Test 1

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

CT Chest

Questions
1.	Name the structure labelled 1.
2.	Name the structure labelled 2.
3.	Name the structure labelled 3.
4.	Name the structure labelled 4.
5.	What normal variant is present in this image?

MRI Knee

Questions
6.	Name the structure labelled 6.
7.	Name the structure labelled 7.
8.	Name the structure labelled 8.
9.	Name the structure labelled 9.
10.	Name the structure labelled 10.

Skull Radiograph

Questions
11.	Name the structure labelled 11.
12.	Name the structure labelled 12.
13.	Name the structure labelled 13.
14.	Name the structure labelled 14.
15.	Name the structure labelled 15.

Ultrasound Abdomen

Questions
16.	Name the structure labelled 16.
17.	Name the structure labelled 17.
18.	Name the structure labelled 18.
19.	Name the structure labelled 19.
20.	Name the structure labelled 20.

MRI Pelvis

Questions
21.	Name the structure labelled 21.
22.	Name the structure labelled 22.
23.	Name the structure labelled 23.
24.	Name the structure labelled 24.
25.	Name the structure labelled 25.

Elbow Radiograph

Questions
26.	Name the structure labelled 26.
27.	Name the structure labelled 27.
28.	Name the structure labelled 28.
29.	What muscle inserts into structure 29?
30.	Name the structure labelled 30.

Hand Radiograph

Questions
31.	Name the structure labelled 31.
32.	Name the structure labelled 32.
33.	Name the structure labelled 33.
34.	Name the structure labelled 34.
35.	Name the structure labelled 35.

Barium Swallow

Questions
36.	Name the structure labelled 36.
37.	Name the structure labelled 37.
38.	Name the structure labelled 38.
39.	What structure causes this impression?
40.	What structure causes this impression?

CT Chest

Questions
41.	Name the structure labelled 41.
42.	Name the structure labelled 42.
43.	Name the structure labelled 43.
44.	Name the structure labelled 44.
45.	Name the structure labelled 45.

MRI Brain

Questions
46.	Name the structure labelled 46.
47.	Name the structure labelled 47.
48.	Name the structure labelled 48.
49.	Name the structure labelled 49.
50.	Name the structure labelled 50.

MRI Brain

Questions
51.	Name the structure labelled 51.
52.	Name the structure labelled 52.
53.	Name the structure labelled 53.
54.	Name the structure labelled 54.
55.	Name the structure labelled 55.

MRI Spine

Questions
56.	Name the structure labelled 56.
57.	Name the structure labelled 57.
58.	Name the structure labelled 58.
59.	Name the structure labelled 59.
60.	Name the structure labelled 60.

Pelvic Radiograph

Questions
61.	Name the structure labelled 61.
62.	Name the structure labelled 62.
63.	Name the structure labelled 63.
64.	Name the structure labelled 64.
65.	Name the structure labelled 65.

CT Abdomen

Questions
66.	At what vertebral level does structure 66 traverse the diaphragm?
67.	Name the structure labelled 67.
68.	Name the structure labelled 68.
69.	Name the structure labelled 69.
70.	Name the structure labelled 70.

Barium Enema

Questions
71.	Name the structure labelled 71.
72.	Name the structure labelled 72.
73.	Name the structure labelled 73.
74.	Name the structure labelled 74.
75.	Name the structure labelled 75.

MRI Brain

Questions
76.	Name the structure labelled 76.
77.	Name the structure labelled 77.
78.	Name the structure labelled 78.
79.	Name the structure labelled 79.
80.	Name the structure labelled 80.

MR Angiogram

Questions
81.	Name the structure labelled 81.
82.	Name the structure labelled 82.
83.	Name the structure labelled 83.
84.	Name the structure labelled 84.
85.	Name the structure labelled 85.

Chest Radiograph

Questions
86.	Name the structure labelled 86.
87.	Name the structure labelled 87.
88.	What part of the heart is labelled 88?
89.	What part of the heart is labelled 89?
90.	Name the structure labelled 90.

CT Pelvis

Questions
91.	Name the structure labelled 91.
92.	Name the structure labelled 92.
93.	Name the structure labelled 93.
94.	Name the structure labelled 94.
95.	Name the structure labelled 95.

Foot Radiograph

Questions
96.	Name the structure labelled 96.
97.	Name the structure labelled 97.
98.	Name the structure labelled 98.
99.	Name the structure labelled 99.
100.	Name the structure labelled 100.

Test 1 Answers

CT Chest

• 1. Arch of the aorta

• 2. Oesophagus

• 3. Trachea

• 4. Right subscapularis muscle

• 5. Azygos lobe/fissure

This is the appearance of a collapsed oesophagus which is always found behind a much more easily recognised trachea.

An azygos lobe is a normal anatomical variant found in 1 % of people. It is separated from the rest of the upper lobe by two folds of parietal and two folds of visceral pleura.

MRI Knee

• 6. Quadriceps tendon

• 7. Patellar ligament

• 8. Hoffa’s fat pad (or infrapatellar fat pad)

• 9. Posterior horn of lateral meniscus

• 10. Neck of fibula

This sagittal MRI of the knee is taken through the fibular head; therefore, the meniscus must be the lateral meniscus.

Skull Radiograph

• 11. Left maxillary sinus

• 12. Right fronto-zygomatic suture

• 13. Right coronoid process of mandible

• 14. Right mastoid air cells

• 15. Odontoid process (dens) of C2 vertebra (axis)

All answers have 2 marks awarded. Always label the side when possible. Even if you get the structure right, you will only be awarded one point if the side is not included in the answer.

