70-Dr Ahmed Esawy imaging oral board of text book cases

anterior juncitonal line below the aorta , posteiror jntional line above the

aorta

aortic nippler , superior intercosal vein

aortic pseudoaneurysm contaiins only adventetia , while true aneurysm is composed of

all layers

bronchopulmonary dysplasia

CATHTERS WORKUP

CCAM%20CT1

CCAM

CDH_CXR_2 NASOGASTRIC AT CHEST

central venous line should be at SVC level

cervicothoracic sign , mass above the clavicle are posteiror

mediastinal

CHEST TUBE FOR EFFUSION IS DOWN AND POSTERIOR

CHEST TUBE FOR PNEMOTHORAX IS UP AND ANTERIOR

chest tube for pneumothorax , ventral , cephalad

chest tube for pneumothroax

chronic_lung_disease BRONCHOPULMONARY DYSPLASIA

coal miners pneumoconiosis, same as silicosis , less dense , well defined

coarctation presented with congestive heart failure

diphragmatic hernia , what is the DD

EARLY CONGESTIVE HEART FAILIURE IN PEDIATRIC AGE WHAT ARE THE CAUSES

emphysematous cholecystitis , clostridium perfrongens

endotracheal tube 4 cm above the carina , 2.5 cm diameter in lateral.

EXPIRATORY FILM FAILED TO DIMINISHE LUNG VOLUME IT INDICTAED AIR TRAPPING, FORIGN BODY , ASTHMA ,

BRONCHIOLITIS

fallot tetralogy

goodpasture nodular opacities

hamptons hump

hilar ovarlay sign denotes the mass is not dilar

HYALINE MEMBRANE DISEASE , HYPVENTILATION , RETICULOGRANULAR SHADOWS , AIR BRONCHOGRAM

hyaline membrane disease , note the central bronchogram , nasogastric in place and CPAP intestinal distension

intra aortic ballone bump it looks balck filling and with metallic tip only visibel

MECONIUM ASPIRATION , HYPERINFLAITON WITH CONSOLIDATIVE PATCHES

mediastinal LND more than 1 cm short axis is suspected , nodal biopsy through mediastinoscopy or thoracotomy or percutanous approach

NEONATAL PNEUMONIA

normal_UAC_and_UVC_BEST, artery at lv2 LEVEL , VEIN ABOVE DIAPHRAGM

note mediastinal broadening due to dissection

Occlusoin filter for patent ductus

pacemaker malpositioned lead perforates the right atrium

pacemaker malpositioned through arterial course a , normal pacemaker d

pentalogy of canterel , sternal , pericardial , cardiac omphalocele

pericardial-effusion-oreo-cookie

pleural effusion 150 cc is needed to be seen in plain film , lateral decubitus with involved side down is more

senstive , most senstive is us and ct

pleural pseudotumor

PNEUMOMEDIASTINUM , SUPERIOR PUT DD

PNEUMOTHORAX , SHARP CARDIAC BORDERS

post vertebroplasty lung embolization

prominent right atrium , tricusped leisons , cortritrum

pulmonary metastasis usually peripheral basal

silicosis, progressive massive fibrosis

sub pulmonaic pleural effusion

subpulmonic effusion , deviated phrenic apex , density , increased distance down to the gastric

air buble

subxephoid pasemaker

swanganz catheter through persistent left superior vena cava

tension-pneumothorax mechanical ventilation and penetrating trauma

tension-pneumothorax mechanical ventilation and penetrating trauma

total heart replacement

tracheal stricture , post intubation

TRANSIENT TACHPNEA , CONGESTION , PLEURAL EFFUSION DUE TO VOLUME OVERLOAD

transudate pleural effusion have low protein and low LDH levels , increaed

hydrostatic and decreased osmotic pressure

tuberous sclerosis lymphangioliomyomatosis

westermark sign

block vertebra , fusion seen in clible fiel , truam , infection , tb , radiation , congenital, RA,

