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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
Q

Pneumocystis jirovecii (PCP)

A
  • Interstitial —> LOBAR

- Pleural effusion ABSENT

26
Q

Kaposi sarcoma

A

MC neoplasm in AIDS patient

  • irregular and ill-defined (FLAMED SHAPE, HOLLY LEAF)
27
Q

Hamartoma

A

Popcorn calcification

28
Q

Enhancement of lesion

A
  • Negative or <15 HU - BENIGN

- >25 HU - MALIGNANT

29
Q

MC type of Lung CA

A
  • AdenoCA
  • F>M
  • common in non-smokers
30
Q

Squamous Cell CA

A
  • MC to CAVITATE
  • strong association with SMOKERS
  • MC segmental or lobar
  • MC tumor induced HYPERCALCEMIA
31
Q

Small Cell CA

A
  • Smoker
  • MC to cause PARANEOPLASTIC SYNDROME
  • MC to cause SVC syndrome
32
Q

Pancoast tumor

A
  • Apical
  • SCCa
  • HORNER syndrome
33
Q

Golden pneumonia

A

Obstructive pneumonia

34
Q

“Head cheese sign”

A

Hypersensitivity pneumonitis

35
Q

Usual Interstitial Pneumonia (UIP)

A

Basilar HONEYCOMBING (distinctive)

36
Q

Nonspecific Interstitial Pneumonia (NSIP)

A
  • Traction bronchiectasis

- sparing of immediate SUBPLEURAL region

37
Q

Swyer James syndrome

A
  • Macleod’s syndrome

- post-infectious form of bronchiolitis obliterans

38
Q

MC pulmonary manifestation of SLE?

A

Pleural effusion

39
Q

Scleroderma

A
  • Pulmonary fibrosis

- Patulous esophagus

40
Q

Ankylosing spondylitis

A

Mimics TB (immunologic disease)

41
Q

Pulmonary Edema

A

Grade I —> CEPHALIZATION (13-18mmHg)
Grade II —> INTERSTITIAL EDEMA (19-25mmHg)
Grade III —> ALVEOLAR/AIRSPACE EDEMA (>25mmHg)

42
Q

ARDS

A
  • Diffuse alveolar damage
  • Heart usually normal
  • more peripheral distribution of edema
43
Q

Direct signs of Atelectasis?

A
  • Displacement of interlobar fissure

- Crowding of vessels and bronchi

44
Q

RML atelectasis

A

Most likely to be chronically collapsed (RML syndrome)

45
Q

Mounier Kuhn

A
  • Tracheomegaly (>3cm)
  • Bronchiectasis
  • Malacia
46
Q

Saber sheath trachea

A
  • Narrowing of coronal diameter with C-S ratio of <0.6 cm

- COPD pxs

47
Q

MC manifestation of asbestos exposure?

A

Pleural plaques

48
Q

“Split pleura” sign

A

Empyema

49
Q

MC primary pleural neoplasm?

A

Malignant Mesothelioma

50
Q

MC anterior inferior mediastinal mass?

A

Thymolipoma

51
Q

MC cause of an anterior mediastinal mass in children?

A

Lymphoma (2nd MC in adults)

52
Q

Neurogenic tumors

A

75% of posterior mediastinal mass (MC are Schwannoma)

53
Q

calcified parenchymal focus (GHON LESION) +

nodal calcification = ____?

A

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

54
Q

When ASPIRATION occurs in the SUPINE position, it is the ______ that are predominantly involved,

whereas ASPIRATION in the ERECT position leads to involvement of ______.

A

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
Q

Indirect signs seen with specific type of atelectasis

A 
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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