Core Exam Flip

JK Amorosa

Name 5 causes of ptx

• 1.Spontaneous most common

• 2.COPD

• 3.Chronic cystic lung disease such as

LAM, histiocytosis

• 4.Mets

• 5.Catamenial ptx

Rad signs of tension ptx

• 1.Contralateral mediastinal shift

• 2.Diaphragmatic depression

• 3.Rib cage expansion

• 4.Flattening of the contours of the R

heart border and /or SVC

Nodule

• 1.Spiculated margins

• 2.Squamous cell ca

• 3.T1 mass size

• Best method of Dx

Pleural plaques are seen in people who have worked in

• 1.Mining

• 2.Insulation

• 3.Ship building

• 4.Brake lining

Pleural plaques

• 1.Unilateral

• 2.Symptomatic

• 3.Premalignant

Emphysema

• 1.Overinflation

• 2.Reduced vascularity

• 3.Flattening of diaphragms

• 4.Best imaging method: HRCT

Tracheal stenosis, etiologies:• -trauma, most common: following prolonged ET, Sx,

radiation

• -chronic inflammatory diseases (amyloidosis, sarcoidosis,

relapsing polychondritis),

• -benign neoplasm (respiratory papillomatosis),

• -malignant neoplasm (primary tracheal, secondary

invasion, metastatic)

• -collagen vascular diseases (tracheopathia osteoplastica,

Wegener granulomatosis). • Wenzel emedicine

Miliary pattern

• 1.TB, fungal, silicosis, sarcoidosis,

met thyroid or melanoma

• 2.How does it disseminate:

hematogenously

Pulmonary contusion occurs

• 1.Early: within 6 hours

• 2.Later: within 7 day

• 3.Resolves within 6 hours

• 4.Resolves within 7 days

Pulmonary Laceration

Mesothelioma

• 1.More than 1 cm thick

• 2. circumferential

• 3.involves mediastinal surface

• 4.Nodular

Mesothelioma, pleural calcifications seen in

• 1.50%

• 2.20%

• 3.75%

• 4.80%

Pneumothorax on supine image

• 1.Hyperlucent upper abdominal

quadrant

• 2.Double diaphragmatic contour

• 3.Deep sulcus sign

Anterior junction line is made up of how many pleural layers

• 1. 2

• 2. 4

• 3. 6

Posterior junction line

• 1. Extends above the clavicles

• 2. Does not extend above the

clavicles

Which is seen more frequently?

• 1.Anterior junction line

• 2.Posterior junction line

ARDS

• 1.Clinical dx of acute respiratory

failure with profound hypoxia and

lung parenchymal opacities on chest

X-ray

ARDS causes

• 1.Trauma

• 2.Sepsis

• 3.Aspiration

• 4. Inhaled toxins

• 5. Drug overdose

• 6.Transfusion

Cavity

• 1.Reactivation TB

• 2.Squamous cell ca

• 3.Vasculitis

• 4.Granulomatous

Right cardiophrenic mass

• 1.Pericardial cyst

• 2.Pericardial fat pad

• 3. Morgagni’s hernia

• 4.Lipoma

• 5.Thymolipoma

• 6.Epicardial lymphnodes

Cystic Fibrosis Inheritance Pattern

• 1.Autosomal recessive

• 2.Autosomal dominant

Treatment of hemoptysis for invasive aspergillosis

• 1.Surgical resection

• 2.Bronchialartery embolization

RLL andLLL segmentsRLL

• ALPM (anterior,

lateral, posterior,

medial)

LLL

• ALP (anteromedial,

lateral, posterior)

Anterior mediastinal mass

• Most common: thymic origin

Thymic mass

• 1.Thymoma – most common

• 2.Thymic hyperplasia

• 3. Thymolipoma

• 4.Thymic cyst

• 5.Thymic carcinoma-metastasizes

hematogeneously

• 6.Thymic carcinoid

Subcarinal mass

• 1.Subcarinal LN

• 2.Bonchogenic cyst

• 3.Left atrial enlargement

Pneumomediastinum

• Decubitus image will show layering?