Which condition tops the differential diagnoses list of CT picture of Xanthogranulomatous pyelonephritis?
renal tuberculosis
renal abscess
renal cell carcinoma
angiomyolipoma
Correct Answer :
A. renal tuberculosis
the normal renal outline is lost. Typically, it is enlarged with a paradoxical contracted renal pelvis. The calyces, in contrast, are distorted with discrete hydrocalycosis.
Related Questions
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 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
Which condition tops the differential diagnoses list of CT picture of Xanthogranulomatous pyelonephritis?
renal tuberculosis
renal abscess
renal cell carcinoma
angiomyolipoma
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
Which condition does NOT show a false positive result for hydronephrosis on ultrasonic examination?
hydrocalicosis
extrarenal pelvis
parapelvic cyst
class 2 Bosniak renal cyst
Ultrasonic 3.5 MHz curved array probe is suitable to detect:
epididymal cysts
testicular tumors
renal stones
penile vasculature
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
Ultrasonic waves, in nature, are:
mechanical waves
radar waves
microwaves
radio waves
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 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 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
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 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 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
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 nuclear medicine study can diagnose interstitial nephritis?
DTPA
DMSA
gallium-67
MAG-3
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
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
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
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 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 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
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 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 of the following is NOT an indication of retrograde pyelography?
evaluation of probable ureteral obstruction
in conjunction with ureteroscopy
evaluation of hematuria
evaluation of probable ureterovesical reflux
What matter does correspond to zero Hounsfield units?
air
water
fat
bone
Which condition could present as a filling defect in the bladder on IVU study?
blood clot
fibro-epithelial polyp
sloughed renal papilla
all of the above
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
How does fluid appear on T2-weighted MR images?
dark
intermediate
bright
none of the above