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R1 > Chest > Flashcards

Chest Flashcards

1
Q

MC anterior mediastinal mass?

A

thymoma

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2
Q

myasthenia gravis –> MC assoc thymic abnormality?

A

follicular thymic hyperplasia

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3
Q

pulmonary A pseudoaneurysm –> MCC?

A

Swan-Ganz catheter or inflated balloon –> direct iatrogenic injury to the pulmonary artery

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4
Q

lymphangioleiomyomatosis –> characteristic finding on HRCT?

A

mult thin walled cysts of various sizes –> surrounded by normal lung parenchyma

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5
Q

lymphangioleiomyomatosis –> pathology?

A

persistence of dilated lymphatics & interstitial proliferation of abnormal smooth muscle –> can obstruct venules, lymphatics, and small airways

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6
Q

lymphangioleiomyomatosis –> can be found in what other condition?

A

tuberous sclerosis

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7
Q

lymphangioleiomyomatosis –> MC clinical presentation

A
  • F childbearing age
  • exertional dypsnea
  • recurrent PTX
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8
Q

lymphangioleiomyomatosis –> MC abd finding

A

renal angiomyolipoma

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9
Q

lymphangioleiomyomatosis vs. langerhans cell histiocytosis –> difference in lung findings?

A

LAM:

  • cysts are more smooth in contour
  • diffuse

LCH:

  • cysts are more irregular in contour
  • mid to upper lobe distribution
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10
Q

lymphangioleiomyomatosis vs. langerhans cell histiocytosis –> difference in epidemiology?

A

LAM: F childbearing

LCH:

  • children
  • YA h/o heavy smoking
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11
Q

Wegener granulomatosis –> MC airway manifestation

A

circumferential thickening of trachea –> ulcer formation –> luminal stenosis

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12
Q

thoracic sarcoidosis –> staged with what imaging modality?

A

CXR

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13
Q

Kaposi sarcoma –> pulmonary –> characteristic finding?

A

bilateral, symm –> perilymphatic/peribronchovascular –> flame-shaped nodular opacities

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14
Q

pulmonary alveolar proteinosis –> pathology?

A

disorder of surfactant turnover –> surfactant-derived lipoproteinaceous material –> accumulate in alveoli

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15
Q

pulmonary alveolar proteinosis –> classic CT finding?

A

crazy paving pattern: GGO superimposed interlobular septal thickening

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16
Q

what condition is assoc with lymphocytic interstitial pneumonia (LIP)?

A

Sjogren’s

17
Q

Sjogren’s –> get what type of interstitial lung disease?

A

lymphocytic interstitial pneumonia (LIP)

18
Q

lymphocytic interstitial pneumonia (LIP) –> imaging features (2)

A
  • perivascular cysts

- GGO

19
Q

Birt-Hogg-Dube synd –> lung cysts –> features

A
  • lower lobe predominant
  • variable morphology within each pt
  • presence of paramediastinal cysts
20
Q

complicated silicosis –> imaging features

A

upper lobes –> lrg mass-like consolidations

21
Q

lymph nodes –> what pattern is highly suggestive of silicosis?

A

eggshell calcification

22
Q

bronchogenic cyst –> MC location

A

subcarina

23
Q

what conditions predispose to pulm aspergilloma? (2)

A
  • TB

- sarcoid

24
Q

CMV pneumonia –> typical appearance?

A

bilat GGO

25
Q

Which pattern of interstitial lung disease is MOST commonly associated with Rheumatoid Arthritis?

A

usual interstitial pneumonia

26
Q

chest –> carcinoid –> usu manifestation?

A

endobronchial lesion

27
Q

endotracheal lesion –> MC dx?

A

SCC

28
Q

lymphangioleiomyomatosis –> assoc findings/conditions? (2)

A
  • PTX

- chylothorax

29
Q

Which one of the interstitial lung diseases is classified as a smoking related disorder

A

Desquamative interstitial pneumonia

30
Q

allergic bronchopulmonary aspergillosis –> radiographic hallmark?

A

central bronchiectasis

31
Q

Morgagni hernia –> MC location?

A

R cardiophrenic

32
Q

Desquamative Interstitial Pneumonia (DIP) –> typical CT appearance?

A

diffuse GGO

33
Q

hypervascular adenopathy –> ddx? (1)

A

Castleman’s

34
Q

A false negative F - 18 FDG PET study is MOST likely to occur in which type of lung carcinoma? (2)

A

low metab activity:

  • bronchoalveoloar
  • carcinoid

R1 (15 decks)

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