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Final2 Flashcards

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1
Q

Two common categories of cause for acute interstitial lung disease (ILD)

A

Infection

Neoplasm

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2
Q

PA chest suspicion of pneumothorax can be differentiated from larger bulla by which imaging procedure

A

Decubitus series

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3
Q

The most cost effective imaging to confirm pancoast tumor

A

Apical lordotic

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4
Q

Which of the following signs would point to air space consolidation

A 
Bilaterior medullary lung opacification
Poorly defined opacity
Air bronchogram
Lobar opacification
Acinonodular pattern
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5
Q

A common cause of a chronic reticular interstitial pulmonary pattern is

A

Pulmonary fibrosis

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6
Q

Which of the following would not be considered a cause for an appearance of unilateral hyperlucent lung

A

Honeycomb lung

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7
Q

Which of the following are signs of interstitial disease

A

Kerley A lines
Honeycomb densities
Reticulonodular densities
Kerly B lines (.5-2cm long)

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8
Q

Which of the following are compensatory/indirect signs associated with resorption atelectasis

A

Hilar shift toward density

Rib interspace narrowing

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9
Q

Two acute pneumonia disorders to produce cavitation

A

Klebsiella

Staph aureus

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10
Q

Pulmonary consolidation in this segment could cause a silhouette sign with the pulmonary artery

A

LUL #2

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11
Q

Silhouette with aortic knob

A

LUL #1-3

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12
Q

Silhouette with left ventricle

A

LUL #5

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13
Q

Silhouette with descending aorta

A

LLL #6

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14
Q

Silhouette with diaphragm

A

LLL #7

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15
Q

Bronchopneumonia pattern is typical of

A

Consolidation pattern

TB pneumonia

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16
Q

Pulmonary consolidation in this segment could cause a silhouette sign with the upper descending thoracic aorta

A

LLL #6

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17
Q

Silhouette left atrium

A

LLL #4

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18
Q

All of the following can produce air space consolidation, which one typically starts in the peripheral lung

A

Streptococcus pneumonia

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19
Q

Acute diffuse interstitial lung disease is usually due to viral/mycoplasmal pneumonia or

A

Pulmonary edema

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20
Q

Which of the following would not be associated with an air bronchogram

A

Pleural effusion

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21
Q

Cavitation in adulst and pneumatocele in children is typical of

A

Staph aureus pneumonia

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22
Q

Three indirect signs of lung collapse are

A

Compensatory emphysema
Mediastinal deviation
Rib interspace narrowing

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23
Q

In adults over 40, resorption atelectasis related to large bronchial obstruction is often due to

