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
Correct Answer :
A. prominent columns of Bertin
the description typically fits prominent columns of Bertin (Dromedary hump).
Related Questions
Which of the following is NOT an indication of renal arteriography?
preparation for donor nephrectomy
advanced RCC in the right kidney
renal artery stenosis
oncocytoma in the left kidney
Which statement concerning phlebolith is false?
can be mistaken for a ureteral stone
is a small single, usually spiky, calcification within a vein
the amount of phleboliths increases with age
appears more often on the left than on the right side of the pelvis
How does a full bladder appear on ultrasonography?
hyperechoic
hypoechoic
isoechoic
anechoic
By ultrasonography, when kidneys appear darker than the liver, they are:
hypoechoic
hyperechoic
anechoic
isoechoic
Ultrasonic waves, in nature, are:
mechanical waves
radar waves
microwaves
radio waves
What is the emergency treatment of intravenous contrast allergy?
epinephrine
atropine
hydrocortisone
antihistamine
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
Which statement is false concerning plain KUB film?
reliable tool to exclude urinary calculi
calcifications at renal area might lead to the discovery of renal cancers
can detect soft tissues
fecoliths and phleboliths could be mistaken for calculi
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
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 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
On sagittal plane of midline TRUS, which structure might NOT be visible?
peripheral zone of the prostate
ejaculatory duct
tip of the right seminal vesicle
tip of the left lateral lobe of the prostate
Using CT scanning, which solid kidney mass is sharply demarcated with uniform enhancement and often has a central scar?
RCC
metastases
angiomyolipoma
oncocytoma
What imaging modality is superior in detecting undescended testis in the abdomen?
MRI
CT
ultrasound
all are comparable
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 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
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
Ultrasonic 3.5 MHz curved array probe is suitable to detect:
epididymal cysts
testicular tumors
renal stones
penile vasculature
Which condition does NOT show a false negative result for hydronephrosis on ultrasonic examination?
forniceal rupture
drained renal pelvis
high urine output
acute obstruction
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
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
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
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 ultrasonography, which testicular lesion is cystic with heterogeneous echoes representing a mixture of mucinous and/or sebaceous material with or without hair follicles, cartilages, and bones?
non-seminomatous germ cell tumors
acute bleed on top of old hematoma
mature teratoma
sex cord stromal tumors
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
Which radiological modality carries the highest radiation hazard?
nuclear medicine
ultrasonography
X-ray fluoroscopy
intravenous urography
Which condition does NOT show a false positive result for hydronephrosis on ultrasonic examination?
hydrocalicosis
extrarenal pelvis
parapelvic cyst
class 2 Bosniak renal cyst
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
What matter does correspond to zero Hounsfield units?
air
water
fat
bone
Which condition tops the differential diagnoses list of CT picture of Xanthogranulomatous pyelonephritis?
renal tuberculosis
renal abscess
renal cell carcinoma
angiomyolipoma