Using CT scanning, which solid kidney mass is sharply demarcated with uniform enhancement and often has a central scar?
RCC
metastases
angiomyolipoma
oncocytoma
Correct Answer :
D. oncocytoma
the description typically fits oncocytoma.
Related Questions
Which radiological modality carries the highest radiation hazard?
nuclear medicine
ultrasonography
X-ray fluoroscopy
intravenous urography
What is false on comparing Tc-99m DTPA to Tc-99m MAG3?
DTPA provides better quality images with renal insufficiency
by giving captopril, MAG3 plasma clearance declines in hypertensive patients with renal artery stenosis but rises in those who do not have the disease
DTPA provides an excellent measurement of GFR
in pediatrics, MAG3 provides better quality images than DTPA
Using CT scanning, which solid kidney mass is well-defined, heterogeneous tumor, located in the renal cortex and containing areas of fat density of -20 HU or less. No calcifications, but some areas of enhancement?
RCC
metastases
angiomyolipoma
oncocytoma
What should type II diabetic patients on metformin do when going for intravenous contrast urography to avoid biguanide lactic acidosis?
take urine acidifiers
withhold metformin the day before the study and restart 48 hrs. later
get premedicated by steroids and antihistamines
decrease metformin dose and turn to insulin
Which of the following is an indication of VCUG?
repeated febrile UTI in children
evaluating a probable posterior urethral valve
a & b
none of the above
Which of the following is NOT an indication of static cystography?
evaluating a probable bladder rupture
evaluating a probable colovesical or vesicovaginal fistulae
evaluating a probable intravesical pathology
evaluating a probable bladder diverticula
What is (are) the characteristic finding(s) of testicular torsion on color Doppler ultrasonography?
the classic blue dot sign
thick, short, edematous spermatic cord
absence of intratesticular blood flow
increased epididymal blood flow
What is false concerning Tc-99m DMSA?
diseases affecting the proximal convoluted tubules inhibit DMSA uptake
it is ideal to assess UPJ obstruction in adults
gentamicin and cisplatin inhibit the DMSA uptake
it allows better assessment of differential renal function
On clinical examination, what accidental finding has NO connection to renal cancer?
unilateral hydrocele
bilateral varicocele
calcifications at the renal area on plain KUB film
painless hematuria
What is the emergency treatment of intravenous contrast allergy?
epinephrine
atropine
hydrocortisone
antihistamine
What is (are) the indication(s) of renal artery embolization?
bleeding angiomyolipomas
an alternative to nephrectomy in severe uncontrolled hypertension among patients with end-stage renal disease
renal artery aneurysms or symptomatic AV malformations
all of the above
Using ultrasonography, which testicular lesion is described as a solid, round, homogeneous, low-reflectivity tumor mass, with no calcification?
seminoma
embryonal cell tumor
mixed germ cell tumor
epidermoid cyst
Which ultrasound mode is able to depict motion direction and flow velocity?
grey-scale
simultaneous bilateral views
color Doppler
power Doppler
What is the optimal time for viewing the renal parenchyma after injecting a contrast material during IVU study?
0 minute
5 minutes
10 minutes
renal parenchyma does not appear on IVU
Using CT, which solid kidney mass is like a bulge of the renal contour characterized by normal corticomedullary patterns?
prominent columns of Bertin
xanthogranulomatous pyelonephritis
lymphoma
renal infarction
To which class of Bosniak system of renal cysts does an oval renal parenchymal cyst of uniform water density filling, with attenuation of ≤ 20 HU, thin, non-calcified wall, and no contrast enhancement; belong to?
class 1
class 2
class 3
class 4
Which structure can NOT be assessed by TRUS of the prostate?
ejaculatory duct
vas deferens
seminal vesicles
rectal wall
What is the minimum estimate of GFR to take gadolinium-based contrast agents?
more than 30 mL/min/1.73 m2
more than 60 mL/min/1.73 m2
more than 90 mL/min/1.73 m2
none of the above
What imaging modality is superior in detecting undescended testis in the abdomen?
MRI
CT
ultrasound
all are comparable
In routine practice, when do urologists request plain skull X-ray?
advanced prostatic cancer
central diabetes insipidus
pituitary adenoma
a & c
What is the hallmark finding on plain KUB of bladder exstrophy?
malunion of lumbar and/or sacral vertebral bodies
pelvic bone diastasis
sacral agenesis
fracture of anterior pubic rami
Which condition does NOT show a false positive result for hydronephrosis on ultrasonic examination?
hydrocalicosis
extrarenal pelvis
parapelvic cyst
class 2 Bosniak renal cyst
Which of the following is false concerning retrograde urethrogram?
coning at the bulbar urethra is normal
segmental narrowing at bulbar urethra is normal
multiple round filling defects could be air bubbles
indicated in urethral trauma cases
Which statement is false regarding magnetic resonance urography (MRU)?
small non-obstructive calculi might be missed at MRU performed for the evaluation of hematuria
in pediatrics, performing a dynamic contrast-enhanced imaging helps in evaluating crossing vessels in the setting of UPJ obstruction
the success of static-fluid MR urography depends on the presence of fluid within the urinary system regardless of renal function
MRU at 3T, carries the risk of nephrogenic systemic fibrosis
What is the poorest method of measuring the amount of urine in the bladder of a 65 yrs. old man?
using bladder scanner
measuring the voided urine
using abdominal ultrasonography
performing urinary catheterization
Using CT scanning, which solid kidney mass is sharply demarcated with uniform enhancement and often has a central scar?
RCC
metastases
angiomyolipoma
oncocytoma
What matter does correspond to zero Hounsfield units?
air
water
fat
bone
Using ultrasonography, which testicular lesion is of low reflectivity with irregular borders, hypervascular rims but no internal vascularity to mention?
intratesticular hematoma
testicular abscess
orchitis
sex cord stromal tumors
What is true concerning Tc-99m DTPA?
Its uptake by glomerular filtration is almost 100%
It helps evaluate cortical structure and morphology
It provides a static picture of kidneys when compared to MAG3
it binds to the sulfhydryl groups in proximal tubules resulting in much higher resolution pinhole SPECT imaging
Ultrasonic 3.5 MHz curved array probe is suitable to detect:
epididymal cysts
testicular tumors
renal stones
penile vasculature