RADIOLOGY CRASH COURSE

DR. ZAINAB VORA

MD RADIOLOGY (AIIMS)
THORACIC RADIOLOGY
• DIAGNOSIS:

• SIGN:

• EARLIEST FINDING:

• MEDIASTINAL SHIFT:

• MOST SENSITIVE IX:

• MOST SENSITIVE XRAY:

• DIAGNOSIS:

• MEDIASTINAL SHIFT:

• MOST SENSITIVE IX:

• MOST SENSITIVE XRAY:

• MX:
UNSTABLE STABLE
HRCT PATHOLOGIES-APPROACH
• DIAGNOSIS:

• SPREAD:
 Q. 28-year-old male with HIV and CD4 count of 120 cells/mm3
and non-productive cough. Diagnosis?

a) TB
b) Pneumococcus
c) Invasive aspergillosis
d) Pneumocystis carinii
PEDIATRIC INFECTIONS
CONGENITAL HEART DISEASES
• DIAGNOSIS:

• MC R/F:

• C/F:

• IOC STABLE:

• IOC UNSTABLE:

• MANAGEMENT:
Q. A 35 year old female presented with fever, expectoration and difficulty
breathing. HRCT of chest was performed and shown. What is the likely
diagnosis?

a. Mediastinal mass
b. Pleural effusion
c. Diaphragmatic hernia
d. Consolidation with air bronchogram
A 34-year-old male patient presented with productive cough. He is
a chronic smoker and alcoholic. CXR is shown below. What is the
best management?

● a) Gemcitabine and carboplatin-based chemotherapy

● b) Radiotherapy
● c) Clindamycin and iv fluids
● d) Antitubercular therapy
 A patient presented with fever and cough with expectoration.
The chest X-ray has been shown below. What is the likely
causative organism?
● a) Hemophilus influenze
● b) Parainfluenza virus
● c) Pneumococcus
● d) S.aureus
Q. 40 year old male with productive cough underwent HRCT.
What is the likely diagnosis?

● a) CF
● b) Sarcoidosis
● c) Hydatidosis
● d) Bronchiectasis
Q. What does the following X ray depict?

a. Pleural effusion
b. Tension pneumothorax
c. Emphysema
d. Bronchiectasis
 Q. A 30 year old male presents to the trauma centre after RTA.
He’s unable to speak in complete sentences. On auscultation,
resonant note is seen on the right side. What is the appropriate
management?

● a) Thoracotomy
● b) Needle thoracostomy
● c) Needle thoracostomy with large bore needle
in 5th ICS followed by ICD in 5th ICS
● d) ICD insertion in 5th ICS with water-seal
Q. A 45-year-old male presents to the trauma
centre post-RTA. HE is conscious, talking and
vitals are stable. CXR is shown. Which of the
following procedures would be contraindicated?
A. NG tube
B. Log roll
C. ICD tube drainage
D. Epidural anaesthesia
Q. A child presents with cyanosis. Xray of the patient is given
below identify the diagnosis?

A) Cottage loaf, truncus arteriosus

B) Snowman sign, Supracardiac TAPVC
C) Egg on side, TGA
D) Boot shaped heart, TOF
Q. A 30-year-old patient presented to the causality after a motor
vehicle accident. He has bruises on the chest. His pulse is 100
bpm. BP is 125/85 and RR is 28. A chest Xray was performed and
show below. What is the next most appropriate step in the
management of this patient?

a. Immediate thoracotomy
b. Pleurodesis
c. Pericardiocentesis
d. Chest tube placement and drainage
Q. A 25 year old patient presented with fever dry cough,
breathlessness and night sweats. On chest X-Ray, bilateral hilar
lymphadenopathy was seen. What is the most likely cause?

a. Hypersensitive pneumonitis
b. Sarcoidosis
c. Lymphoma
d. Tuberculosis
Q. The following appearance as shown below is present in:

a. Metastasis
b. TB
c. Bronchogenic Ca
d. Hamartoma
Q.What is the likely diagnosis?

● A) Hamartoma
● B) Carcinoid
● C) Ca lung
● D) TB
Q. A 19 year old male with high grade fever and productive cough.
What is the likely diagnosis?

