LIVER 2

Question 1

fibrolamellar HCC affects who

Answer 1

teenagers and young adults

Question 2

lab findings for fibrolamellar HCC

Answer 2

AFP normal or mildly elevated

Question 3

Fibrolamellar HCC clinical presentation (6)

Answer 3

Abdominal pain
Mass, fever, weight loss
Diarrhea
Vomiting

Question 4

fibrolamellar HCC sono features (3)

Answer 4

Solitary, well-marginated
Variable echogenicity
Focal calcifications

Question 5

Mesenchymal Sarcoma age

Answer 5

5- 10 year olds

Question 6

Mesenchymal Sarcoma indications (3)

Answer 6

• abdominal pain, swelling
• palpable mass
• normal AFP

Question 7

Mesenchymal Sarcoma sono features (3)

Answer 7

• single
• round, well-defined
• variable echogenicity with anechoic/cystic spaces creating enhancement

Question 8

metastases usually associated with (4)

Answer 8

Neuroblastoma – most common cause
Wilm’s Tumor
Leukemia
Lymphoma

Question 9

almost all cases of hepatitis are

Answer 9

viral

Question 10

symptoms of hepatitis (5)

Answer 10

Hepatomegaly with pain
Jaundice
Nausea, fever, loss of appetite

Question 11

chronic hepatitis can lead to (3)

Answer 11

cirrhosis
liver damage
cancer

Question 12

liver abscess result from

Answer 12

neonatal infection from the ubilicus or umbilical veins

Question 13

abscess is seeded into liver through (2)

Answer 13

portal or umbilical vein

Question 14

three types of abscess

Answer 14

amebic, pyogenic, fungal

Question 15

amebic abscess affects

Answer 15

children in areas where drinking water is contaminated and sanitation is poor
Entamoeba histolytica

Question 16

amebic abscess accesses the liver through

Answer 16

colon through portal system

Question 17

lab findings of amebic abscess

Answer 17

• mild ↗ LFTS
• anemia
• leukocytosis

Question 18

clinical presentation of amebic abscess

Answer 18

• abdo distention

- fever, RUQ pain

Question 19

sono features of amebic abscess

Answer 19

• hypoechoic spherical lesion

- right lobe is more common

Question 20

pyogenic abscess common in ____ children and what is common bacteria

Answer 20

Immunocompromised

E.coli

Question 21

sono features of pyogenic abscess (4)

Answer 21

• discretely marginated hypoechoic structures with enhancement
• can also be complex hyperechoic with poorly defined walls
• if contains gas – shadowing and reverberation artifacts
• bull’s eye appearance

Question 22

fungal abscess common in ____ children and what is common bacteria

Answer 22

Immunocompromised children

Candida albicans

Question 23

fungal abscess sono features

Answer 23

multiple small lesions
irregular walls
round and hypoechoic
target or wheel within a wheel appearance