Core Exam FlipJK 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?