Final2 Flashcards
Two common categories of cause for acute interstitial lung disease (ILD)
Infection
Neoplasm
PA chest suspicion of pneumothorax can be differentiated from larger bulla by which imaging procedure
Decubitus series
The most cost effective imaging to confirm pancoast tumor
Apical lordotic
Which of the following signs would point to air space consolidation
Bilaterior medullary lung opacification Poorly defined opacity Air bronchogram Lobar opacification Acinonodular pattern
A common cause of a chronic reticular interstitial pulmonary pattern is
Pulmonary fibrosis
Which of the following would not be considered a cause for an appearance of unilateral hyperlucent lung
Honeycomb lung
Which of the following are signs of interstitial disease
Kerley A lines
Honeycomb densities
Reticulonodular densities
Kerly B lines (.5-2cm long)
Which of the following are compensatory/indirect signs associated with resorption atelectasis
Hilar shift toward density
Rib interspace narrowing
Two acute pneumonia disorders to produce cavitation
Klebsiella
Staph aureus
Pulmonary consolidation in this segment could cause a silhouette sign with the pulmonary artery
LUL #2
Silhouette with aortic knob
LUL #1-3
Silhouette with left ventricle
LUL #5
Silhouette with descending aorta
LLL #6
Silhouette with diaphragm
LLL #7
Bronchopneumonia pattern is typical of
Consolidation pattern
TB pneumonia
Pulmonary consolidation in this segment could cause a silhouette sign with the upper descending thoracic aorta
LLL #6
Silhouette left atrium
LLL #4
All of the following can produce air space consolidation, which one typically starts in the peripheral lung
Streptococcus pneumonia
Acute diffuse interstitial lung disease is usually due to viral/mycoplasmal pneumonia or
Pulmonary edema
Which of the following would not be associated with an air bronchogram
Pleural effusion
Cavitation in adulst and pneumatocele in children is typical of
Staph aureus pneumonia
Three indirect signs of lung collapse are
Compensatory emphysema
Mediastinal deviation
Rib interspace narrowing
In adults over 40, resorption atelectasis related to large bronchial obstruction is often due to
Tumor
The most common cause of acute consolidation
Infectious pneumonia, pulmonary edema
In patients less than 40, unilateral localized increasing density is more often related to
CAPTE (consolidation, atelectasis, tumor, pleural disease, external wall)
Pleural disease
Most frequent cause of acute airspace consolidation are ___ and ___
Bacterial pneumonia
Severe pulmonary edema
Of these infecitons, cavitation is not associated with
Viral pneumonia
On a chest series, the findings are: unilateral, localized, hyperlucent lung density. What are the next considerations
Is it air trapping
Is it cavitation
Is it pneumothorax
Is it congenital lung cyst
Emphysema would be bilateral
On a chest series the findings are: unilateral, localized, homogenous water density. What are the nesxt considerations
CATPE
Is it consolidation
Is it pleural related
Is it tumor
Is it atelectasis
Air space disease may be indicated on plain film by
Localized fuzzy density
Interstitial disease may be indicated on plain film by
Honeycomb lung
Kerley lines
Pleural effusion may be indicated on plain film by
Meniscus sign
Which are related to honeycomb lung
Dyspnea
Pneumothorax
Para-cicatricial revision of architecture
Cor pulmonale
On a chest series the findings are: bilateral, widespread, non-homogenous increase in radiodensity. What are the next considerations
Is it nodular (1-2mm)
Is it reticular
Is it honeycomb
Which accessory fissures are horizontally oriented and would not show well on chest CT
Pick 2
Superior accessory fissure
Accessory left minor fissure
Which two fo the following are descriptive of kerley A lines
Thickened interlobular space
Extend outward from hilar area
The superior accessory fissure
Could mimic left minor fissure on the PA view
Aspiration pneumonia
Non-opportunistic and bronchopneumonia pattern
Staph aureus
Opportunistic
Honeycomb lung
Fatal outcome from cor pulmonale/cardiac arrest
Pleural effusion
Silhouette sign with chest wall and diaphragm
Strep pneumonia
Lobar consolidation
When the lingula is atelectactic
Compensatory emphysema may be only finding
What is the principal mechanism for atelectasis with hilar lymphadenopathy
Obstructive
Which one of the following is not characteristic of a PA upright, full expiration chest
Diaphragam will be at lowest level - (highest)
AP recumbant supine chest radiograph done at expiration shows ___ when compared to upright PA
Equal vascular distribution, whiter lung
All of the following would be better visualized on teh expiratory film except
Pleural effusion
Pneumothorax, air trapping, bulla would be!!
