Top 3 Flashcards

1
Q

Solitary pulmonary nodule

A

Granuloma, neoplasm (primary or secondary), hamartoma

Also consider: round pneumonia, AVM

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2
Q

Multiple pulmonary nodules

A

Mets, granulomatous (TB, fungal), septic emboli

Also consider: Wegener’s, RA

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3
Q

Cavitary pulmonary nodule

A

Tb, fungal, SCC (primary or met)

Also consider - pyogenic infection (abscess, septic emboli), Wegener’s, RA

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4
Q

Miliary nodules

A

TB, fungal, mets

Also consider: pneumoconioses, healed varcilla

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5
Q

Centrilobular pulmonary nodules

A
Infectious bronchioloitis (MAC, TB), hypersensitivity pneumonitis, endobronchial spread of tumour
Also consider: RB-ILD, pneumoconioses
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6
Q

Cystic lung disease

A

Emphysema, LAM, LCH

Also consider pneumocystis, LIP

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7
Q

Lower lobe interstitial disease

A

UIP, collagen vascular disease, asbestos-related lung disease
Also consider: drug toxicity

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8
Q

Upper lobe interstitial disease

A

TB, sarcoid, CF

Also consider pneumoconioses, LCH

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9
Q

Hyperlucent lung

A

top 3: chest wall (mastectomy, Poland), Swyer-James, acute asthma
top 3 don’t miss: airway obtruction, PE, pneumothorax

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10
Q

Anterior mediastinal mass

A

Lympmhoma, thymic, thyroid, teratoma

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11
Q

Middle mediastinal mass

A

Lymphadenopathy, vascular (aortic or pulmonary artery aneurysm), congenital cyst (bronchogenic)
Also consider hiatus hernia

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12
Q

Posterior mediastinal mass

A

Neurogenic tumour, lymphoma, developmental cyst (neuroenteric)
Also consider: extramedullary haematopoiesis, mediastinal haematoma

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13
Q

Chronic air space disease

A

COP, proteinosis, Carcinoma

Also consider: chronic eosinophilic pneumonia, lipoid pneumonia

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14
Q

Peripheral air space disease

A

COP, eosinophilic pneumonia, infarct

Also consider contusion, sarcoid

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15
Q

Ground glass

A

Pulmonary oedema, atypical infection, pulmonary haemorrhage

Also consider: ARDS, proteinosis, vasculitis

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16
Q

Hilar adenopathy

A

Infection, lymphoma, sarcoid

Also consider: mets, pneumoconiosis

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17
Q

Calcified pleural disease

A

Asbestos, fibrothorax (prior infection or haemorrhage), iatrogenic (pleurodesis)

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18
Q

Bronchiectasis

A

Post-infection (bacterial, TB, MAC), CF, ABPA

Also consider: obstructive lesion / mass, ciliary dyskinesia

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19
Q

Perilymphatic pulmonary nodules

A

Sarcoid, lymphangitic spread of tumour, pneumoconioses

Also consider: lymphoproliferative disorder

20
Q

Pleural-based mass

A

Pleural mets, empyema, mesothelioma

Also consider: fibrous tumour of pleura, fibrothorax

21
Q

Parenchymal disease in HIV patient

A

Pneumocystis, TB, fungal infection

Also consider: invasive aspergillosis, Kaposi sarcoma, lymphoma

22
Q

Cardiac mass

A

Thrombus, mets, benign neoplasm (myxoma, rhabdomyoa)

Also consider: malignancy (sarcoma, lymphoma)

23
Q

Delayed myocardial enhancment

A

Infarction/scar, myocarditis, cardiac mass

Also consider infiltrative disease (granuoma, amyloid)

24
Q

Cardiac wall fatty despoition

A

Lipoma, lipomatous hypertrophy of interatrial septum, arrhytmogenic righ ventricular dysplasia

25
Q

Post-procedure arterial abnormality

A

Haematoma, pseudoaneurysm, AVF

26
Q

Carotid artery stenosis

A

Atherosclerosis, FMD, dissection

Also consider iatrogenic

27
Q

Failing renal transplant

A

ATN, artery stenosis, obstruction

Also consider: rejection, vein thrombosis, cyclosporine toxicity

28
Q

Digital artery occlusion / ischaemica

A

Raynaud, vasculitis (SLE, Buerger), embolic disease

Also consider: thoracic outlet, trauma, atherosclerosis

29
Q

Subclavian vein occlusion

A

Prior instrument / catheter, hypercoagulable, Paget-Shroetter / effort thrombosis

30
Q

Great vessel stenosis

A

Atherosclerosis, vasculitis (GCA, takayasu), dissection

Also consider radiation

31
Q

Renal artery stenosis

A

Atherosclerosis, FMD, dissection

32
Q

Intraparenchymal renal artery aneurysms

A

Vasculitis (polyarteritis nodosa), mycotic / septic emboli, trauma
Aso consider Ehlers-Danlos, speed kidney

33
Q

Hypervascular pulmonary mass

A

AVM, Ca, met

Also consider carcinoid, pulmonary artery aneurysm

34
Q

Infrarenal aortic occlusion

A

Atherosclerosis, thrombus/embolus, vasculitis (Takayasu)

Also consider dissection

35
Q

Popliteal artery occlusion

A

Atherosclerosis, embolism, trauma

Also consider: thrombosed aneurysm, entrapment syndrome, cystic adventitial disease

36
Q

Extra-testicular mass

A

Varicocele, pyocele/haematocele, hydrocele

37
Q

Hypervascular renal mass

A

RCC, AML, oncocytoma

Also consider AVM/F

38
Q

Prominent paraspinal flow voids

A

Spinal dural AVF, aspinal cord AVM, collateral venous flow from IVC ovvlusion
Also consider spinal cord neoplasm with increased vascular flow, VSF pulsations

39
Q

Suprasellar mass adult

A

Pituitary macroadenoma, craniopharyngioma, aneurysm

Also consider meningioma

40
Q

Hypervascular cerebral mass / abnormality

A

AVM, hypervascular tumour (GBM, meningioma), aneurysm

Also consider Moyamoya

41
Q

Aortic dissection

A

HTN, traum, connective tissue disease

Also consider annuloaortic ectsia, bicuspid valve, coarctation

42
Q

Lower GI bleed

A

Diverticulosis, neoplsia, angiodysplasia

Also consider: focal colitis

43
Q

Vascular ring sling

A

Aberrant right subclavian, dobule arch, right arch with aberrant left
Also consider: pulmonary sling

44
Q

Urinary obstruction

A

Sone, TCC, clot

Also consider fungus ball, floughed papillae

45
Q

TIPSS dysfunction

A

Neointimal hyperplasia, thrombosis, technical error

46
Q

Biliary duct occlusion

A

Stone, cholangioca, pancreatic ca

Also consider chronic pancreatitis, PSC, parasitic infections (Ascariasis, Clonorchis)

47
Q

Coeliac axis occlusion

A

Atherosclerosis, thromboembolic, vasculitis (Takayasu, PAN)

Also consider: median arcuate ligament syndrome, FMD, radiation