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Archives of Quizzes: Contents of Volume 9

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

Section Editors :

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

- Abdominal
- Breast
- Cardiac
- Chest
- Head & Neck

- Musculoskeletal
- Neuro
- Vascular


A 90-year- old lady with abdominal fullness and severe abdominal pain with septicaemia came for a CT scan.

Emphysematous Cholecystitis with Gall Bladder Rupture into the Abdominal Wall

A 65 - year - old man presented with vague abdominal pain and a clinically palpable lump in the left side of the abdomen.Giant Gas Cyst Formation of Colon (Giant Colonic Diverticulum)
A 42-years old woman presented with pain in the abdomen. She had undergone a laparoscopic cholecystectomy, 18 days ago.

Post-Cholecystectomy Subhepatic Subacute Hematoma

A middle-aged lady came with abdominal pain. A CT scan of the abdomen and pelvis was performed.Femoral Hernia of Small Bowel with Obstruction
A 40-years old chronic alcoholic man presented with epigastric pain for 3 days.Gall-Bladder Perforation
A 27-year-old lady presented with intermittent abdominal pain for 3 years.Crohn’s Disease
A 14-years old boy fell from a mango tree. He had some abdominal pain. A CT of the abdomen was performed (Figs. 1-3).Isolated Right Adrenal Gland Hemorrhage
A 30-year-old man came with complaints of chronic pain in the abdomen. USG was performed.  Roundworms - Ascariasis
A 36-year-old lady came with breathlessnessMesenterico-Axial Volvulu


A 48-year- old woman, presented with a lump in the breast and pain, 15 days following her husband’s death. The mammogram showed focal pathology and a breast MRI was then performed. Von-Hippel Lindau Syndrome



A 45-years old man came for a routine cardiac CT study. Dextrocardia
A baby came with pulmonary edema. An echocardiogram was done. There was no intra-cardiac shunt and the pulmonary artery and aorta origins were normal. AP Window
A 57-years old man was posted for hernia surgery. A CT angiogram (Figs. 1-4) was performed, after the cardiologist during the pre-operative work-up thought there was something abnormal on auscultation. Patent Ductus Arteriosus.
A 45-years old lady presented with dyspnea. An ECG-gated CT was performed on a 4-slice scanner. ALCAPA – Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery
A 50-year-old man known to have renal cell carcinoma, underwent a CT of the chest to rule out pulmonary metastases. Partial Anomalous Pulmonary Venous Drainage of the Left Upper Lobe into the Left Innominate Vein


  A 56-year-old lady presented with cough and breathlessness, progressing over a month with fever and malaise. An HRCT of the lungs was performed.

Cryptogenic Organizing Pneumonia (BOOP)

A 45-years old man presented with breathlessness. Chronic Eosinophilic Pneumonia
A 27-years old lady presented with breathlessness. Pericardial Calcification / LV Aneurysm
A 43-years old lady presented with cough and mild dyspnea. An HRCT of the lungs (Figs. 1, 2) was performed. Lymphangitis Carcinomatosis due to Carcinoma Breast
A 7-years old girl presented with dyspnea. A CT chest was performed. Hyparterial Bronchi in a Congenital Heart Disease
A 35-year-old man presented had a history of pulmonary tuberculosis, with multiple complications. A CT chest was performed. Bronchopleural Fistula
A 56-year old man came with right sided chest pain and mild breathlessness Rt Pulmonary Infarct

Head & Neck

A 65-years old woman with loss of vision for a few years, presented with pain. A USG was performed.
End-Stage Closed Funnel Retinal Detachment
A 45-years old woman had a mild foreign body sensation in the throat. After being examined, a CT scan was performed. Ectopic Lingual Thyroid
A 60-years old man had a history of trauma.Extra-Conal Wooden Foreign Body
A 35-year-old lady presented with foul-smelling discharge through the nose for 1 month. She had a history of a fall following a fight with her husband, in the bathroom, in the morning, while performing her daily rituals.    Foreign Body in the Nasal Fossa - Toothbrush


A 35-years old man came with persistent backache with pain and tenderness at the L2 level, posteriorly. An MRI was performed. Osteoid Osteoma
A 5 months old child came with mandibular swelling and fever. A CT was performed.  Caffey's Disease
A 52-years old man presented with progressive weakness of the left and then the right lower limb over 20 days. The upper limbs, bladder and bowel were normal. The patient had hypertonia and exaggerated lower limb reflexes. Epidural Lipomatosis
A 14-years old boy came with heel pain for six months. An MRI was performed.Osteoid Osteoma
These are plain CT scans of the spine of a young patient. Please read the question carefully.Epidural Lipomatosis
A lesion is seen involving two areas. Please give the diagnosis and name each area involved.Stress Fractures of the Distal Tibia and Calcaneum.
A 42-year-old lady presented with severe pain and tenderness in the left anterior foot. A plain radiograph series was obtained.Freiberg’s Disease
A 28-year-old man presented with gradually increasing pain and swelling of the left ankle joint for three months. There was a history of minor trauma. The plain radiographs showed soft tissue swelling. An MRI was performed.Tuberculous Synovitis / Arthritis
A 41-year old farmer presented with a three-month history of pain in the right hip joint with difficulty in walking and restriction of movement. There was a history of fever. A plain radiograph was obtained, followed by a CT scan and then MRI. The patient was then operated.Hydatid Cyst of the Right Acetabulum
A 45-year-old man presented for a follow-up radiograph, after ankle surgery.Hypertrophic Pulmonary Osteoarthropathy
A 17 year old teenager presented with pain after a fall. Sleeve Avulsion of the Superior Pole of the Patella with Patella Baja


A 28-year old lady presented with headache and a history of seizures. Intraventricular Fourth Ventricular Cysticercus Granuloma with Hydrocephalus and Parenchymal Cysticerosis
A 27-weeks seropositive pregnant patient on post-exposure therapy presented for obstetric ultrasound, which showed a cystic intracranial mass in the fetus. An obstetric brain MRI was performed. Grade IV Germinal Matrix Hemorrhage
A 47-year old man presented with sudden onset headache and fall due to numbness and weakness in the lower limbs. A plain CT of the brain was performed.

a. Insular ribbon sign
b. Hyperdense MCA sign
c. Low attenuation of lentiform nucleus

A 25-year-old lady presented with a progressive history of neck pain for six months.1. Neurogenic tumor
2. Cervical nerve root (C2)
A 40-year old man with a history of low backache and recurrent surgery for a myxopapillary ependymoma presented for an MRI of the spine. Meningeal Siderosis
A 45-days old baby presented with seizures. Tuberous Sclerosis
A 25-year-old man presented with diplopia. An MRI of the brain was performed. A CT scan of the abdomen was also performed, after a routine USG examination showed some findings. Von-Hippel Lindau Syndrome
A 33-year old man came with a history of seizures. Choroid Plexus Lipoma
A middle-aged lady came with gradually progressive headache and rigidity of the extremities. Clival Meningioma

Vascular & Interventional

This 65-year old man underwent a coronary artery bypass graft (CABG) surgery 3 days ago. He complained of generalized pain in the abdomen and was in renal failure. A CT was performed to rule out mesenteric ischemia.   "Air in the Aorta" - Intra-Aortic Balloon Pump
This 20-year old man came for a routine USG.  Aortic Duplication Artifact



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