Radiology MCQS

A 62-year-old man with a history of falls and confusion undergoes MR of the brain. This demonstrates a subdural
haematoma of high signal intensity on T1W images and of high signal intensity with a hypointense rim on T2W
images. What is the most likely age of the haematoma?
a. ,6 hours
b. 8–72 hours
c. 3 days to 1 week
d. 1 week to several months
e. several months to several years

A 14-year-old, overweight boy is seen in orthopaedic clinic with a 3-week history of left hip pain and reduced range
of movement. Radiographs show mild proximal femoral osteopaenia, an illdefined area of increased opacity in the
proximal metaphysis, widening of the growth plate, and a small epiphysis. What is the most likely diagnosis?
a. irritable hip
b. Perthes’ disease
c. slipped upper femoral epiphysis
d. septic arthritis
e. insufficiency fracture

A 28-year-old male with known Marfan’s syndrome presents with chest pain and shortness of breath. An
echocardiogram is performed. What are the most likely findings?
a. aortic regurgitation and dilatation
b. pulmonary stenosis
c. aortic stenosis and post-stenotic dilatation
d. global myocardial wall thickening
e. ventricular septal defect

A 48-year-old female patient presents with right upper quadrant discomfort. She has previously had a liver biopsy
for deranged liver function tests, which was normal. Ultrasound scan shows a rounded, 2 cm, low-echogenicity
lesion related to a branch of the hepatic artery. This shows arterial-type flow throughout on Doppler. Which
minimally invasive treatment option should be offered?
a. injection of thrombin
b. transcatheter coil embolization
c. transcatheter placement of covered stent
d. embolization of hepatic artery
e. no endovascular treatment

A 34-year-old woman presents with pain and swelling of the right knee over the previous 2 months. Plain films
demonstrate a well circumscribed, expansile, lytic lesion eccentrically located in the subarticular region of the right
distal femur. The lesion has a narrow, non-sclerotic zone of transition. What is the most likely diagnosis?
a. giant cell tumour
b. enchondroma
c. fibrous cortical defect
d. fibrous dysplasia
e. aneurysmal bone cyst
A 30-year-old women presents to her general practitioner with fatigue and painful stiff knees. She is subsequently
found to be anaemic. Plain films show an Erlenmeyer flask deformity of the distal femora with cortical thinning.
There are no erosions. What is the most likely underlying condition?
a. mucopolysaccharidosis
b. rheumatoid arthritis
c. Gaucher’s disease
d. Langerhans’ cell histiocytosis
e. thalassaemia major

A 70-year-old hospitalized male patient presents with watery diarrhoea and abdominal pain. CT of the abdomen
demonstrates marked circumferential bowel wall thickening involving the entire colon, with minimal pericolonic
stranding and a small amount of ascites. The small bowel appears normal. What is the most likely diagnosis?
a. Crohn’s disease
b. ischaemic colitis
c. diverticulitis
d. pseudomembranous colitis
e. ulcerative colitis

A 65-year-old man undergoes endoscopy for dysphagia, during which an ulcerated mass is seen in the distal
oesophagus. Biopsy confirms oesophageal adenocarcinoma. What is the most accurate imaging modality for local
staging of oesophageal cancer?
a. endoscopic ultrasound
b. CT
c. 18FDG PET/CT
d. MRI
e. barium swallow

A 64-year-old man undergoes a barium meal examination for upper abdominal pain. A 10 mm ulcer is demonstrated
at the gastric antrum. Which radiological feature would favour a diagnosis of malignant rather than benign gastric
ulcer?
a. round ulcer shape
b. ulcer crater confined within the gastric contour
c. gastric folds identified up to the edge of the ulcer crater
d. associated duodenal ulcer disease
e. uniform mucosal collar around a centrally located ulcer

A 26-year-old man with AIDS presents with weight loss.He is noted to have multiple raised purple skin lesions on
examination.Contrast-enhanced CT of the abdomen and pelvis demonstrates multiple, subcentimetre, low
attenuation nodules within the liver, as well as high-attenuation lymphadenopathy at the porta hepatis, retrocaval and
aortocaval regions. What is the most likely diagnosis?
a. fungal infection
b. multiple haemangiomas
c. lymphoma
d. Kaposi’s sarcoma
e. mycobacterial disease

A 69-year-old man undergoes staging of gastric carcinoma diagnosed at upper gastrointestinal endoscopy. CT of
theabdomen demonstrates focal gastric wall thickening with extension into the perigastric fat, but no invasion of
adjacent structures. Five local lymph nodes measuring 10–12 mm in short axis diameter are identified. There is no
distant metastatic disease. What is the TNM staging of the tumour?
a. T2 N0 M0
b. T2 N1 M0
c. T2 N2 M0
d. T3 N1 M0
e. T3 N2 M0

A patient who has no function in their native kidneys is found to have declining renal function 1 day after
transplantation. A MAG3 renogram shows normal perfusion but diminished excretion. Which of the following
processes is affecting the transplanted kidney?
a. acute rejection
b. chronic rejection
c. acute tubular necrosis
d. renal vein thrombosis
e. ciclosporin toxicity

A portal venous-phase CT of the abdomen and pelvis is performed in a 60-year-old man to investigate upper
abdominal and back pain, which is attributed to features of pancreatitis on the scan. An incidental finding is of a
rounded, renal lesion of diameter 3 cm, with average attenuation value of 80 HU and containing no significant
component with a negative attenuation value on pixel densitometry. There are no previous images for comparison.
What is the most likely diagnosis of the renal lesion?
a. angiomyolipoma
b. renal cell carcinoma
c. simple cyst
d. high-density cyst
e. infected cyst