UWORLD QID 59 Question

[takethat12]

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** SPOILERS **

For those of you that have finished UWORLD or don't mind ruining a question:

Please take a look at QID 59 (Go to Utilities -> Search -> Enter 59)

What is the huge contrast enhanced circular thing in the patient's left abdomen? I get that they are going for mets to the liver, and I see the non-enhancing lesions in the liver parenchyma representing mets. But again, I can't figure what the huge glowing radioactive ball is. Did they get a barium swallow and that is a large and flat and deep stomach? Did they get IV contrast and that is some huge aneurysm?

Why can't I read CTs?

Thanks for the help.

 

[Azipropofol]

I was boggled by this question too, answer anyone?

 

[Roberie]

Pretty certain that's just the stomach full of barium contrast.

 

[takethat12]

Two follow ups to the stomach thing:

1. Is that shape and size normal?? Isn't stomach usually right up against the anterior wall and more vertically than horizontally oriented?
2. Is it standard practice to give a barium swallow to look for liver mets?

This just seems a very bizzarre image to chose - but my experience with CT is like zero.

 

[Roberie]

Shape and size look pretty normal to me. The stomach distends quite a bit when you drink a few bottles of contrast.

Also pretty standard to give IV and oral contrast for abdomen/pelvis studies. There are of course different protocols for specific things, but IV/oral is pretty standard.

 

[Roberie]

Also, I'm sure you know this, but just in case: the contrast is not radioactive.

 

[takethat12]

Also, I'm sure you know this, but just in case: the contrast is not radioactive.

I Lol'd at this.


Thanks for the assurance it is a stomach filled with barium contrast.

 

[Roberie]

I Lol'd at this.


Thanks for the assurance it is a stomach filled with barium contrast.

No problem. As for the radioactive comment, you can never be too sure who you're dealing with online, so I figured WTH I'll mention it.

 

[HelpPleaseMD]

http://en.wikipedia.org/wiki/Thorotrast

used to be a cause of angiosarcoma

 

[Roberie]

http://en.wikipedia.org/wiki/Thorotrast

used to be a cause of angiosarcoma

Yep. Not the same thing. CT is not a Nuc Med study.