Radiology - Pneumonia Flashcards

1
Q

pneumonia is usually diagnosed by what radiologic image?

A

chest x-ray

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2
Q

on CXR, bacterial pneumonia usually presents as?

A

lobar consolidation

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3
Q

the minor fissure separates the ____ lobe from the ____ lobe, and is located?

A

RUL from RML; located as a horizontal line in the center of the right lung

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4
Q

an indication that the infiltrate is in the lower lobe?

A

heart shadow is visible and unaffected; diaphragm may be difficult to detect

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5
Q

how far down should the intubation tube be placed?

A

2cm above carina

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6
Q

infection of the RML will have the following appearance on CXR?

A

fuzzy right heart border, lateral film shows anterior infiltrate

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7
Q

bilateral pneumonia is frequently due to?

A

aspiration

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8
Q

visible air bronchograms on CXR suggest that the infiltrate is in the ____ lobes

A

lower

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9
Q

on CXR, viral pneumonia presents as?

A

patchy ground glass opacities or faint nodules

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10
Q

fungal pneumonia often presents as?

A

solid nodules or dense bulky opacities (look like tumors)

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11
Q

the air pressure sign in an immunocompromised pt is suggestive of…

A

invasive aspergillosis

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12
Q

on CXR, PCP appears as?

A

faint diffuse bilateral ground opacities (or normal)

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13
Q

appearance of primary TB on CXR

A

usually lobar with adenopathy and effusions

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14
Q

appearance of secondary TB on CXR

A

nodular opacity, cavitation (usually upper lobes)

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15
Q

appearance of TB in an HIV+ patient may change as?

A

CD4 drops

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16
Q

while a CT is often not necessary to dx PCP or TB, it is necessary to dx ____

A

non-TB mycobacteria

17
Q

what does non-TB mycobacteria look like on CT?

A

“Tree in Bud” with distal bronchioles filled with mucus and TB

18
Q

name three major complicatoins of pneumonia

A

pleural effusion, empyema, cavitation/necrosis/abscess