Chest_buzzwords

Question 1

obliteration of Raider’s triangle

Answer 1

aberrant right subclavian

Question 2

flat waist sign

Answer 2

LLL collapse (refers to flattening of the contours of the aortic arch and adjacent main pulmonary artery)

Question 3

terrorist + mediastinal widening

Answer 3

anthrax

Question 4

bulging fissure

Answer 4

klebsiella

Question 5

dental procedure gone bad, now with jaw osteo and pna

Answer 5

actinomycosis

Question 6

culture negative pleural effusion, 3 months later with airspace opacity

Answer 6

TB

Question 7

hot-tub

Answer 7

hypersensitivity pneumonitis

Question 8

halo sign

Answer 8

fungal pna - invasive aspergillus

Question 9

reverse halo or atoll sign

Answer 9

COP

Question 10

finger in glove

Answer 10

ABPA

Question 11

ABPA

Answer 11

asthma

Question 12

septic emboli + jugular vein thrombosis

Answer 12

Lemierre

Question 13

Lemierre

Answer 13

fusobacterium necrophorum

Question 14

paraneoplastic syndrome with SIADH

Answer 14

small cell lung ca

Question 15

paraneoplastic syndrome with PTH

Answer 15

squamous cell ca

Question 16

small cell lung ca + proximal weakness

Answer 16

Lambert-Eaton (rare but is still the second most common neuromuscular junction disease after myasthenia gravis)

Question 17

cavity fills with air, post pneumonectomy

Answer 17

bronchopleural fistula

Question 18

malignant bronchial tumor

Answer 18

carcinoid

Question 19

malignant tracheal tumor

Answer 19

adenoid cystic

Question 20

AIDS patient with lung nodules, pleural effusions, lymphadenopathy

Answer 20

lymphoma

Question 21

gallium negative

Answer 21

kaposi

Question 22

thallium negative

Answer 22

PCP

Question 23

gallium and thallium positive

Answer 23

lymphoma

Question 24

macroscopic fat and popcorn calcification

Answer 24

hamartoma

Question 25

bizarre shaped cysts

Answer 25

LCH

Question 26

lung cysts in TS patient

Answer 26

LAM

Question 27

panlobar emphysema - NOT alpha-1-at

Answer 27

ritalin lung (describes pulmonary changes induced by IV exposure to methylphenidate)

Question 28

honeycombing

Answer 28

UIP

Question 29

histology was heterogeneous

Answer 29

UIP

Question 30

ground glass with sub pleural sparing

Answer 30

NSIP

Question 31

UIP lungs + parietal pleural thickening

Answer 31

asbestosis

Question 32

cavitation in setting of silicosis

Answer 32

TB

Question 33

air trapping 6 months after lung transplant

Answer 33

chronic rejection / bronchiolitis obliterans syndrome

Question 34

crazy paving

Answer 34

pulmonary alveolar proteinosis

Question 35

history of constipation

Answer 35

lipoid pneumonia - inferring mineral oil use/aspiration

Question 36

UIP + air trapping

Answer 36

chronic hypersensitivity pneumonitis

Question 37

dilated esophagus + ILD

Answer 37

scleroderma

Question 38

shortness of breath when sitting up

Answer 38

hepatopulmonary syndrome

Question 39

episodic hypoglycemia

Answer 39

solitary fibrous tumor of pleura

Question 40

pulmonary HTN with normal wedge pressure

Answer 40

pulmonary veno-occlusive disease

Question 41

yellow nails

Answer 41

edema and chylous pleural effusions (yellow nail syndrome - abnormality in lymphatic drainage)

Question 42

persistent fluid collection after pleural drain/tube placement

Answer 42

extrapleural hematoma

Question 43

displaced extrapleural fat

Answer 43

extrapleural hematoma

Question 44

massive air leak in setting of trauma

Answer 44

bronchial or tracheal injury

Question 45

hot on PET - around periphery

Answer 45

pulmonary infarct

Question 46

multi-lobar collapse

Answer 46

sarcoid

Question 47

classic bronchial infection

Answer 47

TB

Question 48

panbronchiolitis

Answer 48

tree-in-bud (not centrilob or random)

Question 49

bronchorrhea

Answer 49

mucinous BAC