Radiology Comprehensive Quiz Test your knowledge on Radiology by answering the questions provided in this quiz. 1. When using MRI to stage non small cell carcinoma of the lung (NSCLC) , which of the following are true? CT is superior to MRI in the assessment of mediastinal involvement MRI signal characteristics allow discrimination between normal and infiltrated lymph nodes Lymph node metastatses in the aorto-pulmonary window are better evaluated with CT than MRI MRI is the best modality to assess superior sulcus tumours T2 weighted images are most useful in assessing chest wall invasion None 2. Which of the following will provide the most accurate measurement of cardiothoracic ratio? Lordotic view chest xray Expiratory AP chest xray Expiratory PA chest xray Inspiratory AP chest xray Inspiratory PA chest xray None 3. Ultrasound is not appropriate for imaging the following organs: Thyroid gland Abdomen and pelvis Brain of an adult Testes Breast None 4. A 36 year old woman presents to the outpatient department with 2 months history of bilateral wrist pain, swelling and stiffness. She mentions that the symptoms are particularly worse first thing in the morning. Hand x-rays show arthritic changes at the wrist, metacarpophalangeal and proximal interphalangeal joints. What is the most likely diagnosis? Reactive arthritis Septic arthritis Psoriasis Osteoarthritis Rheumatoid arthritis None 5. A 23 year old lady presents with acute ankle pain after a fall while wearing high heels. What is the eponymous name for the fracture of the proximal fibula shaft with instability of the ankle joint? March fracture Galeazzi fracture Weber's fracture Maisonneuve fracture Segond fracture None 6. A 76-year-old male patient presents with history of sudden loss of consciousness, left sided hemiplegia and right sided facial nerve palsy for the last 12 hours. The most appropriate initial radiological examination when available would be: CT scan Head Trans-occipital Doppler Four vessel angiography High resolution temporal CT scan 18-F FDG PET scan None 7. In acute hematogenous osteomyelitis: Bony changes are evident radiographically at the onset of symptoms in most cases The earliest radiographic abnormality is a periosteal reaction The most common causative agent is streptococcus There is a predilection for the diaphysis Radionuclide bone scan changes appear much earlier than radiographic changes None 8. The following statement is true concerning scalp masses at CT? Scalp masses with associated destructive skull lesions are most likely malignant Scalp lipomas are hyper dense Acute subgaleal hematoma are of CSF density at CT A history of trauma will be elicited in sebaceous cysts Subgaleal hematomas are usually confined by cranial sutures None 9. A 35 year old patient presents with a history of a fall from a height with a GCS of 5/15 and paraplegia. What is the most appropriate imaging modality for such a case? Chest radiograph Skull radiograph FAST imaging MRI scan Head CT None 10. False statement regarding hysterosalpingography: May be performed in the first trimester of pregnancy It is a contrast study Main indication is infertility Useful for studying congenital uterine abnormalities The 10 day rule should be observed None 11. The following levels are normal constrictions of the esophagus during a barium swallow study except? Left atrial appendage Aortic arch Thyroid gland Cricopharyngeus Gastro-esophageal junction None 12. Which statement is false concerning echocardiography It can demonstrate a ventricular septal defect Ionizing radiation is involved It can demonstrate damaged heart valves in rheumatic heart disease It is an ultrasound technique It can demonstrate left to right shunts None 13. A 6 year old boy presents to the emergency department with dyspnea and easy fatiguability. A chest radiograph is requested, one of the salient findings is a splayed carina. Regarding enlargement of cardiac chambers and valvular disease, what is the least likely etiology? Atrial septal defect Left ventricular failure Mitral regurgitation Ventricular septal defect Mitral stenosis None 14. Ultrasound examination is most appropriate in suspected: Cholecystitis Bowel obstruction Bowel perforation Diverticulitis Colorectal carcinoma None 15. Ultrasound imaging utilises what kind of energy to create an image? High frequency sounds Low frequency sounds Light waves Ultraviolet rays Radiofrequency waves None 16. Which of the following is NOT a sign of acute cerebral infarction? Enlarged ipsilateral ventricle Subfalcine herniation Positive mass effect Dense middle cerebral artery Hypoattenuation denser than CSF None 17. The following is most significant in identifying the probability of the presence of chromosomal anomalies in obstetric ultrasound assessment of the