RADIOLOGY RAPID REVISION

Dr. Zainab Vora

GI and HBP RADIOLOGY
 Q. 35 year old male with severe pain abdomen since 2
hrs. He recently had a radius fracture for which he’s
been taking lot of painkillers. CXR is shown here. What
is the next step?
• a) Advise him to stop painkillers
• b) eFAST
• c) Barium meal
• d) Exploratory laparotomy
APPROACH TO INTESTINAL OBSTRUCTION
Pain abdomen + Obstipation + Abdominal distension + Vomiting
SIGMOID VS CECAL VOLVULUS
IMPORTANT BARIUM SIGNS
GB PATHOLOGIES
APPROACH TO OBSTRUCTIVE JAUNDICE
GU RADIOLOGY
IVP SIGNS

ADDER HEAD SIGN

IVP:
RENAL MASSES
Amenorrhea x 14 weeks, Hyperemesis
H/o IVF
treatment Irregular menstrual
cycles
K/C/O lennox-Gastatut syndrome on
treatment
Dysmenorrhea, symmetrical uterine enlargement AUB, asymmetrical uterine
enlargement
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
THORACIC RADIOLOGY
CHEST INFECTIONS
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
CONGENITAL HEART DISEASES
NEURORADIOLOGY
Alcoholic-fall H/o RTA H/o RTA Sudden right
hemiplegia
H/o RTA, GCS-
9
Q. What is the likely diagnosis?

A. ICH

B. Lacunar stroke

C. MCA embolic stroke

D. MCA thrombotic stroke

Q. Which arterial territory is involved on this
CT scan image of a patient with infarct?

A. ACA

B. MCA

C. PCA

D. VERTEBRAL ARTERY
H/O FEVER, Past H/O FEVER, seizures H/O FEVER,
seizures HIV/AIDS
Antenatal USG
BRAIN TUMORS IN ADULTS-PATTERN APPROACH
BRAIN TUMORS IN CHILDREN
CNS INFECTIONS
CNS INFECTIONS-HIV/AIDS
PNS X-RAY VIEWS
Q. 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
MSK RADIOLOGY
Swelling +
25yr old back ache and heel 55yr old back ache
pain
SPINE XRAYS-APPROACH
Q. Identify the correct pair

A-Coronoid fossa
B-Trochlea
C-Olecranon process A.

D-Lateral epicondyle D.
B.

C.
Q. A patient presents with persistent back pain. He
has past h/o pulmonary TB. What is the likely
diagnosis?

A. Inguinal hernia

B. Psoas abscess

C. Perthes disease

D. Ureterocele
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
GENERAL RADIOLOGY
Q. Identify the tip of pacemaker

A) RV

B) LV

C) SVC

D) LA
Q. A 35-year-old male working with hammer and
chisel had an accident and a foreign body enters
the eye. Which of these investigations will be
detrimental?

a) Xray

b) CT

c) USG

d) MRI
 APPROACH TO FOREIGN BODY

INITIAL-
IOC-
CI-
Identify the structure marked by the arrow?

• A) Right 3rd anterior Rib

• B) Right 3rd Posterior Rib

• C) Right 4th anterior Rib

• D) Right 4th Posterior Rib

Q. Identify the modality shown here

a) CT

b) Dye/Contrast study

c) Angiography

d) X-ray
Q. In which of the following is MRI better than CT

a) Adenocarcinoma lung

b) Squamous cell carcinoma lung

c) Mesothelioma

d) Pancoast tumor
DOPPLER WAVEFORMS
 NORMAL VEIN DVT

COMPRESSIBILITY

FLOW
Q. A 25-year-old male presented with a pulsatile
supraclavicular neck mass.
What is the most appropriate next investigation?

a) Doppler USG

b) CT angio + Percutaneous intervention

c) Oral Antibiotics x 7days

d) Needle biopsy
Q. A 35-year-old smoker male presents with a painful ulcer
in the tip of great toe surrounded by blackish
discolouration. Best initial investigation of choice is:

a) DSA

b) CTA

c) MRA

d) Doppler USG
NUCLEAR MEDICINE and
RADIOTHERAPY
Radioisotope Test

Tc99m-MDP (methylene
diphosphonate)

Tc99m-HIDA

Tc99m-DMSA

Tc99m-DTPA, MAG3

Tc99m Sestamibi

Tc99m Sulphur colloid scan

Tc99m pertechnate

Tc99m labelled RBC

Tc99m tetrofosmin, Sestamibi, Th-201

Tc99m pyrophosphate
Fractionated RT – 5Rs

• Repopulation

• Reoxygenation

• Repair

• Redistribution

• Radiosensitivity
Inverse Square Law
Type Most sensitive Least sensitive
Cell Type

Organ
Blood cell
Cell cycle phase
Tissue
Structure of eye
Tumors

Acute radiation
syndrome