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Year 3 Medicine > Amir Sam Images > Flashcards

Amir Sam Images Flashcards

1
Q

What does this CXR show? Diagnosis?

A

Arrow pointing to area of slightly darker. Area of oligaemia (Westamark’s sign)- vessels distal to the clot have collapsed. V. rare to see on CXR (2% of PEs). So PE is the diagnosis- seen on CTPA- sudden cut off where no more contrast is going beyond- big clot).

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2
Q

What does this X-ray show?

  1. COPD
  2. Pneumothorax
  3. Pneumonia
  4. Left lower lobe consolidation
  5. Pulmonary oedema
  6. Fibrosing alveolitis
  7. Pleural effusion
  8. Lung collapse
  9. Cavitating lesion
  10. Pericardial effusion
  11. Bilateral hilar lymphadenopathy
  12. Pleural plaques
  13. Mastectomy
  14. Pacemaker or ICD
A
  1. COPD

Hyperinflated lungs with flattened diaphragm

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3
Q

What does this X-ray show?

  1. COPD
  2. Pneumothorax
  3. Pneumonia
  4. Left lower lobe consolidation
  5. Pulmonary oedema
  6. Fibrosing alveolitis
  7. Pleural effusion
  8. Lung collapse
  9. Cavitating lesion
  10. Pericardial effusion
  11. Bilateral hilar lymphadenopathy
  12. Pleural plaques
  13. Mastectomy
  14. Pacemaker or ICD
A
  1. Pneumothorax (left sided)

compare left and right sides

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4
Q

What does this X-ray show?

  1. COPD
  2. Pneumothorax
  3. Pneumonia
  4. Left lower lobe consolidation
  5. Pulmonary oedema
  6. Fibrosing alveolitis
  7. Pleural effusion
  8. Lung collapse
  9. Cavitating lesion
  10. Pericardial effusion
  11. Bilateral hilar lymphadenopathy
  12. Pleural plaques
  13. Mastectomy
  14. Pacemaker or ICD
A
  1. Pneumonia (right middle zone)

Fluffy, airspace shadowing, unilateral. Cannot see right heart border. Consolidation in right middle lobe.

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5
Q

What does this X-ray show?

  1. COPD
  2. Pneumothorax
  3. Pneumonia
  4. Left lower lobe consolidation
  5. Pulmonary oedema
  6. Fibrosing alveolitis
  7. Pleural effusion
  8. Lung collapse
  9. Cavitating lesion
  10. Pericardial effusion
  11. Bilateral hilar lymphadenopathy
  12. Pleural plaques
  13. Mastectomy
  14. Pacemaker or ICD
A
  1. Left lower lobe consolidation

loss of left hemidiaphragm. loss of cardiophrenic border. loss of costophrenic angles.

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6
Q

What does this X-ray show?

  1. COPD
  2. Pneumothorax
  3. Pneumonia
  4. Left lower lobe consolidation
  5. Pulmonary oedema
  6. Fibrosing alveolitis
  7. Pleural effusion
  8. Lung collapse
  9. Cavitating lesion
  10. Pericardial effusion
  11. Bilateral hilar lymphadenopathy
  12. Pleural plaques
  13. Mastectomy
  14. Pacemaker or ICD
A
  1. Pulmonary oedema

Bilateral fluffy airspace shadowing (bat wings)- could be bilateral pneumonia

Pulmonary oedema most likely (could be pneumonia)- depend on history (fever and green sputum- pneumonia; breathless when lie flat, elevated BNP, abnormal echo- heart failure and pulmonary oedema)

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7
Q

What does this X-ray show?

1. COPD

2. Pneumothorax

3. Pneumonia

4. Left lower lobe consolidation

5. Pulmonary oedema

6. Fibrosing alveolitis

7. Pleural effusion

8. Lung collapse

9. Cavitating lesion

10. Pericardial effusion

11. Bilateral hilar lymphadenopathy

12. Pleural plaques

13. Mastectomy

14. Pacemaker or ICD

A
  1. Fibrosing alveolitis (Pulmonary fibrosis)

Reticulo-nodular shadowing

Idiopathic, CTDs, drugs (amiodarone, phenytoin), asbestosis, EAA

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8
Q

What does this X-ray show?

  1. COPD
  2. Pneumothorax
  3. Pneumonia
  4. Left lower lobe consolidation
  5. Pulmonary oedema
  6. Fibrosing alveolitis
  7. Pleural effusion
  8. Lung collapse
  9. Cavitating lesion
  10. Pericardial effusion
  11. Bilateral hilar lymphadenopathy
  12. Pleural plaques
  13. Mastectomy
  14. Pacemaker or ICD
A
  1. Pleural effusion (left sided)

Homogeneous shadow, unilateral, meniscus

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9
Q

What does this X-ray show?