fetus at 11-13 weeks: Nuchal Thickness Crown-Rump Length Nuchal Translucency Head Circumference Gestational Sac Volume & Form None 18. A 36-year-old female, post-caesarean section, in the ward with unilateral lower limb swelling for 2 weeks, now presents with sudden onset pain and tachycardia. What is the most appropriate initial investigation? D-dimer Chest x-ray CT pulmonary angiogram Venous Doppler ultrasound Electrocardiogram None 19. The following are features of congestive heart failure except: Cephalisation of pulmonary vessels Cardiomegaly Pleural effusion Phantom masses commonly seen along fissures Dilation of the central pulmonary vessels with peripheral pruning None 20. The following are appropriate imaging modalities for ovaries: MRI and CT Ultrasound and radionuclide scan Plain radiograph and CT Ultrasound and plain radiograph MRI and ultrasound None 21. A 70-year-old lady presents with chronic low back pain and stiffness. She does not have history of major trauma to the back. Which is the most appropriate initial imaging for her? CT of the spine Radionuclide bone scan of the spine Anterior-posterior and lateral plain radiographs of the lumbosacral spine CT of the lumbar spine with contrast MRI of the spine None 22. Which of the following is the diagnostic modality of choice for suspected vesico-ureteric reflux? Cystoscopy Abdominal ultrasound Intravenous urethrogram Hysterosalpingogram Micturating cystourethrography None 23. Please select the most appropriate test to confirm the diagnosis for a 15 year old boy develops abdominal pain 6 days after appendicectomy. Small bowel obstruction is suspected: Supine AP chest radiograph Erect PA chest radiograph CT of abdomen with IV contrast Supine abdominal radiograph Abdominal ultrasound scan None 24. Which of the following imaging modalities best demonstrates VSD? Plain chest radiograph Echocardiography Angiography CT of the thorax MRI None 25. In a 50 year old patient with similar findings, additional linear luminal filling defects are also identified. Which is the most likely diagnosis? Polyp Diverticulae None of the above Varices Pharyngeal pouch None 26. Which of the following bodies oversees the regulation of the medical use of radiation? Kenya Nuclear Regulatory Board Kenya Radiation Protection Council Kenya Medical Practitioners and Dentists Council None of the above Kenya Radiation Protection Board None 27. The following is the arrangement of the proximal row of small bones of the right anteroposterior view of the wrist: Pisiform, lunate, capitate, hamate Pisiform, triquetrum, lunate, scaphoid Hamate, pisiform, triquetrum, scaphoid Triquetrum, pisiform, scaphoid, capitate None 28. Which one is not an ultrasound characteristic of a simple cyst? Anechoic Posterior acoustic enhancement Lucent Hyperechoic None 29. A child passenger is admitted to accident and emergency following a road traffic collision. Radiographs of the spine show a horizontal fracture involving the vertebral body and pedicles of L2. Associated injury to which of the following abdominal organs is most likely? Liver Duodenum Rectum Spleen Jejunum None 30. The normal thymus: Appears smaller in supine chest film rather than upright position It is a middle mediastinal structure Usually seen in chest films of adults Should be evident radiographically at birth When large typically displaces the trachea None 31. A 24-year old woman has marked increase in the size of her uterus between 26-30 weeks gestation. Obstetric ultrasound shows a marked increase in the amount of amniotic fluid. The fetus is normal for gestational age. Which of the following is the most likely diagnosis? Horseshoe kidney Duodenal atresia Neural tube defect Erythroblastosis fetalis Congenital heart disease None 32. Which of the following is a requirement before a trans abdominal prostatic ultrasound? Full bladder Prostate Specific Antigen (PSA) levels Fast for 6 hours before the procedure Buscopan Prone position None 33. What is the most likely diagnosis for a 65 year old man who presents with rectal bleeding and large bowel dilatation? Volvulus Adhesions Perforated peptic ulcer Gallstone ileus Colonic carcinoma None 34. A 55 year old man presents with swelling of the chin and floor of the mouth. A CT scan done reveals a submandibular-sublingual- submental peripherally enhancing fluid collection. The airway was normal. What is the most likely diagnosis? Ludwig angina Submandibular lymphadenopathy Retropharyngeal abscess Submental tooth Foreign body None 35. A 60 year old lady develops a painless left breast lump that has been progressively increasing in size for over 5 months. A mammogram is performed and the report conclusion is a BI-RADS lesion. What is the likelihood of malignancy in a BI-RADS 5 lesion? 