Mixed chest pathology

Question 1

State radiographic appearences of sarcoid 5m

Answer 1

1. Bilateral nodular/ mass like foci
2. ill defined borders
3. Sometimes confluent + air bronchograms
4. bilateral symmetrical hilar adenopathy
5. Calcified hilar/ mediastinum - also seen with TB and histoplasmosis

Question 2

Sarcoid clinical presentation?

Answer 2

1. Afebrile
2. Asymtomatic
3. Mild dysnoea

Question 3

State three differrentials for mediastinal calcification? 3m

Answer 3

TB

Histoplasmosis

sarcoidosis

Question 4

State the differential for 1m

bone infarct sclerotic ribs

lower lobe consolidation

segmental/ subsegmental atelectasis

vertebral plate depression

consolidation

possible cardiomegaly

Answer 4

Sickle cell