Jagan Dewan Gupta

Preliminary Diagnosis: Pseudogout I. What imaging technique is first-line for this diagnosis? Plain radiography. II. Describe the advantages and disadvantages of this technique for diagnosing pseudogout. Advantages Relatively inexpensive and fast imaging modality. Offers exquisite visualization of focal areas of mineralization noted in pseudogout, predominantly calcium pyrophosphate deposition disease. Highly portable imaging modality.Related Content Disadvantages…

Preliminary Diagnosis: Lung Abscess I. What imaging technique is first-line for this diagnosis Chest x-ray, PA and lateral view II. Describe the advantages and disadvantages of this technique for diagnosis of a lung abscess. Advantages Fast and inexpensive imaging modality Exposes the patient to minimal ionizing radiation Highly portable May be highly sensitive for diagnosing…

Preliminary Diagnosis: Prostatitis I. What imaging technique is first-line for this diagnosis? Ultrasound of the prostate gland. Transrectal offers better imaging. II. Describe the advantages and disadvantages of this technique for diagnosis prostatitis. Advantages Highly portable imaging modality. Does not expose patients to ionizing radiation. Exquisitely details the vascularity of the prostate gland.Related Content May…

Preliminary Diagnosis: Bladder Carcinoma I. What imaging technique is first-line for this diagnosis? Gray scale and color Doppler sonographic evaluation of the kidneys and bladder II. Describe the advantages and disadvantages of this technique for diagnosis of bladder carcinoma. Advantages Does not expose patients to ionizing radiation Highly sensitivity for making a diagnosis of bladder…

Preliminary Diagnosis: Portal Vein Thrombosis I. What imaging technique is first-line for this diagnosis? Gray scale, Color Doppler, and spectral waveform analysis of the portal veins. II. Describe the advantages and disadvantages of this technique for diagnosing portal vein thrombosis. Advantages Relatively quick and highly portable imaging modality. Does not expose patients to ionizing radiation.…

Preliminary Diagnosis: Mesenteric Ischemia I. What imaging technique is first-line for this diagnosis CT of the abdomen and pelvis with CTA protocol II. Describe the advantages and disadvantages of this technique for diagnosis of mesenteric ischemia. Advantages Relatively fast and efficient imaging modality Offers exquisite visualization of the anatomical structures including the vascular, soft tissue,…

Preliminary Diagnosis: Gastroparesis I. What imaging technique is first-line for this diagnosis? Contrasted fluoroscopic upper GI examination II. Describe the advantages and disadvantages of this technique for diagnosis of gastroparesis. Advantages Highly portable examination Disadvantages Has limited sensitivity and is poorly specific in detailing gastroparesis compared to a nuclear medicine gastric emptying test May expose…

Preliminary Diagnosis: Transient Ischemic Attack I. What imaging technique is first-line for this diagnosis? Non-contrast CT of the brain with CTA of the head and neck. II. Describe the advantages and disadvantages of this technique for diagnosis of transient ischemic attack. Advantages Relatively inexpensive, fast imaging modality. Highly specific for hemorrhage. CTA of the head…

Preliminary Diagnosis: Stroke I. What imaging technique is first-line for this diagnosis Non-contrast CT of the brain. II. Describe the advantages and disadvantages of this technique for diagnosis of stroke. Advantages Relatively fast, inexpensive imaging modality. Highly specific and sensitive to evaluate and rule out intracranial hemorrhage. Disadvantages Exposes patients to ionizing radiation. Less sensitive…

Preliminary Diagnosis: Ramsay-Hunt Syndrome I. What imaging technique is first-line for this diagnosis? MR of the brain and full bilateral Internal Auditory Canals (IAC) with contrast. II. Describe the advantages and disadvantages of this technique for diagnosing Ramsay-Hunt syndrome. Advantages Highly specific and sensitive to evaluate for any specific brain parenchymal and/or cranial nerve abnormality…

Preliminary Diagnosis: Normal Pressure Hydrocephalus I. What imaging technique is first-line for this diagnosis? Non-contrast CT of the brain II. Describe the advantages and disadvantages of this technique for diagnosis of normal pressure hydrocephalus. Advantages Relatively inexpensive, fast imaging modality compared with companion MR imaging Able to evaluate osseous structures Disadvantages Exposes the patient to…

