CXRAY

Question 1

Hilar mass + raised diaphragm?

Answer 1

Phrenic nerve palsy

Question 2

What sign is associated with a pleural effusion?

Answer 2

A meniscus sign

Question 3

What does alveolar shadowing look like?

Answer 3

Initially bat’s wing distribution.

Will then spread outwards- due to leakage of the alveoli

Question 4

What are the 5 signs visible for HF?

Answer 4

1- Cardiomegaly
2- Kerly B-lines
3- Alveolar shadowing
4- Enlargement of upper vessel shadowing
5- Blunt Costophrenic angles

Question 5

Consolidation Vs Effusion

Answer 5

-Consolidation: Non-uniform/patchy white sections

-Effusion: Uniform soft tissue density
o Look for a clear border + Meniscus sign

Question 6

FEV1 significantly reduced
FVC slightly reduced

FEV1/FVC Reduced

Answer 6

Obstructive pattern
- COPD
- Asthma
- Brochiectasis

Question 7

FEV1 slightly reduced
FVC highly reduced
FEV1/FVC normal or increased

Answer 7

Restrictive pattern

Interstitial lung disease
PF
Asbestos
Sarcoid
ARDS
Obesity
Kyphoscoliosis

Question 8

Which lobes are affected more in sarcoidosis?

Answer 8

Upper and middle

Question 9

What test is diagnostic for sarcoidosis?

Answer 9

serum ACE