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2 - CPR (pulmonary) > Radiology Correlation > Flashcards

Radiology Correlation Flashcards

1
Q

What does a normal CXR have that a CT scan does not?

A

Overlying bone structures and soft tissue

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2
Q

What is the pattern of Bronchopneumonia?

A

“tree in bud”

– Looks like a tree with budding leaves!

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3
Q

Tree in bud appearance

A

Bronchopneumonia

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4
Q

What is the appearance of Lobar Pneumonia?

A

Consolidation – white lobe

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5
Q

Consolidation appearance of Lobar Pneumonia is associated with what?

A

Alveolar fluid/exudate

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6
Q

Once Lobar Pneumonia has consolidation present, what can it progress to?

A

Bulging fissure

– larger bulging lobe

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7
Q

Once Lobar Pneumonia has a bulging fissure present, what can it progress to?

A

Abscess formation

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8
Q

With Lobar Pneumonia, what does an Abscess formation look like?

A

Air fluid level in cystic space

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9
Q

With Bronchiectasis, what will be seen?

A

Widening of airways with extension into PERIPHERAL lung fields

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10
Q

Widening of airways with extension out into the peripheral lung fields is suggestive of?

A

Bronchiectasis

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11
Q

In lung radiographs, where should airway markings be?

A

Central

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12
Q

BATWING appearance is what color?

A

WHITE batwings

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13
Q

Reverse BATWING appearance is what color?

A

Black batwings

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14
Q

What causes BATWING infiltrates?

A

Anything that favors PROXIMAL vascular/airway involvement!

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15
Q

What are 3 things that can cause BATWING infiltrates?

A
  1. Pulmonary edema
  2. Inhalation injury
  3. Hypersensitivity pneumonitis
    = Proximal involvement
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16
Q

What causes Reverse BATWING infiltrates?

A

Anything that favors PERIPHERAL involvement

17
Q

What are 3 conditions that cause Reverse BATWING infiltrates?

A

Fibrosis
Idiopathic Pulmonary Fibrosis
Sarcoidosis

18
Q

BATWING appearance is because the conditions follow ____

A

Airways

19
Q

Reverse BATWING appearance is because the conditions follow ____

A

Lymphatics

20
Q

What are some conditions that can cause a complete white out?

A

ARDS

- Severe conditions, hemorrhage, malignancy

21
Q

What makes pulmonary nodules white?

A

Calcifications

22
Q

What does a Hamartoma pulmonary nodule look like?

A

Popcorn calcification

23
Q

What does a Granuloma pulmonary nodule look like?

A

Laminated, diffuse calcifications

24
Q

What are 4 tumor characteristics that are more likely present with a malignancy?

A
  1. Larger size with faster growth rate
  2. More solid in nature
  3. Irregular borders
  4. LESS calcifications
25
Q

What are 4 tumor characteristics that are more likely present with a malignancy?

A
  1. Larger size with faster growth rate
  2. More solid in nature
  3. Irregular borders
  4. LESS calcifications
26
Q

If a tumor has malignancy characteristics you should get a?

A

Biopsy

27
Q

What guidelines help guid clinical diagnosis and management and which tumors should get biopsied?

A

Fleischner guidelines

28
Q

What are 2 exceptions of a malignant tumors that do not look malignant on CXR?

A

Mucinous Adenocarcinoma
Adenocarcinoma in Situ
– look like pneumonia and can be bilateral

29
Q

What is occurring with a Ground Glass Opacity?

A

Alveolar processes not entirely filling the alveolar sac

- part fluid and part air

30
Q

What does a Ground Glass Opacity look like?

A

Grey hazy

31
Q

What are bubble lucenies?

A

Airways that dilated

32
Q

Bubble lucencies are concerning for?

A

Invasive tumors

33
Q

What Carcinoma can cause Cavitation to occur?

A

Squamous Carcinoma

34
Q

What does Resorptive Atelectasis look like?

A

Wedge shaped

35
Q

Why are Resorptive Atelectases wedge shaped?

A

Due to obstruction in the airway

36
Q

With a tension pneumothorax, the CXR should be taken when the patient is?

A

Exhaling

37
Q

Why should a CXR be taken with exhalation with a tension pneumothorax?

A

Volume of air is fixed!

38
Q

Mediastinal shift on a CXR suggests?

A

Tension Pneumothorax

39
Q

What usually causes a Reverse BATWING appearance?

A

FIBROSIS

2 - CPR (pulmonary) (26 decks)

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