2-10% >75% 10-95% >95% 10% None 36. What condition is most associated with free fluid in the cul de sac on ultrasound? Inflammatory Hemoperitoneum All of the above Chylous ascites Physiological None 37. Which is not a sign of pleural effusion on a posterior-anterior chest radiograph? Blunting of costophrenic angles Loss of diaphragm outline Sharp-costophrenic angles Meniscus sign None 38. A 35-year-old lady presents with history of irregular menses. On examination she has a firm suprapubic mass corresponding to 20 weeks of pregnancy. Which is the most appropriate imaging modality to determine if she has uterine fibroids? Hysterosalpingography Pelvic ultrasound Pelvic radiograph MRI pelvis CT pelvis None 39. An 18 month old girl is brought to the casualty department after her mother noticed her pupil appears white. You perform ophthalmoscopy and suspect a retinal mass. Which of the following is the next investigation of choice? CT orbits MRI orbits Orbital radiograph Ultrasound Repeat ophthalmoscopy None 40. A 40 year old woman presents to you family planning clinic complaining that she can no longer feel the threads of an intrauterine contraceptive device (IUCD) which was placed in her uterus 4 years ago. She received normal menses one week ago. Which of the following are the most appropriate modalities for detecting a lost IUCD? Pelvic CT and pelvic MRI Pelvic MRI and pelvic ultrasound Pelvic CT and pelvic radiograph HSG and MRI Plain pelvic radiograph and pelvic ultrasound None 41. A 30-year-old man presents with difficulty urinating. Urethral stricture is suspected since he has a history of urinary tract infection. What is the most appropriate imaging modality for his condition? MRI pelvis Ascending urethrogram and micturating cystourethrogram Intravenous urography Pelvic ultrasound Hysterosalpingography None 42. Review areas on plain chest radiograph are areas of missed findings and special attention should be paid to them. Which of the following combinations represent the review areas: Lung apices, pulmonary hila, retrocardiac, below the diaphragm, posterior costophrenic recesses, bones and soft tissues Lung bases, pulmonary hilum, behind the heart, below the diaphragm, bones and soft tissues Lung bases, below the diaphragm, behind the heart and bones and soft tissues Lung apices, tracheobronchial tree, behind the heart, below the diaphragm, bones and soft tissues Costophrenic recesses, retrocardiac, lung apices and hila None 43. A 65 year old man presented with lower urinary tract symptoms, hematuria, back and pelvic pain. Examination revealed an enlarged prostate and elevated PSA levels. The following statements are true about the diagnosis except? It primarily affects elderly males In advanced disease, CT scanning is the imaging modality of choice to detect enlarged nodes, hydronephrosis and visceral organ involvement Trans rectal ultrasonography is often initially performed to detect abnormalities and guide biopsy MRI scan of the prostate is indicated for staging Radiotherapy is not a treatment option None 44. Which statement about MRI is false: Images can be produced in multiple planes Not associated with ionizing radiation Employs powerful magnetic fields Claustrophobia is an indication Metallic cardiac pacemakers are a contraindication None 45. Exposure to ionising radiation is a predisposing factor to each of the following diseases except? Carcinoma of the cervix Lymphoma Leukemia None of the above Thyroid carcinoma None 46. A young man presents with recurrent, severe, epigastric pain. Which statement is true Barium swallow is the modality of choice Plain abdominal X-ray is the best choice Double contrast barium meal is the most appropriate CT abdomen is ideal for him Abdominal ultrasound is the most appropriate modality None 47. An 83 year old male patient presents with abdominal distension with failure to pass stool and flatus. An X-ray done shows a centrally distended bowel loop with a coffee bean shape. The following are possible complications except: Septic shock Peritonitis Gangrene Fistula formation Bowel strangulation None 48. A 40 year old female patient presents to the orthopaedic clinic with history of chronic right shoulder pain and limited range of motion. After history taking and clinical examination, you suspect adhesive capsulitis and rotator cuff tendon tear and request for an MRI of the right shoulder. Which of the following muscle groups form the rotator cuff? Supraspinatus, infraspinatus, pectoralis major, teres minor Infraspinatus, supraspinatus, subscapularis, teres major Teres minor, infraspinatus, subscapularis, supraspinatus Supraspinatus, pronator teres, subscapularis, infraspinatus Subscapularis, teres major, supraspinatus, teres minor None 49. Indications of cranial sonography include the following except? Evaluation