● a) RML consolidation
● b) RLL consolidation
● c) RUL consolidation
● d) Pericardial effusion
Q. A 35 year old female with Raynaud’s phenomenon and tightening of
skin of face and extremities presents with dyspnea and bilateral basal
rales. What is the next best step?

● a) HRCT chest
● b) 2D ECHO
● c) PFT
● d) MRI Chest
 Q. Identify the tip of
pacemaker
● A) RV
● B) LV
● C) SVC
● D) LA
Q. A 54 year old male with dyspnea and elevated eosinophil
count of 5000. CXR shows military mottling. What is the likely
diagnosis?

A) Tropical pulmonary eosinophilia

B) Chronic HSP
C) Tuberculosis
D) Asthma
Q. Pulmonary plethora is seen in:

● a) TOF
● b) Coarctation of aorta
● c) TAPVC
● d) Tricuspid atresia
Q. 55-year-old hypertensive male with acute chest pain, loss
of consciousness, diaphoresis with unequal pulses in bilateral
upper limbs. What is the best investigation in the emergency
setting to reach the diagnosis?

a) TEE
b) MRI
c) Cardiac enzymes
d) Xray
Q. Which of the following is not seen in heart failure?

● a) Kerley B lines
● b) Cardiomegaly
● c) Interlobular septal thickening
● d) Pulmonary Plethora
GU RADIOLOGY
 IVP SIGNS

ADDER HEAD SIGN

IVP SIGNS
GU TB

● MC C/F:
● U/A:
● MOST SENSITIVE IX:
● SIGN:
● BLADDER:
● END STAGE:
 IOC FOR BLADDER TRAUMA:

TYPE: TYPE:

MX: MX:
 RENAL MASSES

DIAGNOSI
S:
TYPICAL:

SYNDRO
ME:
FEATURE
S:
 TWINS USG

SIGN: SIGN:

INTERTWIN MEMBRANE: INTERTWIN MEMBRANE:

TYPE: TYPE:
• DIAGNOSIS:

• SIGN:

• EARLIEST ANOMALY TO BE DETECTED:

• PREVENTION:
B/L ENLARGED OVARIES-APPROACH
• DIAGNOSIS:

• SIGN:

• MX:
Q. A delayed intravenous urogram of the patient is shown. What
is the most likely diagnosis?

a. Staghorn calculus
b. Putty Kidney
c. Pelviuretric junction obstruction
d. Renal Cyst
Q. A 37 year old banker presents with flank pain and a renal lesion is
detected on CT. What is the likely diagnosis?

a) RCC
b) AML
c) Renal cyst
d) Oncocytoma
Q1. A 30 year old female presenting with sterile pyuria.
Radiograph is shown identify the diagnosis?

A) Nephrocalcinosis
B) Putty kidney
C) Staghorn calculus
D) Psoas Calcification
Q. A 35 year old female presents to you with history of
nausea and vomiting. She is undergoing IVF treatment.
What is the likely diagnosis?

a) PCOD
b) Theca-Lutein cyst
c) OHSS
d) Mucinous cystadenoma
Q. A 49 yr old male presents to you after a MVA complaining of pain
and heaviness in the lower abdomen. On physical examination, there is
perineal ecchymosis with blood at the meatus. What will you do next?

a) Foley’s catheterization
b) Suprapubic cystostomy
c) Retrograde urethrogram
d) Micturating cystourethrogram
Q. A 30 year old with motor vehicle accident presented to the causality
with pelvic fracture. His vitals are stable but he is unable to pass
urine. He has blood at the urethral meatus. An RGU was performed as
shown below. What is the most likely site of urethral injury?

a. Penile urethra
b. Membranous urethra
c. Spongy urethra
d. Bulbar urethra
Q22. Identify the investigation
and diagnosis

● a) MCU, Bulbar urethral

stricture
● b) RGU, Prostatic urethra
stricture
● c) RGU, Bulbar urethral
stricture
● d) MCU, Prostatic urethra
stricture
Q. 24-year-old female presents with amenorrhea of 6weeks and
intractable vomiting. USG is shown. What is the next step in
management?

a) Conservative
b) Antiemetics
c) Suction and curettage
d) B-HCG follow-up at 2 weeks
A neonate presents with a palpable mass in left lumbar region. USG is
shown below. What is the diagnosis?
● a) Wilms tumor
● b) Neuroblastoma
● c) AR PCKD
● d) Multicystic dysplastic kidney
Q. A 22 year old female with primary infertility underwent HSG
examination and shown below. What is the diagnosis?

a. Unicornuate uterus
b. Bicornuate uterus
c. Septate uterus
d. Cannot comment
Q14. A 45 year old female presents with abnormal uterine
bleeding. USG is shown here. What is the likely diagnosis?

