Ultrasound Imaging: Normal and Abnormal Spleen

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24 Questions

What is a likely indication of an old haematoma or scar from trauma in the spleen?

Contraction of the splenic outline near the mass

What is a characteristic feature of a splenic abscess during ultrasound imaging?

A hypoechogenic mass with debris and almost filling the spleen

What is a possible cause of splenomegaly?

Metastasis in the spleen from carcinoma of the ovary

What ultrasound imaging technique is used to evaluate the spleen?

Longitudinal scan

What is a characteristic feature of a subphrenic abscess during ultrasound imaging?

A peri-splenic, subdiaphragmatic, echo-free or complex mass

What is a possible indication of an old infarct in the spleen?

Contraction of the splenic outline near the mass

What can be a sign of hemangioma in the spleen?

A large, irregular, hypoechogenic, complex cystic intrasplenic mass

What can be an indication of intra-abdominal fluid detection?

A collection of fluid around the spleen

What is a characteristic feature of echinococcal (hydatid) cysts in ultrasound imaging?

Double wall with pericyst and cyst wall, often septate

Which condition should be suspected if a longitudinal scan shows a septate cyst in the spleen?

Cystic disease

What could cause hepatosplenomegaly seen on a transverse ultrasound scan?

Leukemia

Which pathology is identified by a markedly enhanced back wall echo in a cyst on an ultrasound?

Hydatid cyst

What is indicated by gross splenomegaly compressing the left kidney on a longitudinal scan?

Leishmaniasis

Which feature is most indicative of a well-defined cystic lesion in the spleen?

Echo-free mass with posterior acoustic enhancement

What should be examined when multiple cysts are found in the spleen?

Liver and pancreas

What kind of splenic lesion might present with hemorrhage and solitary structures on ultrasound?

Congenital cyst

Which anatomical feature does the spleen not possess?

Three surfaces

What type of capsule encloses the spleen and is prone to rupture?

Thin capsule

Which ribs protect the spleen?

9th to 11th ribs

Which of the following measurements typically describes the average adult spleen?

2.5 cm thick, 7.5 cm broad, 12.5 cm in length

Which quadrant of the abdomen does the spleen lie in?

Left upper quadrant

Which of the following would NOT be a likely cause of splenomegaly?

Hemorrhage

What role does the spleen play in the body?

Storage of red blood cells

Which is TRUE about the spleen's covering?

It is completely covered by peritoneum except at the hilum

This quiz covers the spleen's role in the hematological system, its functions, and abnormal spleen conditions. It's part of the Ultrasound Imaging course for 4th-year Radiology Technology students.

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