Preliminary Diagnosis: Malignant Otitis Externa I. What imaging technique is first-line for this diagnosis CT temporal bone with and without contrast II. Describe the advantages and disadvantages of this technique for diagnosis of malignant otitis externa. Advantages Relatively inexpensive, fast imaging modality More specific and sensitive in evaluating the osseous structures for any evidence of…

Preliminary Diagnosis: Cerebellar Degeneration I. What imaging technique is first-line for this diagnosis? Noncontrast CT of the brain II. Describe the advantages and disadvantages of this technique for diagnosis of cerebellar degeneration. Advantages Less expensive than MRI Faster to peform than MRI Disadvantages Exposes patients to ionizing radiation. III. What are the contraindications for the…

Preliminary Diagnosis: Myocarditis I. What imaging technique is first-line for this diagnosis PA and lateral view of the chest II. Describe the advantages and disadvantages of this technique for diagnosis of myocarditis. Advantages Quick, relatively inexpensive modality Exposes patients to negligible ionizing radiation Highly portable Disadvantages Limited in sensitivity and specificity in detecting, diagnosing, and…

Preliminary Diagnosis: Mycotic Aneurysm I. What imaging technique is first-line for this diagnosis? The first-line imaging modality is CTA imaging with IV contrast of the area of concern II. Describe the advantages and disadvantages of this technique for diagnosis of mycotic aneurysm. Advantages May help guide and plan percutaneous intervention Offers exquisite visualization of the…

Preliminary Diagnosis: Gastroesophageal Varices I. What imaging technique is first-line for this diagnosis Ultrasound of the upper abdomen near the gastroesophageal junction utilizing gray scale, color Doppler, and spectral waveform sonographic techniques II. Describe the advantages and disadvantages of this technique for diagnosis of gastroesophageal varices. Advantages Highly portable imaging modality that exposes patients to…

Preliminary Diagnosis: Toxic Nodular Goiter I. What imaging technique is first-line for this diagnosis? Ultrasound of the thyroid gland. II. Describe the advantages and disadvantages of this technique for diagnosing toxic nodular goiter. Advantages Highly portable imaging modality. Does not expose patients to ionizing radiation. May help guide percutaneous biopsy and FNA. Able to evaluate…

Preliminary Diagnosis: Basal Cell Carcinoma I. What imaging technique is first-line for this diagnosis? Most lesions are superficial and are not imaged. II. Describe the advantages and disadvantages of this technique for diagnosis of basal cell carcinoma. Not applicable III. What are the contraindications for the first-line imaging technique? Not applicable Related Content IV. What…

Preliminary Diagnosis: Squamous cell carcinoma of the skin I. What imaging technique is first-line for this diagnosis CT with contrast II. Describe the advantages and disadvantages of this technique for diagnosis of squamous cell carcinoma of the skin. Advantages Relatively quick and inexpensive imaging modality. Offers exquisite detail of the surrounding osseous structures. Disadvantages Exposes…

Preliminary Diagnosis: Ascites I. What imaging technique is first-line for this diagnosis The first line imaging technique is a plain radiograph of the abdomen. II. Describe the advantages and disadvantages of this technique for diagnosis of Ascites. Plain radiography is a quick and relative portable imaging modality. Plain radiography exposes patients to minimal ionizing radiation.…

Preliminary Diagnosis: Portal Hypertension I. What imaging technique is first-line for this diagnosis? Ultrasound of the liver utilizing gray scale, Color Doppler, and spectrum wave form analysis sonographic imaging. II. Describe the advantages and disadvantages of this technique for diagnosing portal hypertension. Advantages Highly portable and quick imaging modality. Does not expose patients to ionizing…

Preliminary Diagnosis: Mitral Regurgitation I. What imaging technique is first-line for this diagnosis? Echocardiography (transthoracic) II. Describe the advantages and disadvantages of this technique for diagnosis of mitral regurgitation. Advantages Offers exquisite anatomical and functional imaging Does not expose patients to ionizing radiation Helps detect pressure gradients and velocities across a diseased valve and helps…