of a suspected meningocele Monitoring progress and complications of meningitis in a 1 year old child Suspected cystic cranial lesions in a 3 year old child Evaluation of the infant brain Evaluation of intracranial hemorrhage in a neonate None 50. A 30 year old man was involved in road traffic accident. He presented to the Accident and Emergency Department with history of confusion. A CT scan was ordered. The image is as presented here. What is the diagnosis? Subdural hemorrhage Subarachnoid hemorrhage Epidural hemorrhage Calcified Meningioma None of the above None 51. Which one of the following is the most common type of Salter–Harris fracture, accounting for over 70% of growth-plate fractures of the immature skeleton? Type IV Type I Type II Type V Type III None 52. Which is the most common thyroid neoplasm? Lymphoma Medullary Follicular Papillary Anaplastic None 53. A 40 year old female presents with features of hyperthyroidism. An ectopic parathyroid tissue is suspected. Which of the following is the most appropriate imaging modality? MRI Plain radiography Ultrasound CT Radionuclide imaging None 54. The 'H' shaped vertebrae is seen in: Phenylketonuria Sickle cell anemia Hemangioma Osteoporosis Pyknodysostosis None 55. Osteoblastic bone secondaries are seen in: Lung adenocarcinoma Ovarian mucinous cystadenoma Stomach carcinoma Carcinoma of the thyroid gland Prostate carcinoma None 56. Of the following imaging modalities which is the examination in which the radiation source is from the patient? MRI Radionuclide imaging Ultrasound CT scan Fluoroscopy None 57. A 40 year old is involved in a road traffic accident and is brought into the A/E unit. He is confused and has deep cuts on his scalp. A skull radiograph does not reveal any fractures. Which modality is the most appropriate for further imaging? MRI of the brain Cerebral angiography A and C are correct Cranial ultrasound CT of the head None 58. Regarding GIT contrast studies: No preparation is needed for barium meal The mortality rate from barium peritonitis is less than 1% Air is introduced via NGT during a double contrast barium meal study Double contrast is used in infantile enema studies Air is negative contrast media None 59. A 9 year old child presents with history of fall on an outstretched arm. A plain radiograph demonstrates left distal humeral supracondylar fracture. Which nerve is likely to be injured as a complication? Radial nerve All of the above Ulnar nerve Median nerve Anterior interosseous nerve None 60. In the evaluation of a patient with secondary infertility on hysterosalpingogram, the following are diagnostic findings except? Short funnelling cervix Bilateral peritoneal spill Dilated Fallopian tubes Absent Fallopian tubes Intrauterine linear filling defects None 61. The following are true statements regarding double contrast barium enema except: Toxic megacolon is an indication Air and barium are used as contrast agents It is valuable in the diagnosis of ulcerative colitis Suspected Hirschprung's disease is an indication None 62. A patient presents in casualty complaining of itching, facial swelling and inability to speak or swallow. There is recent history of having had a CT scan done. The following are likely interventions EXCEPT? Oxygen by mask Ibuprofen Chlorpheniramine Terbutaline None 63. Which of the following is not a feature of rheumatoid arthritis? Periarticular osteopenia Accompanied soft tissue swelling Erosive arthropathy Tends to spare the distal interphalangeal joints Commonly affects the distal interphalangeal joints None 64. A 40 year old man presents with severe right upper quadrant pain. The most appropriate imaging modality is: MRI abdomen Barium meal and follow through Abdominal ultrasound CT abdomen Barium swallow None 65. The following are severe features associated with distal radial fractures except? Associated dislocation Transverse fracture configuration Intra-articular involvement Associated ligamentous injury Additional fractures of the ulna styloid None 66. Please select the most appropriate test to confirm the diagnosis for a 42 year old woman with rheumatoid arthritis who develops acute abdominal pain. A perforated peptic ulcer is suspected. Erect PA chest radiograph Supine abdominal radiograph CT of abdomen with IV contrast CT of thorax with IV contrast CT of the thorax without IV contrast None 67. The following are indications for an intravenous urography except: Suspected congenital anomaly in the urinary tract Investigation of renal pathology in a known multiple myeloma patient Ureteric calculi Ureteric obstruction Hematuria None 68. At the wrist, the following bones lie in the distal row: Traphezoid and triquetrum Hamate and lunate Trapezium and capitate Scaphoid and pisiform Trapezoid and pisiform None 