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NBA Gametime > Pulmonary Imaging > Flashcards

Pulmonary Imaging Flashcards

1
Q

MC LUNG ACCESSORY FISSURE

A

INFERIOR ACCESSORY FISSURE

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2
Q

MC LUNG CA TYPE

A

Adenocarcinoma

- weakly associated with smoking

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3
Q

MC THYMIC TUMOR

A

THYMOMA

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4
Q

MC Malignant Mediastinal Germ Cell Tumor

A

SEMINOMA

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5
Q

Finger in glove

A

ABPA

Segmental bronchial atresia

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6
Q

Atoll sign, Reverse halo sign

A

Cryptogenic Organizing Pneumonia (COP)

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7
Q

MC bronchopulmonary malformation

“BulMa’s PS BAnk”

A

Pulmonary sequestration
- Intralobar (more common)

2nd MC bronchopulmonary malformation is Bronchial atresia

*“BulMa’s PS BAnk”

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8
Q

Morgagni hernia

A

Anterior, right.

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9
Q

Bochdalek hernia

A

Posterolateral (back to the left)

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10
Q

MC intrathoracic foregut cyst

A

Bronchogenic cyst

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11
Q

MC GIT duplication cyst

“ILDefonso and EDu”

A

Ileal duplication cyst (2nd Esophageal duplication cyst)

*“ILDefonso and EDu”

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12
Q

Pulmonary AVM

A

Osler Weber Rendu syndrome and

Hemorrhagic Hereditary Telangiectasia

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13
Q

Kartagener syndrome

“SMB at Chicks”

A

Situs inversus
Male infertility
Bronchiectasis
Chronic sinusitis

*“SMB at Chicks”

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14
Q

MC etiology of LOBAR pneumonia

“Lover’s Secret Place”

A

Streptococcus pneumonia

  • Lobar pneumonia
  • nonsegmental
  • relatively sharp demarcation

*“Lover’s Secret Place”

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15
Q

Bronchopneumonia/Lobular pneumonia

A
  • MC Staphylococcus aureus, Gram(-), some Fungi

- Acute inflammatory walls of bronchioles

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16
Q

Bronchopneumonia

A
  • Aspiration (Gram negative)
  • Recumbent
  • posterior segment of upper lobes
  • superior segment of lower lobes
  • Upright
  • Basal segments of lower lobes
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17
Q

MC cause of Atypical/Viral pneumonia pattern

A

Mycoplasma pneumonia

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18
Q

Round pneumonia

A
  • Pediatric patients
  • Strep.pneumonia
  • Superior segment of lower lobe
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19
Q

Abscess

A

Cavitary containing air-fluid level

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20
Q

Primary PTB

A
  • LL>UL
  • Cavitation uncommon
  • GHON lesion/focus
  • Ranke complex

*RANKE COMPLEX
= calcified parenchymal focus (the GHON LESION) + nodal calcification

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21
Q

Post-Primary PTB/Reactivation

A
  • Immunocompromised
  • Cavitations
  • Tree in bud opacities (CT)
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22
Q

Miliary TB

A
  • Hematogenous spread

- seen in primary and post primary

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23
Q

ABPA

A

Hypersensitivity reaction in patients with ASTHMA

24
Q

Aspergilloma

A
  • Air-crescent sign

- Monad sign

25
Pneumocystis jirovecii (PCP)
- Interstitial —> LOBAR | - Pleural effusion ABSENT
26
Kaposi sarcoma
MC neoplasm in AIDS patient - irregular and ill-defined (FLAMED SHAPE, HOLLY LEAF)
27
Hamartoma
Popcorn calcification
28
Enhancement of lesion
- Negative or <15 HU - BENIGN | - >25 HU - MALIGNANT
29
MC type of Lung CA
- AdenoCA - F>M - common in non-smokers
30
Squamous Cell CA
- MC to CAVITATE - strong association with SMOKERS - MC segmental or lobar - MC tumor induced HYPERCALCEMIA
31
Small Cell CA
- Smoker - MC to cause PARANEOPLASTIC SYNDROME - MC to cause SVC syndrome
32
Pancoast tumor
- Apical - SCCa - HORNER syndrome
33
Golden pneumonia
Obstructive pneumonia
34
“Head cheese sign”
Hypersensitivity pneumonitis
35
Usual Interstitial Pneumonia (UIP)
Basilar HONEYCOMBING (distinctive)
36
Nonspecific Interstitial Pneumonia (NSIP)
- Traction bronchiectasis | - sparing of immediate SUBPLEURAL region
37
Swyer James syndrome
- Macleod’s syndrome | - post-infectious form of bronchiolitis obliterans
38
MC pulmonary manifestation of SLE?
Pleural effusion
39
Scleroderma
- Pulmonary fibrosis | - Patulous esophagus
40
Ankylosing spondylitis
Mimics TB (immunologic disease)
41
Pulmonary Edema
Grade I —> CEPHALIZATION (13-18mmHg) Grade II —> INTERSTITIAL EDEMA (19-25mmHg) Grade III —> ALVEOLAR/AIRSPACE EDEMA (>25mmHg)
42
ARDS
- Diffuse alveolar damage - Heart usually normal - more peripheral distribution of edema
43
Direct signs of Atelectasis?
- Displacement of interlobar fissure | - Crowding of vessels and bronchi
44
RML atelectasis
Most likely to be chronically collapsed (RML syndrome)
45
Mounier Kuhn
- Tracheomegaly (>3cm) - Bronchiectasis - Malacia
46
Saber sheath trachea
- Narrowing of coronal diameter with C-S ratio of <0.6 cm | - COPD pxs
47
MC manifestation of asbestos exposure?
Pleural plaques
48
“Split pleura” sign
Empyema
49
MC primary pleural neoplasm?
Malignant Mesothelioma
50
MC anterior inferior mediastinal mass?
Thymolipoma
51
MC cause of an anterior mediastinal mass in children?
Lymphoma (2nd MC in adults)
52
Neurogenic tumors
75% of posterior mediastinal mass (MC are Schwannoma)
53
calcified parenchymal focus (GHON LESION) + | nodal calcification = ____?
RANKE COMPLEX = calcified parenchymal focus (GHON LESION) + nodal calcification
54
When ASPIRATION occurs in the SUPINE position, it is the ______ that are predominantly involved, whereas ASPIRATION in the ERECT position leads to involvement of ______.
ASPIRATION in the SUPINE position: - posterior segments of the upper lobes - superior segments of the lower lobes ASPIRATION in the ERECT position: - basal segments of the lower lobes.
55
Indirect signs seen with specific type of atelectasis
``` Golden S sign - RUL atelectasis Juxtaphrenic peak - UL atelectasis Luftsichel sign - UL atelectasis (usually LUL) Flat waist sign - LLL atelectasis Comet tail sign - Rounded atelectasis ```

NBA Gametime (10 decks)

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