● a) Ovarian dermoid
● b) Endometrial hyperplasia
● c) Endometrial carcinoma
● d) Endometrial polyp
Q32. What is the likely diagnosis?

a) Anencephaly
b) Omphalocele
c) Cystic hygroma
d) Encephalocele
Q36. Double bleb sign on USG is due to

A. Amnion and chorion

B. Amnion and yolk sac
C. Primary and secondary yolk sac
D. Decidua capsularis and decidua parietalis
Q. What is the likely diagnosis?

● A) CT- AD PCKD
● B) MR-AD PCKD
● C) CT-AR PCKD
● D) MR-AR PCKD
MSK RADIOLOGY
Diagnosis:

Age:

Location:

H/P:
Diagnosis:

Age:

Location:

Appearance:
Diagnosis:
Location:
C/F:
IOC:
TOC:
Diagnosis:
Age:
Location:
C/F:
Periosteal rxn:
H/P:
Diagnosis:
Age:
Location:
Periosteal rxn:
TOC:
Diagnosis:
Location:
Multiple:
• DIAGNOSIS:
• AGE:
• HLA:
• C/F:
• DIAGNOSIS:
• SIGN:
• BIOCHEMICAL:

• IOC:

• SCORE:
SPINE XRAYS-APPROACH
Q1. Identify the bone marked?

A)Navicular

B) Cuneiform

C) Cuboid

D) Talus
Q6. Identify the structure
labelled by the arrow

A-Olecranon process
B-Trochlea
C-Capitellum
D-Lateral epicondyle
Q. A 35 year old male presented with pain and swelling around
wrist joint. There is no history of injury. X ray is shown below:

a) Osteosarcoma
b) Rickets
c) Colle’s fracture
d) Giant cell tumor
Identify the structure marked with the yellow arrow

● a) Sequestrum
● b) Involucrum
● c) Cloaca
● d) Osteoid osteoma
Q. All of the following are useful in osteoporosis:

● 1. DEXA
● 2. Quantitative CT
● 3. Bone scan
● 4. Chemical analysis

● a) 1,2
● b) 1,2,3
● c) 1,2,4
● d) 1 only
Q. A 40-year-old male with progressive forward bending with
increasing stiffness of the spine. A CT-spine was performed and
shown below. What is the most Likely Diagnosis ?

● a) RA
● b) Fluorosis
● c) Ankylosing spondylitis
● d) Reiter syndrome
Q. A 26 year old male with back ache, morning stiffness and
reddening of eyes. X- ray of the patient is given below, Identify
the diagnosis of this patient?

A) Rheumatoid arthritis
B) Psoriatic arthritis
C) Ankylosing spondylitis
D) Paget’s disease
Q. Biopsy of spine is indicated in all except:

a) Suspected drug resistance

b) Cold abscess without neurological involvement
c) Evolving cauda equina
d) Diagnosis unclear
Q. A 70-year-old male presents with a history of painful limp.
There is no history of drug intake or trauma. What is the most
likely diagnosis based on the given image?

● A) AVN
● B) TB hip
● C) Ankylosing spondylitis
● D) RA
Q. Identify the diagnosis

a. Multiple enchondromas
b. Multiple exostosis
c. Brown tumors
d. Polyostotic fibrous dysplasia
Q15. Identify the fracture

● A) Monteggia fracture-dislocation
● B) Galeazzi fracture-dislocation
● C) Radial fracture
● D) Ulnar fracture
Q. Prenatal USG in a 35 year old female showed a fetus with
multiple fractures. What is the likely diagnosis?
● A) Osteogenesis imperfecta
● B) Achondroplasia
● C) Marfans syndrome
● D) Cretinism
NEURORADIOLOGY
Head Trauma

● Initial Ix:

● IOC:
• DIAGNOSIS:

• MCC:

• C/F:

• MC SITE OF BERRY ANEURYSM:

• INITIAL IX:

• IOC:

• GOLD STANDARD:
Q. A 34-year-old woman landed up in AIIMS emergency after a
road traffic accident with GCS of 3. She was intubated and sent
for NCCT which was found to be normal. What is the most likely
diagnosis?