Which of the following would not result from direct blunt trauma to the chest
Localized reticular disease
Left mediastinal anatomy ordered correctly from superior to inferior
Aortic knob
Pulmonary artery
Left atrium
Left ventricle
The air bronchogram
Good sign of acinar filling
The numerical value of tissue desnity on a CT scan for lung is
-800
Which one of the following is not a consolidation sign
Delayed appearance
Air bronchogram sign
Infrequent consolidation sign
Consolidation signs
Butterfly shadow, fuzzy borders, sub-segmental density, lobar pattern, early appearance
A full inspiration PA chest will show
Left cardiac-medial to diaphragm silhouette sign
Kerley A and B lines are indicative of ___ and associated with ___
Interstitial disease
Pulmonary edema
Metastasis to the lung from testicular seminoma may intially present as
Multiple evenly distributed nodules 3-5 mm in size (mets from kidney, thyroid, testicle)
Localized hyperlucency is seen with all of the following except
Bilateral mastectomy
Of teh substance cause for airspace consolidation which are considered to be the 3 most common
Blood
Water
Pus
Blood, pus, water, protein, cells
Thoracic descending aorta silhouette sign may be produced by left segments.
6, 10
2 RUL
Ascending aorta
5 RML
Heart R, A
1-3 LUL
Aorta
2 LUL
Pulmonary artery
4 LUL
Left atrium
5 LUL
Left ventricle
6 LLL
Upper descending aorta
7-10 LLL
Diaphragm
Suspected pneumothorax on a full inspiration PA chest view could be confirmation most cost-effective by
Lateral decubitus with involved side up
A 56 yo male presenting with localized increased density with mediastinal shift toward the desnity likely has
Bronchogenic cancer
Which of teh follwoign is not part of the criteria for hte usually frontal PA chest view
DR can be done grid or non-grid
Which of the following is an incorrect statement regarding the right ventricle
Make up the upper right heart border on the frontal view (only visible on lateral view)
Left hilar bronchogenic cancer can have an impact on all of the folowing structures except
Superior vena cava - right
Which two imaging procedures can confirm pleural effusion
Chest CT
Decubitus imaging
All of the following produce bilateral hilar enlargement except ___ which is unilateral
Bronchus
On the lateral chest view, which cardiac champber does not border from
Right atrium
PA = no right
Ventricle
Lateral = no right
Atrium
Which of the following is an incorrect statement regarding the pulmonary artery on the PA chest view
Should superimpose over the left hilus
Which of teh follwoing is not a fibrosis pattern
Nodular 3-4mm densities
The most frequent radiographic sign of mediastinal disease is
Widening
All fo the foloowing are true statements regarding mediastinal lymph nodes except
Can be detected on CT only when calcified >3mm
Left lateral decubitus view is made with the patient
Lying on the left side with x-ray beam parallel to the floor
With a large amount of free pleural fluid
There will be loaclized water density
All of the following are acute pneumonia radiographic appearance except
Well-defined solitary nodular denisty
A good diagnosis for suspected pneumothorax confirmation would be
Lateral decubitus with affected side up
Air space disease may be suspect on plain film by
Sub-segmental density
Subcarinal lymph nodes would be considered ___ mediastinal
Middle
An ascending aortic aneurysm would produce
Anterior mediastinal mass
We called it big orange - -pulmonary lypmhagtic draingiage schematic. All are true regarding that slide except
Explains the pulmonary vascular pattern
A pt presenting with Potts disease could have a
Posterior mediastinal mass
Based on the acute pneumonia classification, the most likely appearance for viral/mycoplasmal pneumonia is
Interstitial pattern
Resorption atelectasis
RML or RLL in children
Aka obstructive
Acinonodular pattern
Widespread non-homogenous consolidation pattern
Emphysema
Air vs soft tissue ratio favoring greater air volume
Pulmonary air space edema
Bilateral medullary lung consolidation/butterfly
Honeycomb lung
Pneumothorax and pulmonary hypertension complication
Peter James Kerley was knighted in teh 1970s by ___ for his service to radiology in the UK and to the royal family
Queen ELizabeth II