Fouty- radiology of restrictive disease Flashcards

1
Q
A

normal
pt slightly rotated to the R

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2
Q
A

hyperinflated
obstructive disease

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3
Q
A

reduced lung volumes
restrictive disease

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4
Q

TLC < LLN (ATS/ERS) or < 80% predicted (GOLD)

A

restrictive lung disease

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5
Q
A

restrictive lung disease

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6
Q
A

restrictive
acute resp. distress syndrome

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7
Q
A

neonate with resp. distress syndrome

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8
Q
A

idiopathic pulmonary fibrosis (peripheral)

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9
Q
A

restrictive physiology

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10
Q
A

restrictive physiology

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11
Q
A

restrictive physiology

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12
Q
A

restrictive physiology

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13
Q

DPLDs

A

diffuse parenchymal lung disease

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14
Q

run together in the center of secondary pulmonary lobules

A

bronchioles and pulmonary arteries

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15
Q

run along interlobular septa

A

lymphatics and venules

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16
Q

black arrow

A

secondary interlobular septa (where lymphatics and venules run)

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17
Q

asterix

A

centrilobular interstitium (where bronchiolar and pulmonary arteries run)

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18
Q

alveolar and interstitial flooding

A

heart failure

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19
Q

arrows

A

secondary pulmonary lobule interlobular septa full of water

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20
Q

Kerley b lines on R side of chest

A

interlobular septa filled with fluid
heart failure

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21
Q
A

idiopathic pulmonary fibrosis

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22
Q
A

interlobular lines seen on periphery

23
Q
A

idiopathic pulmonary fibrosis
(peripheral lucencies—honeycombing)

24
Q

what is the pathophys of honeycombing

A

scar tissue replaces normal tissue

25
Q
A

idiopathic pulmonary fibrosis
(heterogenous fibrosis)

26
Q

peripheral lines seen can be ______ or ______

A

intra or interlobular

27
Q
A

end stage idiopathic fibrosis
(usual interstitial pneumonia)

28
Q

what type of bronchiectasis

A

traction bronchiectasis (due to fibrosis of periphery pulling airways open)

29
Q
A

restrictive physiology

30
Q
A

pulmonary alveolar proteinosis

31
Q

pulmonary alveola proteinosis pathophys

A

too much surfactant in lymphatics and venules (thickened interlobular septa)

32
Q

“crazy paving”

A

pulmonary alveola proteinosis

33
Q
A

pulmonary alveolar proteinosis

34
Q
A

lymphangitic cancer

35
Q
A

lymphangitic cancer (thickened interlobular septa)

36
Q
A

lymphangitic cancer (involves lymphatics and pulm. venules)

37
Q

3 main things that can cause interlobular septal thickening

A

sarcoidosis
heart failure
alveolar proteinosis

38
Q
A

paratracheal station 2 on R side enlarged
sarcoidosis

39
Q

thickened interlobular septa (involving bronchovascular bundle)

A

sarcoidosis

40
Q

granulomas in bronchovascular bundle

A

sarcoidosis

41
Q
A

bilateral pneumonia

42
Q
A

diffuse parenchymal lung disease

43
Q

new collagen formation from injury

A

diffuse parenchymal lung disease

44
Q

all DPLDs cause restrictive physiology and for the most part decreased ____

A

DLCO

45
Q
A

pleural effusion on R side

46
Q
A

pleural effusion on L side

47
Q
A

tension pneumothorax on R side

48
Q

pleural plaques seen on hemidiaphragms

A

exposure to asbestos

49
Q

pleural plaques seen

A

exposure to asbestos

50
Q
A

scoliosis

51
Q
A

scoliosis

52
Q

compression fracture due to osteoporosis, age, steroid use

A

restrictive disease

53
Q
A

Thoracoplasty (how they used to treat TB before streptomycin)

Crush ribs in attempt to cause atelectasis to decrease progression of TB in the cavity—-caused restrictive disease

54
Q

pharmacoplasty
granulomas seen on L side

A

restrictive lung disease