Ultrasound Abdomen

• 16. Superior mesenteric artery

• 17. Confluence of splenic vein and superior mesenteric vein/portal vein

• 18. Left renal vein

• 19. Body of pancreas

• 20. Abdominal aorta

Look for the tadpole shape of the splenic vein (tail) and portal confluence (head). The pancreas is located anteriorly to the ‘tadpole’.

To distinguish the aorta from the IVC: the aorta lies to the left of the IVC, is smaller in diameter and is surrounded by a concentric echo-bright area which represents peri-arterial fat.

MRI Pelvis

• 21. Right rectus abdominis muscle

• 22. Left external iliac artery

• 23. Right gluteus maximus muscle

• 24. Coccyx

• 25. Left obturator internus muscle

When presented with an MRI case, firstly it is important to identify the sequence. A useful hint is to remember that fluid is bright on T2-weighted images and fat is bright on T1-weighted images.

Elbow Radiograph

• 26. Right lateral epicondyle of humerus

• 27. Right capitellum of humerus

• 28. Right neck of radius

• 29. Right biceps brachii muscle

• 30. Right shaft of ulna

Hand Radiograph

• 31. Right styloid process of ulna

• 32. Right trapezium

• 33. Right capitate

• 34. Right lunate

• 35. Right head of thumb metacarpal

Phalanges and metacarpals should be named (not numbered) according to the corresponding digit, e.g. thumb not 1st metacarpal.

Barium Swallow

• 36. Right hemidiaphragm

• 37. Left medial head of clavicle

• 38. Anterior border of heart (right ventricle)

• 39. Arch of aorta

• 40. Left main bronchus

This barium swallow image is taken in the right anterior oblique position. Three major impressions in the oesophagus are seen anteriorly. These are made by the aortic arch, the left main bronchus and the left atrium from above down.

CT Chest

• 41. Left subclavian artery

• 42. Trachea

• 43. Left common carotid artery

• 44. Right supraspinatus muscle

• 45. Spinal canal (spinal cord)

The supraspinatus muscle is superior to the spine of the scapula and therefore medial to it on axial section.

MRI Brain

• 46. Genu of corpus callosum

• 47. Suprasellar cistern

• 48. Straight sinus

• 49. Pituitary gland

• 50. Clivus

The visible subarachnoid cisterns on a sagittal MRI of the brain include the suprasellar cistern, interpeduncular cistern, pontine cistern, cisterna magna and quadrigeminal cistern.

MRI Brain

• 51. Lens of right eye

• 52. Basilar artery

• 53. Left posterior cerebral artery

• 54. Left optic nerve

• 55. Left superior cerebellar peduncle

Vessels in MR are represented as signal void (low signal) because of flow artefact. This slice is through the superior pons; structure 55 is therefore the superior cerebellar peduncle bridging between the pons and cerebellum. The superior and inferior colliculi of the quadrigeminal plate are found higher than this, at the level of the midbrain and do not bridge across to the cerebellum.

MRI Spine

• 56. L3/L4 intervertebral disc

• 57. Sacral promontory

• 58. Presacral space

• 59. Filum terminale

• 60. Abdominal aorta

Remember to name the different parts of the aorta (it may seem obvious but you will lose marks unnecessarily).

Pelvic Radiograph

• 61. Spinous process L5 vertebra

• 62. Right anterior inferior iliac spine

• 63. Right fovea capitis of femur

• 64. Right body of pubic bone

• 65. Left inferior ramus of pubic bone

CT Abdomen

• 66. T8

• 67. Right psoas major muscle

• 68. Spleen

• 69. Left renal vein

• 70. Small intestine (loops of)

The IVC traverses the diaphragm at T8. The levels at which important structures traverse the diaphragm can be remembered as follows: vena cava (8 letters, T8), oesophagus (10 letters, T10) and aortic hiatus (12 letters, T12).

Barium Enema

• 71. Sigmoid colon

• 72. Left superior ramus of pubis

• 73. Right head of femur

• 74. Rectum

• 75. Right body of pubic bone

MRI Brain

• 76. Superior sagittal sinus

• 77. Falx cerebri

• 78. Left lateral ventricle

• 79. Septum pellucidum

• 80. Optic chiasm

MR Angiogram

• 81. Right common carotid artery

• 82. Right subclavian artery

• 83. Brachiocephalic trunk

• 84. Left subclavian artery

• 85. Arch of the aorta

This is a MIP (maximum intensity projection) angiogram of the aorta and neck vessels. The cube in the bottom right-hand corner identifies the plane in which the reformatted image is being viewed (A for anterior, L for left, P for posterior, etc.).

Chest Radiograph

• 86. Right acromioclavicular joint

• 87. Spinous process T1 vertebra

• 88. Left atrium (left atrial appendage)

• 89. Right atrium

• 90. Gas in colon/splenic flexure

This is gas in the colon; the gastric air bubble is seen superiorly.

CT Pelvis

• 91. Left sartorius muscle

• 92. Right pectineus muscle

• 93. Right femur (right neck of femur)

• 94. Right rectus abdominis muscle

• 95. Right obturator internus muscle

Foot Radiograph

• 96. Left middle phalanx 2nd toe

• 97. Left 2nd metatarsophalangeal joint

• 98. Left talus (head of talus)

• 99. Left navicular bone

• 100. Left styloid process 5th metatarsal