69. Which of the following is a false statement regarding micturating cystourethrogrpahy? Can demonstrate bladder diverticuli Is contraindicated in male patients with urethral strictures Can diagnose urethral strictures Can demonstrate bladder outlet obstruction Involves use of ionising radiation None 70. The most reliable observation to indicate that a chest radiograph is a PA rather than an AP projection is? Degree of slant of the cardiac shadow Minimal magnification of the cardiac shadow Scapulae are away from the lung fields Absence of gastric bubble Better demonstration of the thoracic spine None 71. Which statement is false concerning fracture-dislocation of the hip joint: In anterior dislocation, the femoral head is displaced postero-superiorly from the acetabulum CT is superior to MRI in detection of hip fractures Plain radiography is inferior to CT in detecting hip fractures In posterior hip dislocation the femoral head is displaced posterior superiorly from the acetabulum CT is the most appropriate imaging modality for complex hip fractures None 72. A 10 year old boy is brought to the A/E department with acute onset jaundice, fever and abdominal pain. The following are sonographic features of acute hepatitis except: Periportal edema Hepatomegaly Gall bladder wall thickening Starry sky appearance Enlarged pancreas None 73. Indications for performing an intravenous pyelogram include the following except: Demonstrate calyceal detail in papillary necrosis Hematuria Dilated ureter on ultrasound In hypertension to assess renal pathology Inconclusive ultrasound None 74. A 50 year old man known to have peptic ulcer disease is brought to the outpatient clinic with severe epigastric discomfort and pain. He is sent for a plain abdominal radiograph as one of the investigations. The following signs may be seen on the radiograph except: Urachus sign Football sign Rigler sign Chilaiditis sign Falciform ligament sign None 75. Which of the following are causes of Superior Vena Cava obstruction? Aortic aneurysm Histoplasmosis Constrictive pericarditis Central venous line Lymphoma None 76. For questions 20-24 answer use the below image to answer:A 36 year old female patient presents to the radiology department. The above imaging study was done. Which was the most likely presenting complaint? Recurrent hematemesis Wasting Dysphagia for both solids and liquids Dysphagia for solids Dysphagia for liquids None 77. A 65 year old known diabetic and hypertensive patient who has been on follow up at the medical outpatient clinic is brought into casualty with a reduced GCS score. Cerebral vascular accident is suspected and a CT scan of the head is requested and performed. A hyper dense intraparenchymal lesion suggestive of acute haemorrhage is seen. Which of the following is the LEAST likely location of the bleed? Cerebellum Cerebral cortex Lentiform nucleus Pontine tegmentum Medulla oblongata None 78. Please select the most appropriate test to confirm the diagnosis for a 65 year old woman who becomes short of breath and is suspected of having acute left ventricular failure: Abdominal ultrasound scan CT of thorax with IV contrast CT of thorax without IV contrast CT of abdomen with IV contrast Erect PA chest radiograph None 79. A 30 year old male sustains a sporting injury with dislocation of his right shoulder. Immediate first aid is performed and reduction is achieved by external manipulation. He undergoes subsequent plain radiographic imaging and MRI of the shoulder to assess additional injuries. Which of the following statements is false regarding MRI? Permanent magnets generally have a lower field strength than the superconducting magnets Claustrophobia is a relative contraindication Some modern cardiac pacemaker devices can be safely used in MRI machines Contrast enhancement is best assessed on T1- weighted imaging All metallic implants are contraindicated None 80. An orthopantomogram is taken to evaluate: Facial bone Mandible Maxilla All of the above Skull None 81. As seen on radiographs of a paediatric skeleton, generalized appendicular findings of poor mineralization of the epiphyseal centres, widening of the growth plate and cupping/fraying of the metaphyses are all frequently associated with which condition? Osteogenesis imperfecta Scurvy Osteomalacia Fibrous dysplasia Rickets None 82. On plain abdominal radiographs: Small bowel loops are usually peripheral Small bowel loops always have fecal matter and air All abdominal visceral organs can clearly be seen on a plain radiograph Large bowel loops are peripheral Large bowel loops are central None 83. A 12 year old girl is brought into the A/E department with history of acute onset jaundice, fever and abdominal pain. The following statements are true except: Acute hepatitis is a worthy