● A. SAH
● B. EDH
● C. Cerebral contusion
● D. DAI
• DIAGNOSIS:

• C/F:

• NCCT:

• IOC :
• DIAGNOSIS:

• MC SITE:

• MC R/F:

• VESSEL:
CNS INFECTIONS
CNS INFECTIONS-HIV/AIDS
SKULL XRAYS-PATTERN APPROACH
SKULL XRAYS-PATTERN APPROACH
BRAIN TUMORS IN ADULTS-PATTERN
APPROACH
BRAIN TUMORS IN CHILDREN-PATTERN
APPROACH
 APPROACH TO FOREIGN BODY

INITIAL-
IOC-
CI-
PNS X-RAY VIEWS
PNS ANATOMY

● LARGEST :
● ANTERIOR-MOST :
● POSTERIOR-MOST:
● INFRAORBITAL:
● PNEUMATISED MIDDLE TURBINATE:
PNS ANATOMY AND VARIANTS
Q. Identify the view given in the X-ray?

a. Towne view
b. Water’s view
c. Coldwell view
d. Basal view
Q27. A patient presented with history of diplopia and restricted
eye movements. Refer to the CT image given below. What will be
the diagnosis?

● A) Le-fort fracture
● B) Maxillary fracture
● C) Zygomatic fracture
● D) Blowout fracture
Q. Which of the following is most likely to be seen due to rupture of saccular
aneurysm in brain?

a. Subdural Haemorrhage
b. Subarachnoid Haemorrhage
c. Hydrocephalous
d. Intracerebral Haemorrhage
Q. A 34-year-old woman landed up in AIIMS emergency after a
road traffic accident with GCS of 3. She was intubated and sent
for NCCT which was found to be normal. What is the most likely
diagnosis?

● A. SAH
● B. EDH
● C. Cerebral contusion
● D. DAI
Q. 35 year old female with thunderclap headache. What is the likely
diagnosis based on image?
● A) SDH
● B) EDH
● C) SAH
● D) IVH
Q5. A 10-year-old child presents to the emergency with
sudden onset of vision loss in the bilateral temporal fields.
NCCT head was done. What is the likely diagnosis?

● a) Pituitary adenoma
● b) Craniopharyngioma
● c) Rathke cleft cyst
● d) Meningioma
 Q3 . A 35 year old male presented with
GTCS. What is the likely diagnosis based
on the image shown below:

a) Cryptococcus
b) Multiple tuberculomas
c) Cysticercosis
d) Toxoplasmosis
Q33. A 56 year old male presented with bilateral hearing loss. Xray
skull is shown. What is the likely diagnosis?

● A) Pagets disease
● B) Multiple myeloma
● C) LCH
● D) Osteomyelitis
Q. An elderly male presented with multiple bone pains, anemia,
renal failure, proteinuria and hypercalcemia. Xray skull as shown
in the image. Most likely diagnosis?

a) Carcinoma prostate
b) Multiple myeloma
c) Primary hyperparathyroidism
d) Secondary hyperparathyroidism
Q. What is the likely staging based on the image shown

● A. T1NOMO
● B. T2NOMO
● C. T3N0MO
● D. T4aN1MO
Q26. A 15yr old male patient presenting with epistaxis underwent
CECT. What is the sign demonstrated in the given image?

● A) Homan-Miller sign
● B) Dodd sign
● C) Phelp sign
● D) Griesinger sign
Q. Tigroid pattern on MR is seen in:

● a) Pantothenate kinase deficiency

● b) Pelizaeus-Merzbacher disease
● c) Neuroferritinopathy
● d) Wilson’s disease
 Q34. A newborn male baby presented with congestive heart failure.
Following radiological finding was noted the mostly likely diagnosis:-

● A) Vein of Galen malformation

● B) Dandy Walker syndrome
● C) Pneumocephalus
● D) Crouzon syndrome