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Spotters Set 61 – Radiology Board Review Cases

Last Updated on December 1, 2020

Radiology Board Review Cases

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  1. Swyer James Syndrome : post-infectious bronchiolitis obliterans (BO) secondary to adenovirus infection in childhood. Unilateral hyperlucent left lung. For detailed differentials refer: Chapman & Nakielny’s Aids to Radiological Differential Diagnosis
  2. Peripheral nerve sheath tumour with split fat sign with multiple intralesional cysts- Schwanoma. Read how to distinguish Schwannoma from neurofibroma.
  3. Müllerian agenesis, also known as Mayer–Rokitansky–Küster–Hauser syndrome (MRKH) : Uterine and vaginal agenesis or hypoplasia with intact ovaries and fallopian tubes with variable anomalies of the urinary tract and skeletal system.
  4. Malignant stricture(Carcinoma esophagus): Shouldering and apple-core appearance are characteristic.
  5. Contrast intravasation on an HSG study :
    • Backflow of injected contrast into the adjoining vessels mostly the veins.
    • Not significant if water-soluble contrast used.
    • If oil-based contrast is used for HSG, it can cause pulmonary and cerebral embolism.
  6. Medullary nephrocalcinosis: Causes-
    • Hyperparathyroidism
    • Medullary sponge kidney
    • Renal tubular acidosis
    • Hypervitaminosis D
    • Primary hyperoxaluria
  7. Exophytic large mass from the rectum-Rectal Gastrointestinal Stromal Tumor (GIST).
  8. Brainstem Glioma :T1 hypo and T2/FLAIR hyperintense lesion involving the brainstem with no diffusion restriction and no contrast enhancement in a child.
  9. Cortical Venous thrombosis involving the superior sagittal sinus.
  10. Distal colostography (AKA colography / loopography) with rectovesical fistula and bilateral VUR.

How many did you get correct? Let me know in the comments!

Previous set of Cases: Spotters Set 60 – Learning Radiology Cases 3.

Further reading and references:

Recommended books for spotters:

Aunt-Minnie's Atlas of Imaging and Specific Diagnosis Radiology Book
Aunt Minnie’s Atlas
RadCases Radiology case based book

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These learning radiology cases have been contributed by Dr. Anuj Aggarwal. Dr. Aggarwal is pursuing his MD in radiology at Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi. You can check out the previous cases uploaded by him (and other authors) on our contributing authors’ page.

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About the author

Dr. Amar Udare, MD, DNB

Dr Amar Udare Dr. Amar Udare is a board-certified radiologist. He is currently working as a fellow radiologist at McMaster University, Canada. He has a passion for teaching (#FOAMrad and #FOAMed) and has been a semi-finalist for the 2018 and 2020 Aunt-Minnie Most effective Radiology Educator Awards. He has authored multiple peer-reviewed publications which can be accessed on PubMed and Google Scholar.

8 thoughts on “Spotters Set 61 – Radiology Board Review Cases”

  1. Alaa el din Ahmed

    General in Military hospitals

  2. Dr.sara

    I got 8 out of 10, the nerve sheath tumor and the last case were difficult, but really very interesting collection, thanks a lot

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Spotters Set 61 – Radiology Board Review Cases

by Dr. Amar Udare, MD time to read: 2 min

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