Abdomen Exams Pt. 1

This 78 year old male presents with microscopic hematuria and a filling defect within the renal pelvis on an IVP examination. Based on this image, this most likely represents:

The line in this longitudinal image of medial aspect of the right kidney is indicating which of the following?

The arrow in this longitudinal image of the left kidney is most likely indicating:

This patient presents with a history of renal trauma a month ago. Based on this power Doppler image, this most likely represents:

Based on this image of the urinary bladder, the sonographer should next evaluate for:

Based on this image, the sonographer should next evaluate for:

Based on this image obtained in a 67 year old male, the sonographer should next evaluate:

The vessels indicated are:

This 58 year old male presents with signs of pedal edema. Based on this image of the IVC, the sonographer should next evaluate:

This 80 year old presents with elevation of serum BUN and creatinine. Both kidneys display a similar sonographic pattern and a renal length of 8.0 cm. Based on these findings, this most likely represents:

The structures labled areA:

This 80 year old male presents with gross hematuria. Based on this longitudinal image, this most likely reperesents:

This is an incidental finding in a 23 year old sonography student. This most likely represents:

This 63 year old male presents with microscopic hematuria. Scan B was obtained six months after Scan A. Based on the sonographic characteristics, this most likely represents:

The arrow in this transverse image of the right kidney is indicating:

This 67 year old male presents with microscopic hematuria. Based on these images, this most likely represents:

This 60 year old presents with elevated serum BUN creatine levels. Based on these images, the most likely cause for the abnormal findings in the right kidney is:

The vessel encoded red on this longitudinal image is most likely the:

The arteries labled are:

The peak systolic velocity associated with a hemodynamically significant renal artery stenosis is _____ cm/sec.

Based on this image, the most likely conclusion is:

Hepatofugal flow in the portal vein is associated with:

Describes the normal flow pattern of the hepatic veins?

Which two vessels are connected with the TIPS shunt?

Gray scale sonographic evaluation of the liver in a patient with a history of sickle cell anemia demonstrates an enlarged caudate lobe. The right and left lobes are normal in size. The hepatic veins are difficult to identify. The sonographer should next:

This 58 year old female has a history of ovarian carcinoma. She now presents with increased abdominal girth. Based on this image of the right upper quadrant, this most likely represents:

The potential peritoneal space located posterior to the stomach and anterior to the tail of the pancreas is:

The normal upper level for the Resistive Index in the native kidney is:

Based on these images of the right and left kidneys, this most likely represents:

The referring physician suspects recannalized paraumbilical vein. What is the most useful anatomic landmark to locate this structure?

This patient has a five year history of portal hypertension. Based on this longitudinal image of the porta hepatis, this most likely represents:

This renal transplant patient presents with oliguria. Based on this image, this most likely represents:

The peak systolic velocity associated with a hemodymanically significant SMA stenosis is greater than ______ cm/sec.

This patient presents from the ER with groin pain that increases in severity when he sits or stands. Based on this transverse image, the arrows most likely indicate:

This patient has a history of cirrhosis.  Based on this image from the mid-abdomen, this most likely represents:

This patient is post-op from cardiac catheterization via the common femoral artery. Based on these images, this most likely represents:

The most dependent portion of the right subhepatic space is:

The connection between the greater and lesser sacs is:

A fluid collection is located superior to the diaphragm. This is within the ____ space.

Color Doppler evaluation of the liver demonstrates that the direction of flow in the portal vein is the same compared to the hepatic artery. This indicates:

This patient presents with unexplained weight loss.  Based on this image, this most likely represents:

Which of the following is the most significant clinical complication of portal hypertension?

The primary malignancy of the peritoneum is:

Which of the following is most frequently associated with invasion of the portal vein?

In patients with a history of atherosclerosis, the area for renal artery stenosis is:

Sonographic examination of the liver demonstrates narrowing of the hepatic veins with abnormal high velocities on color and spectral Doppler. These findings are most often associated with which of the following conditions?

This 78 year old male presents with a history of hypertension. Based on this transverse image of the aorta, this most likely represents:

A sonographic evaluation of the liver demonstrates a mass with anterior displacement of the perirenal fat. This pattern is associated with _____ pathology.

An abnormal connection between an organ, vessel or bowel is called:

A newborn presents with a decreased hematocrit and palpable right upper quadrant mass. This most likely represents:

Transverse imaging of the spleen demonstrates that the anterior border extends 4.0 cm beyond the anterior aspect of the abdominal aorta. This is termed ______ sign.

A 50 year old male has a history of long term alcohol abuse. Sonographic examination of the liver demonstrates the “portal masking” sign and a distended main portal vein. The sonographer should evaluate the spleen for signs of:

A patient presents with fever, elevated white count and right lower quadrant pain. Sonographic evaluation demonstrates a tubular, noncompressible RLQ mass surrounded by a complex mass. This most likely represents:

The GI tract complication related to a moderate/severe case of acute pancreatitis is:

All of the following are sonographic criteria diagnostic of acute appendicitis except:

Which of the following primaries has the highest incidence of adrenal metastasis?

All of the following are true statements regarding hypertrophic pyloric stenosis except:

This patient presents with elevation of serum epinephrine levels. Based on this image of the right adrenal gland, this most likely represents:

The maximum normal outer diameter of the appendix is ___ mm.

The maximum wall thickness of the normal appendix is ___ mm.

A patient presents with sudden onset of hypertension, tachycardia and blurred vision. Serum epinephrine levels are elevated. Sonography demonstrates a discrete mass in the left adrenal gland. This most likely represents:

The best transducer for the evaluation of the appendix in the pediatric patient is ___ MHz.

A two year old presents with a palpable abdominal mass. Sonographic evaluation demonstrates a bilateral complex mass containing calcifications. There is significant inferior displacement of both kidneys. This most likely represents:

This 3 month old male presents with a history of projectile vomiting. Based on this image, this most likely represents:

This patient has a history of cirrhosis. Based on this image of the splenic hilum, this most likely represents:

This patient has a history of bacterial endocarditis. Based on this image, this most likely represents:

Sonographic evaluation of the spleen demonstrates a small, round mass at the splenic hilum that is homogeneous and isoechoic to the splenic parenchyma. This most likely represents:

Which of the following is the most common cause of splenomegaly in the United States?