Candida Oesophagitis and Renal Cyst Classification

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Questions and Answers

What is the most likely diagnosis for a 55-year-old man with hypoechoic structures in the mediastinum testis and incidental epididymal cysts, with no Doppler flow?

  • Seminoma
  • Cystic dysplasia of the testis
  • Abscess
  • Lymphoma of the testes (correct)

In a case of an elderly woman with knee pain and MRI showing florid marrow edema in the medial femoral condyle, what is the most likely diagnosis?

  • Osteochondral defect
  • Sinding Larsen’s disease
  • Spontaneous osteonecrosis of the knee (correct)
  • Perthe’s disease

When assessing MS lesions in the spinal cord, which segment is most commonly affected?

  • Cervical segment (correct)
  • Lumbar segment
  • Thoracic segment
  • Sacral segment

In the case of pyloric stenosis in a neonate, which US finding would not be consistent with the diagnosis?

<p>Pyloric muscle thickness 3.5 mm (C)</p> Signup and view all the answers

What is the most common cause of right ventricular outflow tract (RVOT) obstruction in tetralogy of Fallot?

<p>Infundibular stenosis (B)</p> Signup and view all the answers

Which of the following is least likely to be found in a case of mucinous cystadenocarcinoma?

<p>High levels of calcification (B)</p> Signup and view all the answers

Which condition is characterized by cystic transformation of the rete testis?

<p>Cystic dysplasia of the testis (A)</p> Signup and view all the answers

In diagnosing a child with exertional dyspnoea and abnormal chest X-ray showing a boot-shaped heart, which of the following conditions is most likely?

<p>Tetralogy of Fallot (D)</p> Signup and view all the answers

What is the investigation of choice for a 17-year-old with an oval lucent lesion in the epiphysis of the distal femur following a football injury?

<p>MRI (B)</p> Signup and view all the answers

Which option is NOT a potential cause of vitreous haemorrhage in the context of abnormal high density in the vitreous noted on CT?

<p>Corneal abrasion (B)</p> Signup and view all the answers

The findings of a median tubular cystic space with high-velocity turbulent flow on Doppler in a 1-month-old baby suggest the presence of what condition?

<p>Vein of Galen aneurysm (A)</p> Signup and view all the answers

What is the most common type of primary pericardial malignancy indicated by cytology showing malignant cells in a 66-year-old man?

<p>Mesothelioma (D)</p> Signup and view all the answers

What does the MRI characterization of an 8-mm liver lesion reveal in terms of signal intensities?

<p>Low signal on T1W and high signal on T2W (A)</p> Signup and view all the answers

Which of the following conditions could result in cardiomegaly in a 1-month-old baby during examination?

<p>Congenital heart defect (B)</p> Signup and view all the answers

Which imaging modality would be inappropriate for assessing a bone lesion in a sports injury context for its neoplastic potential?

<p>Ultrasound (B)</p> Signup and view all the answers

Which statement regarding MRI imaging in chronic pancreatitis is incorrect?

<p>Both focal chronic pancreatitis and pancreatic carcinoma demonstrate elevated post-contrast enhancement on MRI. (D)</p> Signup and view all the answers

In the context of a positive cytology for malignant cells from pericardial fluid, which type of sarcoma is least likely to be involved?

<p>Fibrosarcoma (A)</p> Signup and view all the answers

What is the most likely diagnosis for a midline fluid-filled cavity with mixed echogenicity adjacent to the bladder in a 60-year-old heavy smoker?

<p>Complex urachal cyst (A)</p> Signup and view all the answers

Which of the following statements about bone islands (enostosis) is false?

<p>They have a radiolucent appearance on imaging. (B)</p> Signup and view all the answers

Which MRI feature is not associated with spinal cord lesions in multiple sclerosis?

<p>Expansion of the spinal cord at the site of lesions. (B)</p> Signup and view all the answers

What is a characteristic feature of a focal low-attenuation enhancing mass associated with the bladder wall in a suspected urachal condition?

<p>Cord-like structure connecting to the umbilicus. (D)</p> Signup and view all the answers

When evaluating focal chronic pancreatitis via MRI, which of the following is true?

<p>MRI can assess complications like pseudocysts and fistulas. (A)</p> Signup and view all the answers

Which characteristic is not associated with a bone island on imaging?

