Top 3 Flashcards
Solitary pulmonary nodule
Granuloma, neoplasm (primary or secondary), hamartoma
Also consider: round pneumonia, AVM
Multiple pulmonary nodules
Mets, granulomatous (TB, fungal), septic emboli
Also consider: Wegener’s, RA
Cavitary pulmonary nodule
Tb, fungal, SCC (primary or met)
Also consider - pyogenic infection (abscess, septic emboli), Wegener’s, RA
Miliary nodules
TB, fungal, mets
Also consider: pneumoconioses, healed varcilla
Centrilobular pulmonary nodules
Infectious bronchioloitis (MAC, TB), hypersensitivity pneumonitis, endobronchial spread of tumour Also consider: RB-ILD, pneumoconioses
Cystic lung disease
Emphysema, LAM, LCH
Also consider pneumocystis, LIP
Lower lobe interstitial disease
UIP, collagen vascular disease, asbestos-related lung disease
Also consider: drug toxicity
Upper lobe interstitial disease
TB, sarcoid, CF
Also consider pneumoconioses, LCH
Hyperlucent lung
top 3: chest wall (mastectomy, Poland), Swyer-James, acute asthma
top 3 don’t miss: airway obtruction, PE, pneumothorax
Anterior mediastinal mass
Lympmhoma, thymic, thyroid, teratoma
Middle mediastinal mass
Lymphadenopathy, vascular (aortic or pulmonary artery aneurysm), congenital cyst (bronchogenic)
Also consider hiatus hernia
Posterior mediastinal mass
Neurogenic tumour, lymphoma, developmental cyst (neuroenteric)
Also consider: extramedullary haematopoiesis, mediastinal haematoma
Chronic air space disease
COP, proteinosis, Carcinoma
Also consider: chronic eosinophilic pneumonia, lipoid pneumonia
Peripheral air space disease
COP, eosinophilic pneumonia, infarct
Also consider contusion, sarcoid
Ground glass
Pulmonary oedema, atypical infection, pulmonary haemorrhage
Also consider: ARDS, proteinosis, vasculitis
Hilar adenopathy
Infection, lymphoma, sarcoid
Also consider: mets, pneumoconiosis
Calcified pleural disease
Asbestos, fibrothorax (prior infection or haemorrhage), iatrogenic (pleurodesis)
Bronchiectasis
Post-infection (bacterial, TB, MAC), CF, ABPA
Also consider: obstructive lesion / mass, ciliary dyskinesia
Perilymphatic pulmonary nodules
Sarcoid, lymphangitic spread of tumour, pneumoconioses
Also consider: lymphoproliferative disorder
Pleural-based mass
Pleural mets, empyema, mesothelioma
Also consider: fibrous tumour of pleura, fibrothorax
Parenchymal disease in HIV patient
Pneumocystis, TB, fungal infection
Also consider: invasive aspergillosis, Kaposi sarcoma, lymphoma
Cardiac mass
Thrombus, mets, benign neoplasm (myxoma, rhabdomyoa)
Also consider: malignancy (sarcoma, lymphoma)
Delayed myocardial enhancment
Infarction/scar, myocarditis, cardiac mass
Also consider infiltrative disease (granuoma, amyloid)
Cardiac wall fatty despoition
Lipoma, lipomatous hypertrophy of interatrial septum, arrhytmogenic righ ventricular dysplasia
Post-procedure arterial abnormality
Haematoma, pseudoaneurysm, AVF
Carotid artery stenosis
Atherosclerosis, FMD, dissection
Also consider iatrogenic
Failing renal transplant
ATN, artery stenosis, obstruction
Also consider: rejection, vein thrombosis, cyclosporine toxicity
Digital artery occlusion / ischaemica
Raynaud, vasculitis (SLE, Buerger), embolic disease
Also consider: thoracic outlet, trauma, atherosclerosis
Subclavian vein occlusion
Prior instrument / catheter, hypercoagulable, Paget-Shroetter / effort thrombosis
Great vessel stenosis
Atherosclerosis, vasculitis (GCA, takayasu), dissection
Also consider radiation
Renal artery stenosis
Atherosclerosis, FMD, dissection
Intraparenchymal renal artery aneurysms
Vasculitis (polyarteritis nodosa), mycotic / septic emboli, trauma
Aso consider Ehlers-Danlos, speed kidney
Hypervascular pulmonary mass
AVM, Ca, met
Also consider carcinoid, pulmonary artery aneurysm
Infrarenal aortic occlusion
Atherosclerosis, thrombus/embolus, vasculitis (Takayasu)
Also consider dissection
Popliteal artery occlusion
Atherosclerosis, embolism, trauma
Also consider: thrombosed aneurysm, entrapment syndrome, cystic adventitial disease
Extra-testicular mass
Varicocele, pyocele/haematocele, hydrocele
Hypervascular renal mass
RCC, AML, oncocytoma
Also consider AVM/F
Prominent paraspinal flow voids
Spinal dural AVF, aspinal cord AVM, collateral venous flow from IVC ovvlusion
Also consider spinal cord neoplasm with increased vascular flow, VSF pulsations
Suprasellar mass adult
Pituitary macroadenoma, craniopharyngioma, aneurysm
Also consider meningioma
Hypervascular cerebral mass / abnormality
AVM, hypervascular tumour (GBM, meningioma), aneurysm
Also consider Moyamoya
Aortic dissection
HTN, traum, connective tissue disease
Also consider annuloaortic ectsia, bicuspid valve, coarctation
Lower GI bleed
Diverticulosis, neoplsia, angiodysplasia
Also consider: focal colitis
Vascular ring sling
Aberrant right subclavian, dobule arch, right arch with aberrant left
Also consider: pulmonary sling
Urinary obstruction
Sone, TCC, clot
Also consider fungus ball, floughed papillae
TIPSS dysfunction
Neointimal hyperplasia, thrombosis, technical error
Biliary duct occlusion
Stone, cholangioca, pancreatic ca
Also consider chronic pancreatitis, PSC, parasitic infections (Ascariasis, Clonorchis)
Coeliac axis occlusion
Atherosclerosis, thromboembolic, vasculitis (Takayasu, PAN)
Also consider: median arcuate ligament syndrome, FMD, radiation