chest ct

Question 1

uip distribution

Answer 1

worse in lower lobes

Question 2

Answer 2

Question 3

lung disorder with sparing of the costophrenic angles

Answer 3

PLCH

Question 4

Answer 4

Question 5

Answer 5

Question 6

Answer 6

Question 7

Answer 7

Question 8

Answer 8

Question 9

Answer 9

Question 10

smoker with cysts and nodules

Answer 10

pulmonary LCH

Question 11

Answer 11

Pulmonary alveolar proteinosis

ground glass plus crazy paving

treatment = bronchoalveolar lavage

Question 12

middle aged woman with chronic mild SOB. No smoking history

expiratory HRCT images

Answer 12

Diffuse idiopathic neuroendocrine cell hyperplasia (DIPNECH)

multiple small pulmonary nodules and mosaic attenuating from air trapping due to constrictive bronchiolitis

Question 13

Answer 13

Question 14

Answer 14

bronchiolar inflammation

Question 16

Answer 16

Question 17

Answer 17

Question 18

Answer 18

Question 19

Answer 19

Ritalin lung can look like this too

Question 20

Answer 20

Question 21

Answer 21

Question 22

Answer 22

Question 23

Answer 23

Question 24

Answer 24

Question 25

Answer 25

Question 26

Answer 26

CF

Question 27

Answer 27

lymphangitis carcinomatosis

stage IV cancer

Question 28

Answer 28

acute HSP

Question 29

Answer 29

pulmonary edema

big heart + ggos + pleural effusions + smooth septal thickening

Question 30

Answer 30

bronchial atresia

“don’t touch lesion”

Question 31

Answer 31

pulmonary hemorrhage 2/2 goodpasture’s syndrome

Question 32

Answer 32

septic emboli

peripheral nodules in different stages of cavitation

typically gram positive

Question 33

Answer 33

achalasia

this degree of patulousness won’t be seen in a pt with esophageal cancer

Question 34

Answer 34

sarcoidosis

Question 35

Answer 35

silicosis - progressive massive fibrosis

not eligible for lung transplantation

Question 36

Answer 36

ABPA

Question 37

18yo annorexic chick. Next step?

Answer 37

no further workup.

LLL has gross fat and represents lipoid pneumonia from chronic aspiration

Question 38

56 yo persistent cough

Answer 38

mucinous adenocarcioma

Question 39

82 yoM with cardiac history

Answer 39

amiodarone

hyperdense peripheral opacities

Question 40

Answer 40

COP

Question 41

76yF with cough and failed to impoved on two different ABX for PNA diagnosed on CXR.

Answer 41

Eosinophilic pneunomia

upper lobe, peripheral