic lesion - posterior acoustic enhancement (hypoechoic)



-Focal isoechoic hepatic lesion


-Mc asymptomatic hepatic lesion - hemangioma - hyperechoic


-mixed echoic lesion - can be hemangioma - confirm: Triphasic CT or Triphasic MRI - peripheral nodular enhancement with centripetal filling

1 ncct


2 onwards cect


Any lesion in liver which shows enhancement in arterial phase and washout in portal venous phase - HCC no biopsy needed

Sever Acute necrotizing pancreatitis

-Acute cholecystitis - thickened gall bladder membrane


-Posterior acoustic shadow

Outer wall diameter >7mm (USG and on CT - >6mm)


Dilated tubular structure


Streakiness of periappendicular fat


1. Arrow head sign


2. Caecal bar sign

On FAST - hepatorenal pouch of Morrison showing blood

Apple core appearance - ca colon


Double contrast barium enema

Exudative form of peritoneal TB


Can also be seen in malignancy

Intussusception

Holt oram syndrome


Absent radius


ASD

Dinner fork deformity


Colles

Arthritis mutilans


Pencil in cup

Trap door/fallen leaf appearance


Simple bone cyst

Expansile lytic lesion in tibia with no sclerosis


GCT

GCT

1 tram track sign


Bamboo sign


2 dagger sign


Earliest investigation to identify ankylosing spondylitis - STIR MRI

Spondylosis - degen changes in spine


Spondylolysis - break in pars articularis


Spondylolisthesis - slipping of one vertebra over another

MR vertebra T2 weighted


L5 - S1


Prolapsed Inter vertebral disc

Look at posterior vertebral margin -


1 malignant collapse : convex


2 osteoporotic/benign : concave

MR shoulder


Normal

Bald man sign


Supraspinatus rupture

MR knee with marked ACL

ACL tear with buckling of PCL

Double PCL sign


Bucket handle sign of medial meniscus

STIR MRI - IOC for stress # tibia

Interosseous memb ossification


Fluorosis

IVP


CT urograph


CT urograph with 3D reconstruction

Crossed fused ectopia

2 - duplicate system

Grade 5 b/l VUR

Normal and posterior urethral valve


PUV - keyhole sign

2 Cemented/putty kidney - renal TB


1 cork screw ureter

Right kidney abnormal


Striate nephrogram - Pyelonephritis acute

A/w xanthogranulomatous pyelonephritis


CT - bear paw


Infection - proteus


Emphysematous pyelonephritis - more dangerous

RCC - stellate pattern

Normal obstetric USG


Fill Form F before doing obstetric scan according to PCPNDT act

Anencephaly

Doppler of uterine A at 28 wks


Diastolic notch - PIH

Normal umbilical A Doppler

High S/D ratio - uteroplacental insufficiency

Reveral of Diastolic flow - death will occur within 48 hrs

Torsion of right testis

PCOS morphology

Fishnet appearance


Hemorrhagic cyst


D/D - endometriosis if it fails to resolve by 6 months

Snow storm appearance in hydatidiform mole