differential diagnosis Normal imaging findings do not rule out acute hepatitis Abdominal MRI is not a primary imaging modality in this case Abdominal ultrasound may show hepatomegaly Contrast enhanced abdominal CT scans is the initial diagnostic modality of choice None 84. A 22 year old seeks your advice regarding screening for breast cancer. Her mother and two aunts have been diagnosed with breast cancer between the ages 28-35 years. Which of the following is the most appropriate modality for her screening? Breast MRI Ductography CT Breast ultrasound Mammography None 85. Which of the following is not a fluoroscopic imaging modality? Intravenous urogram Micturating cystourethrogram Fistulogram Hysterosalpingogram Sinogram None 86. A 5 year old girl is brought to the hospital on a Sunday afternoon with a history of acute onset stridor. Which of the following statements is true about foreign body ingestion in children? Ingested coins cannot be visualised on a plain radiograph Standard imaging modality of choice is a set of plain radiographs No imaging required Most ingested foreign bodies do not pass beyond the stomach In suspected button cell ingestion, the patient should be discharged home to await spontaneous passage None 87. Air in the urinary tract could result from the following conditions except: All the listed choices Vesicointestinal fistula Anaerobic infections Iatrogenic procedures Overlying bowel loops None 88. The following statements are true about large bowel obstruction except? Sigmoid volvulus as a cause is more common that caecal volvulus The classic presentation is with abdominal pain, distension, inability to pass flatus or bowel Dynamic ileus is a differential diagnosis for large bowel obstruction Acute diverticulitis is a known cause Large bowel obstruction is more common that small bowel obstruction None 89. A 30 year old woman presents with a history of neck swelling. Goitre is suspected and a neck ultrasound is performed. The following structures can be identified in this exam except: Trachea Left common carotid Cervical nodes Superior esophageal sphincter Right internal jugular vein None 90. What is the most sensitive imaging modality for diagnosing Salter-Harris type V fracture: Ultrasound Bone scintigraphy Plain radiography CT MRI None 91. A 48 year old female patient presents with dysfunctional uterine bleeding. On speculum examination there is a nodular cervical mass. A Pap smear done is positive for Ca cervix. Which is the most appropriate next imaging test? Pelvic ultrasound Hysterosalpingography CT scan pelvis MRI pelvis Pelvic x-ray None 92. A 25 year old man presents to casualty with colicky renal angle pain and hematuria. He has previously presented with recurrent UTIs. What is the most likely diagnosis? Vesico-ureteric reflux Urethral strictures Prostatic enlargement Posterior urethral valves Renal calculi None 93. Ultrasound is not appropriate for: Thyroid and ovarian imaging Testicular and prostate imaging Uterine and pancreatic imaging Bowel and bone imaging Soft tissue and vascular imaging None 94. Intravenous urography is contraindicated in the following conditions except: Advanced renal failure Suspected calyceal deformity in tuberculosis or chronic pyelonephritis Urinary tract infection Uremia Prostatis None 95. During a barium meal examination: Negative contrast is administered Cathode ray oscilloscope system is used to fire the image No films are taken in the first 10 minutes Contrast is ingested the day before Image is generally viewed on a fluorescent screen None 96. Uterine artery embolization is useful in the following conditions except: In menorrhagia from uterine fibroids None of the listed choices In the treatment of hemorrhage from advanced or recurrent carcinoma of the pelvis Localize the site and cause of heavy uterine bleeding In suspected or known gynecologic malignancies None 97. The following fractures are considered suspicious for non-accidental injury EXCEPT? Multiple fractures at different stages of healing Posterior rib fractures Skull fracture involving parietal bone Metaphyseal corner fractures Scapular fractures None 98. The following are diagnostic indications of barium swallow as an imaging modality except: Barretts esophagus Achalasia cardia Hiatal hernia Esophageal carcinoma Tracheoesophageal fistula None 99. The following are utilised in standard radiation protection practice in occupational health for radiation workers except? Use of lead apron shields Annual blood levels Lead window shielding Use of lead gonadal shields Radiation level monitoring None 100. The following are important conditions the affect the quality of a diagnostic mammogram except? Mammogram machine type Breast size Technical skill Age of the patient Pathology None 1 out of 100 Time's up