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Section Editors :

Abdominal Dr. Dushyant Sahani
Head & NeckDr. Meher Ursekar
Neuro Dr. Gaurang Shah

The Archives of volumes 1-13 ie till December 2013, are available as a CD. The CD contains around 603 quizzes that were put up on the REF site in the years 1999-2012 (593 quizzes till 2012 plus 10 Quizzes of 2013) . For details on purchasing the CD, click here.


You can now locate quizzes of volume 16 by region.

Quizzes By Region:
-Breast Imaging
-Head & Neck


Question Answer
A 30-year-old lady presented with biliary colic. An MRCP was performed Horse-Shoe Kidney
A 40-year old man presented with abdominal pain and vomiting Internal Hernia of Small Bowel through foramen of Winslow
A 65-year old man presented with abdominal distension. He underwent CT scan after a routine USG showed some abnormality. Tumor Thrombus of the Portal Vein
A 38-year old man was being investigated for suspected renal cyst. Cystic Angiomatosis


Breast Imaging

Question Answer
A 49-year old lady comes for screening mammography 1. BIRADS 0
2. Invasive Ductal Carcinoma
A 52-year-old woman comes for screening mammography Invasive Ductal Carcinoma
A 66-year old woman with recently diagnosed breast cancer presented for contrast enhanced MRI for further evaluation Invasive Mucinous Carcinoma
A 54-year-old woman came for a diagnostic mammogram. Invasive Lobular Carcinoma
A 52-year old woman comes for screening mammography. Images from the screening mammogram (Figs.1, 2) and magnification images from a subsequent diagnostic mammogram (Fig. 3) are presented. Ductal Carcinoma in Situ


Head & Neck

Question Answer
A 67-year-old lady came with dysphagia Bilateral Retropharyngeal Carotid Arteries
A 50-years old man came with right hemifacial pain Meckel’s Cave Meningioma



Question Answer
A 45-year old man came with a problem in the thigh Mechanical Deep Venous Thrombus Aspiration



Question Answer
A 30-year-old lady presented with diplopia and confusion. An MRI of the brain was performed. Bilateral Thalamic Infarcts due to Straight Sinus Thrombosis
A 53-year old man with a prior history of craniotomy for hemorrhagic infarct following dural sinus thrombosis came for a follow-up MRI Wallerian Degeneration
A 66-year old man came for routine carotid Doppler prior to a coronary bypass graft surgery (CABG). Subclavian Steal Syndrome
A 65-year-old man presented with long-standing paraparesis. Spine MRI was performed. Idiopathic Spinal Cord Herniation
An otherwise healthy 13-year-old boy presented with a history of left neck pain and swelling of 2 weeks duration following an upper respiratory infection. Physical examination showed the presence of a left, tender, non-fluctuant, erythematous swelling extending from the submandibular area to the inferior pole of thyroid gland. The left thyroid lobe could not be felt distinct from the swelling. Thyroid function tests were within normal limits. The patient responded to clindamycin treatment and incision and drainage. He presented 18 months later with recurrent pain and swelling in the left neck. Physical examination and CT scan (A) confirmed another left neck abscess, which was incised and drained. Pyriform Sinus Fistula
A 6-year-old girl presented with bilateral progressive hearing loss 1 month after being successfully treated for bacterial meningitis. There was no history suggestive of vertigo, tinnitus, otorrhea or ear trauma. Her family history was non-contributory. Ear, nose and throat exam did not reveal any abnormality except bilateral sensorineural hearing loss. Neurologic and systemic findings were normal. Audiogram confirmed bilateral severe sensorineural hearing loss (left greater than right). MRI brain focussing on cranial nerves VII and VIII nerves was performed and provided. Labyrinthitis Ossificans (Ossifying Labyrinthitis)
A 7-year-old boy presented for follow-up MRI, 6 months after posterior fossa surgery. There was no evidence of tumor recurrence. Hypertrophic Olivary Degeneration










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