RSNA2018读片会、每日病例挑战答案公布
近日,本号发布了RSNA2018读片会及每日病例挑战共83个病例的资料,并已在相应的留言区发布了病例的答案。现将这83个病例的答案集中发布,以飨读者。
另外,本号第一次使用语音朗读功能,附上由 讯飞快读小程序 提供的语音朗读音频,方便大家跟读。
RSNA2018读片会病例挑战(1):男,10岁,发热、疲乏5天,意识障碍
Autoimmune Glial Fibrillary Acidic Protein (GFAP) Astrocytopathy
RSNA2018读片会病例挑战(2):女,37岁,左乳进行性无痛性增大1年
Giant Pseudoangiomatous Stromal Hyperplasia (PASH)
Sarcoid-like granulomatosis of the lung
RSNA2018读片会病例挑战(4):57岁女性,劳累后气短三月,伴疲劳及游走性背痛
Erdheim-Chester (non-Langerhans-cell histiocytosis)
RSNA2018读片会病例挑战(5):66岁,慢性腹痛急性加重,既往有痛风、高血压及“先天性肺气肿”病史
Proteus Syndrome
RSNA2018读片会病例挑战(6):63岁女性,右腹痛,体重下降5kg,既往有长期癫痫史
Perivascular epithelioid cell tumor (PEComa)
RSNA2018病例(7):男,60余岁,全身疼痛、疲乏、肌力弱及步态异常数年,有多发骨折、前列腺癌史,右大腿疼痛不适2-3年
Phosphaturic Mesenchymal Tumor
RSNA2018读片会病例挑战(8):女,2岁,腹胀、肾脏异常,活检病理报“Wilms瘤”
PIK3CA-Related Overgrowth Spectrum (PROS): CLOVES Syndrome
RSNA2018:Sunday Case of the Day(Unknown Cases)
1、Galactocele in a breast-feeding woman;
2、AORPA (Anomalous origin of the right pulmonary artery from the ascending aorta);
3、Epipericardial fat necrosis;
4、Bouveret’s syndrome;
5、Hepatosplenic candidiasis with mycotic hepatic artery pseudoaneurysm;6、Tension hematocele causing testicular ischemia;
7、Giant Cell Arteritis
8、Recurrent prostate carcinoma with right pelvic lymph node metastasis and coexisting Paget’s disease;
9、Retained RAY-TEC Sponge (Gossypiboma/Textiloma)
10、Invasive Aspergillosis;
11、Complex Regional Pain Syndrome (Reflex Sympathetic Dystrophy);
12、Tuberous sclerosis;
13、Alobar holoprosencephaly
14、C. External source of radiation being partially blocked by the edge of thecamera crystal;
15、Hepatic adenoma, likely inflammatory subtype given demographics and presence of metabolic syndrome and hepatic steatosis
RSNA2018:Monday Case of the Day(Unknown Cases)
1、Extreme weight loss (cachexia);
2、Carney complex with left atrial myxoma and pituitary adenoma;
3、Tracheal Amyloidosis;
4、Left acetabulum, superior/inferior rami fractures and traumatic arteriovenous fistula;
5、NSAID Enteropathy/Diaphragm Disease;
6、B-cell lymphoma
7、Midaortic S (Williams Syndrome)
8、Recurrent well differentiated carcinoid tumor;
9、Erdheim-Chester Disease (Lipid Granulomatosis);
10、Susac Syndrome;
11、Lipomatous hypertrophy of the interatrial septum (LHIS);
12、Twin to twin transfusion syndrome;
13、Malrotation with midgut volvulus
14、Correct Answer: c. Tissue Harmonic Imaging;
15、Acute appendicitis diagnosed on transvaginal ultrasound
RSNA2018:Tuesday Case of the Day(Unknown Cases)
1、Primary osteosarcoma of the breast;
2、Endocardial Fibroelastosis (EFE);
3、Pulmonary Hemosiderosis;
4、Penetrating gallbladder trauma
5、Zollinger-Ellison syndrome secondary to gastrinoma;
6、Zinner Syndrome;
7、Insulinoma;
8、Breast carcinoma with left axillary and mediastinal lymph node metastasis and sternal metastasis
9、Brodie’s Abscess;
10、Posterior fossa craniopharyngioma;
11、Cardiac amyloidosis with history of renal transplant;
12、Placenta percreta
13、Subcutaneous granuloma annulare (SGA);
14、B. Signal void due to T2 shortening at higher gadolinium concentrations.
15、Nephroptosis
RSNA2018:Wednesday Case of the Day(Unknown Cases)
1、Metastatic lung carcinoma to breast and mediastinal lymph nodes;
2、Caseous Calcification of the Mitral Annulus;
3、Pulmonary Langerhans Cell Histiocytosis(PLCH);
4、Craniocervical dissociation with right type III occipital condyle fracture and atlantoaxial dislocation;
5、Annular Pancreas
6、Buschke-Lowenstein Tumor (Giant Condyloma Acuminatum) with malignant transformation to squamous cell carcinoma;
7、Klippel-Trenaunay Syndrome
8、consistent with Dementia with Lewy bodies (DLB);
9、Tophaceous Gout;
10、CLIPPERS (Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids);
11、Peritoneal Carcinomatosis in the setting of metastatic breast carcinoma
12、Congenital high airway obstruction syndrome (CHAOS);
13、Spinal osteoid osteoma;
14、B - Patient’s Hair is the cause of Artifact in 2D-FFDM
15、Deep Pelvic Endometriosis
RSNA2018:Thursday Case of the Day(Unknown Cases)
1、Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL);
2、Twisted LVAD outflow graft causing flow obstruction;
3、Actinomycosis
4、Bilateral thrombophlebitis of superior ophthalmic vein secondary to sinusitis;
5、Anorectal Leiomyoma;
6、Birt-Hogg-Dube Syndrome (with multiple right renal chromophobe tumor and lung cysts);
7、Ruptured/bleeding angiomyolipoma in patient with tuberous sclerosis
8、ATTR Cardiac Amyloidosis, confirmed by genetic testing;
9、Dissociated right hip arthroplasty acetabular cup liner;
10、Walker-Warburg Syndrome
11、Immune Checkpoint Inhibitor Related Pneumonitis(Immune-Related Adverse Event);
12、triplet gestation with spontaneous rupture of uterus and extrusion of one of the fetuses;
13、Recurrent respiratory papillomatosis;
14、Motion artifact
15、Appendiceal mucocele due to low-grade appendiceal mucinous neoplasm