ankylosing

calcified disc , idiopathic , degenerartive , ochornosis

cerebral metastasis what are the cystic , calcified , dense

CNS lymphoma , multiple nodular lesions , periventricular , corpus callosum , t1 hyper , aids

coob angle for scoliosis

cysticercosis

down , atlantoaxial subluxaiton , atlantooccipital disloaction , hypoplastic C1

arch

dural metastasis

EG , FLOATING TEATH

EG , lung fibrosis

EG , lytic skull lesions , geographical skull , flating teath

EG, ivory vertebrae

Ependymoma_01

ependymomaaxialT2

epidural hematoma

forign body

gardner syndrome, multiple ostoma , fibroma , thyroid neoplasia

hallervorden spatz , iron depostion

hand schuller christian , agressive EG with hepatosplenomegally , lymphadenopathy , skin lesions , lung changes

hemangioma

ICA disseciton MRI

ICA dissection CT

idiopathic scoliosis , infantile , juvenile , adolsent

inverted napleon hat sign seen in advanced spondylolithesis

lethal neonatal dysplasia, asphyexiating throacic dysplasia , osteogenesis imperfecta , homozygos achondroblasia ,

thantophoric dwarfism , achondrogenesis , hypophosphatasia

limbus_vertebra occur in association with schuerumann

disease

limbus_vertebra same as schmorls but oblique anteiror or posterior

medullblastoma commonly solid , no cysts or calcific changes , roof of 4th ventricle

MEN I werner , hyperparthyroidism , islet cell tumor, adrenal , pituitary, carcinoid , thyroid adenoma

MEN II A , medullary carcinoma thyroid ,pheochromocytoma,hyperparathy

roidism

MEN II B , medullary carcinoma thyroid, marphan features , multiple mucosal neuroma, pheochromocytoma

meningioma , angiography , mothe in low tumor comes early and stays late

metachromatic leuckodystrophy

MS , enhancement denotes activity

multiple myeloma , lytic lesions with punched out edges

NF

OPLL , more in jabaneese

orbital neurofibromatosis , note defect in greater wing

os-odontoideum note the cortical rim cercumscribed outlines

association with down

OSTEOMYLITIS

PCOM aneurysm

Perimesencephalic_bleed_2

Perimesencephalic_bleed_thumb

platyspondyly, thantophoric dwarfism , osteogenesis , morqio, spondyloepiphyseal dysplasia , all causes of

acquired veretebral body collapse

PML , assymytric , multifocal , enhancement , hemorrhage unlike AIDS

PNET

PNET , PERIPHERAL TUMOR VARIANT

posterior interhemisphreic hematoma with retinal hemorrhage ...battered child

potts disease of the spine , anteiror collpase , L1 common affection , pre vertebral and epidural afection ,

cartilage preserged till late

power ratio atlantooccil=pital dislocation

power ratio for atlanto-occiptal dislocation

rhabdomyosarcoma

rhabdomyosarcoma , meningeal infiiltration

sarcoidosis , granulomatous meningitis , cerebral granuloma ,

cranial nerve palsy

scoliosis , hemivertebra , free , incarcerated

scoliosis , congenital failed segmentation or vertebral

formation

scoliosis acquired , radiation , painful , nurogenic , neurocutanous , mueromuscular , nurogenic

disorders, limb length

sialadenitis

silicosis hilar milliary nodular shadows , lymph nodes , calcific changes , PMF , bronchitis , chest

infection ,corpulmonale , accelrated slicosis

soto syndrome , cerebral gigantism , hydrocephalus

spondylodisctisi , describe and make a ddifereniatial diagnose , could it be TB ..YES

squaring of vertebral bodies , ankylosing

sternal fixation wire

subacute sclerosing pan encephalitis , long term measels

infection

thoracic duct anatomy

toxoplasmosis , nodules and rings enhancing lesions with nodules in AIDS

tuberous sclerosis , skull ossific changes , periosteal reaction.