<p>Typically larger than 2 cm. (C)</p> Signup and view all the answers

What imaging finding would most likely indicate chronic pancreatitis rather than pancreatic carcinoma?

<p>Presence of parenchymal calcifications. (A)</p> Signup and view all the answers

Which imaging feature is NOT associated with a congenital pericardial defect?

<p>Right-sided location of the defect (D)</p> Signup and view all the answers

What does the mismatch between PWI and DWI volumes indicate?

<p>Salvageable brain (D)</p> Signup and view all the answers

In a young child, which cystic structure is characterized by multiple septae and extension into the mediastinum?

<p>Third branchial cleft cyst (D)</p> Signup and view all the answers

Which finding is the most specific for indicating gut malrotation in CT imaging?

<p>SMV to the right of the SMA (B)</p> Signup and view all the answers

With the sudden onset of abdominal pain, which condition is most likely associated with the CT findings of large renal masses, especially in a patient with a cardiac tumor?

<p>Von Hippel-Lindau syndrome (B)</p> Signup and view all the answers

Which imaging modality is primarily used to assess the infarct core?

<p>Diffusion-weighted MR imaging (B)</p> Signup and view all the answers

What is the typical observation in diffusion-weighted imaging due to T2 shine through?

<p>Bright appearance on DWI (C)</p> Signup and view all the answers

What does contrast extravasation into the retroperitoneum suggest in the context of renal masses found on CT?

<p>Malignant transformation (C)</p> Signup and view all the answers

What is the most frequent finding early in the course of Candida oesophagitis?

<p>Mucosal plaques (C)</p> Signup and view all the answers

What type of cysts typically has thickened irregular walls and requires surgery due to the possibility of neoplasm?

<p>Type 3 cysts (C)</p> Signup and view all the answers

What kind of lesions are classified as 'totally intrarenal non enhancing high-attenuation renal lesions'?

<p>Type 1 cysts (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic of Type 2F cysts?

<p>Thickened irregular walls (C)</p> Signup and view all the answers

What complication can develop in Candida oesophagitis alongside erosions and ulcerations?

<p>Intramural hemorrhage (D)</p> Signup and view all the answers

Which type of cyst may contain hairline-thin septa and perceived enhancement?

<p>Type 2 cysts (D)</p> Signup and view all the answers

What visual finding might a radiologist observe during an esophagogram in advanced Candida oesophagitis?

<p>Shaggy margins (C)</p> Signup and view all the answers

What is a common complication of untreated Type 3 cysts?

<p>Malignant transformation (A)</p> Signup and view all the answers

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Study Notes

Candida Oesophagitis

  • Candida Oesophagitis commonly occurs in patients with altered normal gut flora due to broad spectrum antibiotics or immune suppression.
  • May be found in patients with malignancies, receiving chemotherapy or radiotherapy or with immunodeficiency states such as AIDS.
  • Initial radiographic appearance may be normal.
  • Early findings are mucosal plaques, later erosions and ulcerations may develop.
  • Intramural haemorrhage and necrosis may result in shaggy margins on esophagograms.

Renal Cyst Classification

  • Type 3 cysts have thickened irregular or smooth walls or septa that show measurable enhancement.
  • Type 3 cysts require surgery in most cases as a neoplasm cannot be excluded.
  • Type 2F cysts may contain multiple hairline-thin septa.
  • Type 2F cysts show perceived (not measurable) enhancement of a hairline smooth septum or wall.
  • Type 2F cysts may have minimal thickening of the wall or septa, which may contain calcification that may be thick and nodular.
  • Type 2F cysts do not have enhancing soft-tissue components.
  • Type 2F cysts are generally well-marginated and considered benign but require follow-up.
  • Type 1 cysts are benign simple water attenuation cysts with a hairline-thin wall that does not contain septa, calcifications, or solid components and does not enhance.
  • Type 2 cysts are benign cystic lesions that may contain a few hairline septa with perceived (not measurable) enhancement, fine calcification or a short segment of slightly thickened calcification may be present in the wall or septa.

Meningocoele

  • Supratentorial abnormalities are common, including dysgenesis of the corpus callosum (>80%), obstructive hydrocephalus following closure of a meningocoele, absent septum pellucidum.

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