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PULM CC > Chest Radiology DDX > Flashcards

Chest Radiology DDX Flashcards

1
Q

Anterior Mediastinal Masses

A

Thymoma
Teratoma
Substernal thyroid
Lymphoma

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2
Q

Opacified Hemithorax

A

Atelectasis
Pleural Effusion
Pneumonia
Post-pneumonectomy

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3
Q

Pneumomediastinum

A 
Ruptured esophagus 
Ruptured trachea/bronchus
Iatrogenic 
Asthma
Pneumoperitoneum
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4
Q

Chronic Alveolar Disease

A

Alveolar cell cancer
Alveolar sarcoid
Lymphoma
Alveolar proteinosis

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5
Q

Large Cavitary Lung Lesion

A

Abscess
Carcinoma
TB

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6
Q

Bi basilar Interstitial Disease

A

BADASS

Bronchiectasis
Aspiration
DIP
Asbestosis
Sickle Cell Disease
Scleroderma
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7
Q

Upper Lobe Disease

A

TB (secondary TB)
Silicosis
Eosinophilic granuloma
Ankylosing spondylitis

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8
Q

Micronodular Lung Disease

A

Mets
Sarcoid
Pneumoconiosis
Miliary TB

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9
Q

Chronic Interstitial Disease

Pulmonary Fibrosis

A

PIGNIC

Pneumoconiosis 
Interstitial Pneumonia
Granulomatous disease
Neoplastic disease
IPF
Collagen Vascular disease
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10
Q

Small Cavitary Lung Lesions

A

Septic emboli
Rheumatoid nodules
Squamous or transitional cell mets
Wegener’s

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11
Q

Lymphangitic spread to lungs

A 
Lung
Breast
Gastric
Pancreas
Laryngeal
Cervical
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12
Q

Multiple Lung Nodules

A 
Mets
Wegener's 
RA nodules 
AVMs
Septic emboli
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13
Q

Pulmonary interstitial edema

A

Heart failure
Lymphangitic spread
Allergic reaction

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14
Q

Shifting infiltrates

A 
Loeffler's syndrome
ABPA
Asthma
Polyarteritis
Viral pneumonia
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15
Q

Unilateral hyperlucent lung

A

Sweyer-James syndrome
Pulmonary embolism
Pneumothorax
Obstructive emphysema

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16
Q

Rapidly clearing alveolar infiltrate

A

Hemorrhage
PE
Aspiration
Pneumococcal pneumonia

17
Q

Cavitary pneumonia

A

Staph
Strep
TB
Gram negative (klebsiella)

18
Q

Middle mediastinal masses

A

Lymphadenopathy
Aneurysms
Esophageal duplication
Bronchogenic cysts

19
Q

Masses with air bronchograms

A

Lymphoma
Alveolar ca
Pseudolymphoma (maltoma)

20
Q

Hilar adenopathy

A 
Sarcoid
TB 
Lymphoma
Bronchogenic ca
Mets
21
Q

Cavities containing masses

A

Aspergillosis
Cavitating bronchogenic ca
Tuberculosis
Hydatid cyst

22
Q

Infiltrates with effusions

A

Staph pna
Strep pna
TB
Pulmonary infarct

23
Q

“Mass” + ipsilateral adenopathy

A

Bronchogenic ca
Lymphoma
TB

24
Q

Solitary pulmonary nodule

A 
Bronchogenic ca
Hamartoma
Histoplasmosis 
TB granuloma
Bronchial adenoma
Solitary met
Round pnuemonia
Rounded Atelectasis
25
Q

Pleural effusion

A 
Had
Mets
Pancreatitis
Trauma
Empyema
Collagen vascular dz
Ovarian tumor (Meig's)
Chylothorax
26
Q

Left-sided pleural effusion

A

Boerhaaves
Dissecting aortic aneurysm
Pancreatitis
Distal thoracic duct rupture

27
Q

Multiple small calcifications

A 
Histoplasmosis 
Silicosis
Chicken pox pneumonia
Pulmonary ossification from MS
Alveolar microlithiasis
28
Q

Posterior mediastinal masses

A

Neurogenic tumors
Lymphadenopathy
Extra medullary hematopoiesis

29
Q

Mediastinal adenopathy

A 
Bronchogenic ca
Lymphoma
TB
Mets
Sarcoid
30
Q

Lung Dz and rib destruction

A

Bronchogenic ca, i.e. Pancoast tumor
Actinomycosis
Blastomycosis
Multiple myeloma

31
Q

Pleural calcification

A

Old TB empyema
Asbestosis exposure
Hemothorax

32
Q

“Masses” in cardiophrenic angle

A

Sequestration
Diaphragmatic hernia
Pericardial cyst

33
Q

Unilateral pulmonary edema

A

Aspiration
Disease in other lung, e.g. COOD
Postural
Rapid expansion of PTX

34
Q

Reverse “pulmonary edema”

A

Eosinophilic lung disease, e.g. Loeffler’s
Sarcoid
Pulmonary contusions

35
Q

Acute Alveolar Infiltrate

A 
Pulmonary Edema
Pneumonia
Aspiration
Hemorrhage
(Blood, pus, water)

PULM CC (2 decks)

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