vertbral beaking central , morqio

vertebral body lower beaking , critinsm , hurler , achondroblasia, down

watershed infarcts , diffuse hypotension results in infarcts at the juncitons of the distal vessels

territories

zellweger , leukodystrophy with flat gyri

ascariasis

bile leak hyda scan

Caecal volvulus

calcified hepatic hemangioma , what are other causes of hepatic calcifications

calcified hepatic hemangioma MRI analyse the signal pattern

cecal cancer

closed loop bowel obstruction

colitis

colonic angiodysplasia , SMA angiogram demonstrates extravasations and arly filling

of the ilio-colic veins

conkhite canada , gastric polyps

crohns entero-colic fistula

crohns enteroenteric fistula

crohns entero-vesicle fistula

crohns perianal abscess

chrons proximal small bowel obstruction

crohns small bowel lymphoma , carcinoma , enteropathic arthritis

chrons stricture cecum

chrons string sign

deudenal obstruction ...deudenal atresia , malrotation,annular pancreas,internal hernia,

congenital atresia , webs

gastroschisis

hemochromatosis , cirrhosis , bronze diabetis , osteoporosis, chondrocalcinosis, arthritis of the

small hand joints similar to BCPP deposition

hydatid liver

illius transverse more than cecum

intestinal obstruction due to hernia , what else can cause obstruction in pediatric age.

intussuception with congenital hip dysplasia

large and small intestinal air denotes illius possibly sequel to

appendicitis

malbasorbtion giardiasis, picket fence , proximal stomach and

jejunum involvement

malrotation

malrotation , cecum at the left

Malrotation Contrast

Malrotation plain too much bowels on the right upper zone

MecIleus-PerforationAP

meniscus sign of intussuception

midgut volvulus

mucosal reliefe sign of bowel perforation

necrotizing enterocolitis , pre mature , free air , perforation

necrotizing enterocolitis

NonRotation1, small to the right , large bowels to the left

obstruction with minimum air , intususception

ogilvi1 , pseudoobstruciton due to a neurogenic disorder

oglivie 2

omphalocele , exomphalos

oral cholecystogram

organoaxial11

organoaxial volvulus , stomach to the right associated with hiatal

hernia

organoaxial volvulus to the right

paucity of gas indicates high level of obstruction due to malrotation

purpura

scleroderma , dilatation , no dilution

scleroderma bowels

small obstruction due to hiruschsprung

string of beads sign of bowel obstruction

string sign

string sign3

string sign

cancer prostate peripheral zone t2 hypo

cushing syndrome , primary adrenal adenoma , carcinoma, secondary pituitary adenoma or

exogenous steroids

cushing syndrome osteoporosis, fractures ,bone infection , retarted maturation, edema ,

hypertension

hystro hydrosalpenx

reteroperitoneal cystic mass lymphangioma , cystic pancreatic

neoplasm

rhabdomyosarcoma , prostate

salpingitis-isthmica-nodosa 2

salpingitis-isthmica-nodosa-hsg

septate uterus angle less than 75 , bironuate more than 75

angiomyolipoma

acute lead poisining

avascular necrosis femur , drugs as steroids , anti inflammatory , alchol , immunosuppresent

avulsion acetabulum

bone dysplasia , acromelic dwarfism , chondroectodermal dysplasia , asphyxiating thoracic

dysplasia

bone dysplasia , mesomelic dwarfism , leri weil , robino , langer

, reinhardt

bone dysplasia rhizomelic dwarfism , achondroblasia , pseudoachondrobalsia , hypochondroblasia ,

chondrodysplasia punctata

Brodie Abscess gallery

brown tumor maxilla in chronic renal failure

brown tumors

calcific tendinitis most common shoulder , calcium hydroxi appetite

cleidocranial dysplasia , absent clavicle , narrow thorax , wide symphysis pubis , brachycephaly,

wide sutures , wormian bones

cleidocranial dysplasia , brachycephaly

codmann traingle agressive lesions

congenital_hypothyroidism , absent epiphysis , grnulsr epiphysis , stippled , short long bones ,