  1. COPD
  2. Pneumothorax
  3. Pneumonia
  4. Left lower lobe consolidation
  5. Pulmonary oedema
  6. Fibrosing alveolitis
  7. Pleural effusion
  8. Lung collapse
  9. Cavitating lesion
  10. Pericardial effusion
  11. Bilateral hilar lymphadenopathy
  12. Pleural plaques
  13. Mastectomy
  14. Pacemaker or ICD
A
  1. Collapsed lung (right sided)

Homogeneous white (pleural effusion or pneumonectomy). Pneumonectomy as trachea is deviated towards white space (pleural effusion would push it away) (collapsed lung or pneumonectomy- look for scars).

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10
Q

What does this X-ray show?

  1. COPD
  2. Pneumothorax
  3. Pneumonia
  4. Left lower lobe consolidation
  5. Pulmonary oedema
  6. Fibrosing alveolitis
  7. Pleural effusion
  8. Lung collapse
  9. Cavitating lesion
  10. Pericardial effusion
  11. Bilateral hilar lymphadenopathy
  12. Pleural plaques
  13. Mastectomy
  14. Pacemaker or ICD
A
  1. Cavitating lesion

left sided

Lesion (coin lesion) with an air fluid level (in which a cavity has formed)

either a tumour (squamous cell carcinoma) or TB or inflammatory nodule. (want to make sure it’s not malignant)

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11
Q

What does this X-ray show?

  1. COPD
  2. Pneumothorax
  3. Pneumonia
  4. Left lower lobe consolidation
  5. Pulmonary oedema
  6. Fibrosing alveolitis
  7. Pleural effusion
  8. Lung collapse
  9. Cavitating lesion
  10. Pericardial effusion
  11. Bilateral hilar lymphadenopathy
  12. Pleural plaques
  13. Mastectomy
  14. Pacemaker or ICD
A
  1. Pericadial effusion

Lungs are normal

Heart is large and globular big pericardial effusion- fluid inside the pericardium

Causes: infection (TB), inflammation (CTDs- rheumatoid nodule or Wegener’s granulomatosis), malignancy (squamous cell carcinoma)

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12
Q

What does this X-ray show?

  1. COPD
  2. Pneumothorax
  3. Pneumonia
  4. Left lower lobe consolidation
  5. Pulmonary oedema
  6. Fibrosing alveolitis
  7. Pleural effusion
  8. Lung collapse
  9. Cavitating lesion
  10. Pericardial effusion
  11. Bilateral hilar lymphadenopathy
  12. Pleural plaques
  13. Mastectomy
  14. Pacemaker or ICD
A
  1. Bilateral hilar lymphadenopathy (Sarcoidosis)

Large hilar on both sides

Infection (TB), inflammation (Sarcoidosis), malignancy (lymphoma)

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13
Q

What does this X-ray show?

  1. COPD
  2. Pneumothorax
  3. Pneumonia
  4. Left lower lobe consolidation
  5. Pulmonary oedema
  6. Fibrosing alveolitis
  7. Pleural effusion
  8. Lung collapse
  9. Cavitating lesion
  10. Pericardial effusion
  11. Bilateral hilar lymphadenopathy
  12. Pleural plaques
  13. Mastectomy
  14. Pacemaker or ICD
A
  1. Pleural plaques

Well-defined plaques- pleural plaques. Exposure to asbestos (not asbestosis)

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14
Q

What does this X-ray show?

  1. COPD
  2. Pneumothorax
  3. Pneumonia
  4. Left lower lobe consolidation
  5. Pulmonary oedema
  6. Fibrosing alveolitis
  7. Pleural effusion
  8. Lung collapse
  9. Cavitating lesion
  10. Pericardial effusion
  11. Bilateral hilar lymphadenopathy
  12. Pleural plaques
  13. Mastectomy
  14. Pacemaker or ICD
A
  1. Mastectomy (right)

Missing

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15
Q

What does this X-ray show?

  1. COPD
  2. Pneumothorax
  3. Pneumonia
  4. Left lower lobe consolidation
  5. Pulmonary oedema
  6. Fibrosing alveolitis
  7. Pleural effusion
  8. Lung collapse
  9. Cavitating lesion
  10. Pericardial effusion
  11. Bilateral hilar lymphadenopathy
  12. Pleural plaques
  13. Mastectomy
  14. Pacemaker or ICD
A
  1. Pacemaker or ICD

look where leads go- atrial lead and ventricular lead so dual chamber cardiac pacer

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16
Q

What does the X-ray show?

A

Thumbprinting (thick haustral folds- inflammation). Thickening of the bowel wall.

17
Q

What does this X-ray show?

A

Featureless abdo X-ray. Ulcerative Colitis.

18
Q

What does this X-ray show?

A

Toxic megacolon (>6cm). Systemic illness

19
Q

Patient presented with diarrhoea. What does this X-ray show? Diagnosis?

A

Shows faecal loading (but patient has diarrehoea). Therefore: Overflow (spurious) diarrhoea due to faecal loading.

Year 3 Medicine (17 decks)

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