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Radiologic Pathology Correlation
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Osteoporosis
Reduced bone density, vertebral compression fractures, cortical thinning.
Multiple myeloma
Punched-out lytic lesions, diffuse osteopenia, pathological fractures.
Inflammatory bowel disease
Bowel wall thickening, 'string sign' in Crohn's, 'lead pipe' appearance in ulcerative colitis.
Fibroadenoma
Well-defined, round or oval breast mass, may be multiple, homogeneous density.
Lung cancer
Solitary pulmonary nodule or mass with or without spiculation, hilar enlargement, mediastinal lymphadenopathy.
Pneumothorax
Presence of air in the pleural space; seen as a line of increased lucency; lung margin is visible distinct from the chest wall.
Aortic aneurysm
Widened mediastinum, abnormal aortic contour, possible calcifications.
Pancreatitis
Pancreatic enlargement, peripancreatic stranding, pancreatic calcifications.
Abdominal aortic aneurysm
Focal dilation of the abdominal aorta, possible calcification of the aneurysm wall, retroperitoneal hematoma in rupture.
Brain tumor (glioma)
Mass effect, contrast enhancement, surrounding edema.
Small bowel obstruction
Dilated loops of small bowel, air-fluid levels, stack of coins or string of pearls sign on X-ray.
Gastroesophageal reflux disease (GERD)
Esophageal thickening on CT, stricture, hiatal hernia.
Acute sinusitis
Opacification of affected sinus, mucosal thickening, air-fluid level.
Congestive heart failure (CHF)
Cardiomegaly, interstitial edema, pleural effusion, Kerley B lines.
Hydrocephalus
Ventricular enlargement, transependymal flow of CSF, 'sunset eyes' sign.
Interstitial lung disease
Reticular or nodular pattern, honeycombing, ground-glass opacities.
Osteomyelitis
Periosteal reaction, bone destruction, sequestrum and involucrum formation.
Pulmonary edema
Interstitial and alveolar infiltrates, Kerley B lines, Bat wing or butterfly pattern of opacities.
Meningioma
Extra-axial mass, dural tail sign, broad-based attachment to dura.
Hepatomegaly
Enlarged liver silhouette on abdominal radiographs, displacement of adjacent organs.
Pulmonary embolism
Westermark sign, Hampton's hump, Fleischner sign, may be normal.
Cerebral hemorrhage
Hyperdense area on CT, surrounding edema, mass effect with possible midline shift.
Breast cancer
Mass with spiculated margins, microcalcifications, architectural distortion.
Pneumonia
Consolidation, air bronchograms, increased opacity.
Pleural effusion
Blunting of costophrenic angle, meniscus sign, homogeneous opacity.
Tuberculosis
Cavitary lesions, Ghon complexes, miliary pattern on chest radiograph.
Bone fracture
Discontinuity in bony cortex, abnormal angulation, soft tissue swelling.
Cholelithiasis (Gallstones)
Echogenic foci with posterior acoustic shadowing on ultrasound, may have calcified gallstones on X-ray.
Spondylolisthesis
Anterior displacement of a vertebra, widening of the intervertebral disc space, possible neural foraminal narrowing.
Appendicitis
Appendix diameter > 6mm on ultrasound, periappendiceal fat stranding on CT, appendicolith.
Pulmonary nodules
Rounded opacities, can be solitary or multiple, size varies, may have calcifications.
Chronic obstructive pulmonary disease (COPD)
Hyperinflated lungs, flattened diaphragm, increased retrosternal airspace, bullae.
Renal calculi (Kidney stones)
Radiopaque stones on X-ray or CT, hydronephrosis, ureteral dilation.
Osteoarthritis
Joint space narrowing, osteophytes, subchondral sclerosis, subchondral cysts.
Cervical spine injury
Fracture or misalignment of cervical vertebrae, prevertebral soft tissue swelling, widening of interspinous space.
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