brachycephaly,wide sutures , kyposis , hypoplastic vertebrae

corners fractures , battered child

CPPD

down flaring of illiac wings , small acetabular angle , hip dislocation

down short tubular bonrs , short middle phalanx little finger

down skull , bracgycephaly, microcephaly . hypotelorism , hypoplastic facial bones ,

basal ganglia calcific changes

down syndrome 11 pairs of ribs , two ossification centers of sternum , congenital

heart, ASD endocardial cushion defect

dwon deudenal atresia , esophageal atresia , anorectal

malformations

ewing sarcoma , 5 15 year , diaphyseal , medullary , lamellated periosteal , soft tissue extension , lung met

femur shaft

Geliazi fracture

gout , primary , secondary

gout calcific tophi

hemangioma bones , prominent striations , thick cortix , cordory appearance , hair on end , secondary fractures , high t1and t2

due to fat

hemophillia avascular necrosis, fractures ,soft tissue pseudotumor

hemophillia knee , elbow , shoulder, swelling , osteoporosis, erosion , cysts, pseudotumor, large

epiphysis, deformity

hurler , large skull , hydrocephalus , j shaped sella,

hurler , vertebral beaking,kphosis, short neck

hurler angulated distal radius and ulna , madlung, pointing proximal metacarpals

hurler ribs flaring

hyperparathyroidism, osteopenea , bone resorbtion , brown tumors , chondrocalcinosis , soft tissue calcifcations , renal stones , nephrocalcinosis

hyperparathyroidism, subchondral calcinosis , pancreatitis , peptic

ulcer

juvenile RA

JUVENILE RA , osteopenea , periosteal reaciton , fragmenrted carpal , joint

effusion

lateral condyle fracture

legg calve perthes

little league elbow , avulsion medial humeral epicondyle

MONTEGIA FRACTURE DISLOCATION

morqio , defect femoral epiphyseal , genu valgum

morqio short neck , hypoplastic dense , vertebral beaking

morqio, vertebra plana, hypoplastic vertebra , beaking,shot neck scoliosis,short wide

phalanges , proximal metacrapl beaking , irregular carpal , tarsals

morquio , short tubular bones , metacarpal beaking , irregular

carpals , tarsals

multiple myeloma , think also of metastasis , do bone scan to see other lesions , if cold think of lyeloma

os trigonum syndrome , pallet dancers

osteoid osteoma

osteoid osteoma3

osteoid osteoma 2

osteoid osteoma with muscles hemangioma

osteomylitis , what else could results in similar appearance

plsmacytoma , well fefined lytic soft tissue , septa

pseudohypoparathyroidism, short sutures , metal retsrdaiton , soft tissue calcifications , short metacarpals, basal ganglia calcifcaitons

radial head

radial head

renal osteodystrophy, hyperparathyroidism ,

osteomalacia, osteosclerosis

rhabdomyosarcoma muscles

rickets, wide epiphsis , metaphyseal fraying , ill defined cortex , rosary , craniotabes, harrisons sulcus, bowing ,

scoliosis , bicancave vertebra , loosers zone

rissers-sign staging of illiac crest maturity to detect progression of

scoliosis

salater harris I the epiphysis is not centered

salter harris

Sarcoid Hand

sarcoidosis, bones wide nutrient artery resorbtion , sclerosis lacy trapecular

patterns

Scleroderma , calcifcations , resorbtion , acroosteolysis , raynaudes , skin thickeningn,, lung fibrosis , dilated esophagus ,

colon , small intesitne and sacculations

sickle cell , dacilitis , retarded growth

sickle cell , hiar on end , bone infarcts , osteomylitis , dactilitis

slipped capital epiphysis grading

slipped epiphysis

slipped right how do you diagnose

transient synovitis

turner syndrome , short metacraplas , madlung deformity , mental , absent ovaries ,renal congenital ,

scoliosis , kyphosis, short stature

Sarcoid Right Fingers

empty dural sac sign and root clumbing seen in arachnoiditis

fibrous dysplasia , medullary bones replaced by fibrosis, sepherd crrook deformity,gynecomastia , acromegally ,

cushing

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