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
Correct Answer :
C. angiomyolipoma
the description typically fits angiomyolipoma.
Related Questions
On staging left kidney RCC using enhanced CT, the radiologist must look for:
extension of the tumor to the diaphragm
extension of the tumor to the right atrium
the density of calcifications
the amount and bilaterality of cysts formation
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
Which ultrasound mode is able to depict motion direction and flow velocity?
grey-scale
simultaneous bilateral views
color Doppler
power Doppler
Which condition does NOT show a false negative result for hydronephrosis on ultrasonic examination?
forniceal rupture
drained renal pelvis
high urine output
acute obstruction
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
What is the improper usage of TRUS?
to evaluate ejaculatory duct obstruction in infertility case
to screen for prostate cancers
to take prostate biopsies
to place interstitial radiotherapy seeds
How does a full bladder appear on ultrasonography?
hyperechoic
hypoechoic
isoechoic
anechoic
Which radiological modality carries the highest radiation hazard?
nuclear medicine
ultrasonography
X-ray fluoroscopy
intravenous urography
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
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
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
By ultrasonography, when kidneys appear darker than the liver, they are:
hypoechoic
hyperechoic
anechoic
isoechoic
What is false concerning ureteric jets?
obstruction of the upper urinary tract may increase renal pelvis pressure and delay or decrease pelvis peristaltic rates
measured by color Doppler flow mapping in transverse scans at the suprapubic region
patients with ureteral stents are the ideal
adequate hydration is necessary
What nuclear medicine study can diagnose interstitial nephritis?
DTPA
DMSA
gallium-67
MAG-3
Regarding acute renal infections, what is the least diagnostic radionuclide study for detecting an inflammatory focus?
hippuran I-131
technetium-99m
gallium-67
indium-111labelled WBC
Which statement is false concerning diuretic nuclear scintigraphy renogram?
an elimination T ½ < 10 minutes indicates obstructed system
the diuretic must be given at the maximum kidney activity
If ureteral stents are in place, the bladder catheter must be unclamped
99mTc-MAG3 is the agent of choice to study differential renal function and obstruction
Which condition tops the differential diagnoses list of CT picture of Xanthogranulomatous pyelonephritis?
renal tuberculosis
renal abscess
renal cell carcinoma
angiomyolipoma
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
What is correct concerning sound waves?
The higher the frequency, the deeper tissue penetration
The higher the frequency, the better the axial resolution
low-frequency transducers are of 6 to 10 MHz
the deeper tissue penetration, the better axial resolution
Which statement is false concerning complications of left renal artery embolization?
embolizing the non-target artery might occur
severe pain at the renal area could occur
complications depend on the embolic agent
reactive left pulmonary edema
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
What imaging modality is superior in detecting undescended testis in the abdomen?
MRI
CT
ultrasound
all are comparable
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
In routine practice, when do urologists request plain skull X-ray?
advanced prostatic cancer
central diabetes insipidus
pituitary adenoma
a & c
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
What is the signal characteristic of renal stones on MRU?
high signal on T1-weighted images
high signal on T2-weighted images
low signal on T1-weighted images
none of the above
Ultrasonic 3.5 MHz curved array probe is suitable to detect:
epididymal cysts
testicular tumors
renal stones
penile vasculature
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
What matter does correspond to zero Hounsfield units?
air
water
fat
bone