A

Tumor

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24
Q

The most common cause of acute consolidation

A

Infectious pneumonia, pulmonary edema

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25
In patients less than 40, unilateral localized increasing density is more often related to
CAPTE (consolidation, atelectasis, tumor, pleural disease, external wall) Pleural disease
26
Most frequent cause of acute airspace consolidation are ___ and ___
Bacterial pneumonia | Severe pulmonary edema
27
Of these infecitons, cavitation is not associated with
Viral pneumonia
28
On a chest series, the findings are: unilateral, localized, hyperlucent lung density. What are the next considerations
Is it air trapping Is it cavitation Is it pneumothorax Is it congenital lung cyst Emphysema would be bilateral
29
On a chest series the findings are: unilateral, localized, homogenous water density. What are the nesxt considerations
CATPE Is it consolidation Is it pleural related Is it tumor Is it atelectasis
30
Air space disease may be indicated on plain film by
Localized fuzzy density
31
Interstitial disease may be indicated on plain film by
Honeycomb lung | Kerley lines
32
Pleural effusion may be indicated on plain film by
Meniscus sign
33
Which are related to honeycomb lung
Dyspnea Pneumothorax Para-cicatricial revision of architecture Cor pulmonale
34
On a chest series the findings are: bilateral, widespread, non-homogenous increase in radiodensity. What are the next considerations
Is it nodular (1-2mm) Is it reticular Is it honeycomb
35
Which accessory fissures are horizontally oriented and would not show well on chest CT Pick 2
Superior accessory fissure | Accessory left minor fissure
36
Which two fo the following are descriptive of kerley A lines
Thickened interlobular space | Extend outward from hilar area
37
The superior accessory fissure
Could mimic left minor fissure on the PA view
38
Aspiration pneumonia
Non-opportunistic and bronchopneumonia pattern
39
Staph aureus
Opportunistic
40
Honeycomb lung
Fatal outcome from cor pulmonale/cardiac arrest
41
Pleural effusion
Silhouette sign with chest wall and diaphragm
42
Strep pneumonia
Lobar consolidation
43
When the lingula is atelectactic
Compensatory emphysema may be only finding
44
What is the principal mechanism for atelectasis with hilar lymphadenopathy
Obstructive
45
Which one of the following is not characteristic of a PA upright, full expiration chest
Diaphragam will be at lowest level - (highest)
46
AP recumbant supine chest radiograph done at expiration shows ___ when compared to upright PA
Equal vascular distribution, whiter lung
47
All of the following would be better visualized on teh expiratory film except
Pleural effusion Pneumothorax, air trapping, bulla would be!!
48
Which of the following would not result from direct blunt trauma to the chest
Localized reticular disease
49
Left mediastinal anatomy ordered correctly from superior to inferior
Aortic knob Pulmonary artery Left atrium Left ventricle
50
The air bronchogram
Good sign of acinar filling
51
The numerical value of tissue desnity on a CT scan for lung is
-800
52
Which one of the following is not a consolidation sign
Delayed appearance
53
Air bronchogram sign
Infrequent consolidation sign
54
Consolidation signs
Butterfly shadow, fuzzy borders, sub-segmental density, lobar pattern, early appearance
55
A full inspiration PA chest will show
Left cardiac-medial to diaphragm silhouette sign
56
Kerley A and B lines are indicative of ___ and associated with ___
Interstitial disease | Pulmonary edema
57
Metastasis to the lung from testicular seminoma may intially present as
Multiple evenly distributed nodules 3-5 mm in size (mets from kidney, thyroid, testicle)
58
Localized hyperlucency is seen with all of the following except
Bilateral mastectomy
59
Of teh substance cause for airspace consolidation which are considered to be the 3 most common
Blood Water Pus Blood, pus, water, protein, cells
60
Thoracic descending aorta silhouette sign may be produced by left segments.
6, 10
61
2 RUL
Ascending aorta
62
5 RML
Heart R, A
63
1-3 LUL
Aorta
64
2 LUL
Pulmonary artery
65
4 LUL
Left atrium
66
5 LUL
Left ventricle
67
6 LLL
Upper descending aorta
68
7-10 LLL
Diaphragm
69
Suspected pneumothorax on a full inspiration PA chest view could be confirmation most cost-effective by
Lateral decubitus with involved side up
70
A 56 yo male presenting with localized increased density with mediastinal shift toward the desnity likely has
Bronchogenic cancer
71
Which of teh follwoign is not part of the criteria for hte usually frontal PA chest view
DR can be done grid or non-grid
72
Which of the following is an incorrect statement regarding the right ventricle
Make up the upper right heart border on the frontal view (only visible on lateral view)
73
Left hilar bronchogenic cancer can have an impact on all of the folowing structures except
Superior vena cava - right
74
Which two imaging procedures can confirm pleural effusion
Chest CT | Decubitus imaging
75
All of the following produce bilateral hilar enlargement except ___ which is unilateral
Bronchus
76
On the lateral chest view, which cardiac champber does not border from
Right atrium
77
PA = no right
Ventricle
78
Lateral = no right
Atrium
79
Which of the following is an incorrect statement regarding the pulmonary artery on the PA chest view
Should superimpose over the left hilus
80
Which of teh follwoing is not a fibrosis pattern
Nodular 3-4mm densities
81
The most frequent radiographic sign of mediastinal disease is
Widening
82
All fo the foloowing are true statements regarding mediastinal lymph nodes except
Can be detected on CT only when calcified >3mm
83
Left lateral decubitus view is made with the patient
Lying on the left side with x-ray beam parallel to the floor
84
With a large amount of free pleural fluid
There will be loaclized water density
85
All of the following are acute pneumonia radiographic appearance except
Well-defined solitary nodular denisty
86
A good diagnosis for suspected pneumothorax confirmation would be
Lateral decubitus with affected side up
87
Air space disease may be suspect on plain film by
Sub-segmental density
88
Subcarinal lymph nodes would be considered ___ mediastinal
Middle
89
An ascending aortic aneurysm would produce
Anterior mediastinal mass
90
We called it big orange - -pulmonary lypmhagtic draingiage schematic. All are true regarding that slide except
Explains the pulmonary vascular pattern
91
A pt presenting with Potts disease could have a
Posterior mediastinal mass
92
Based on the acute pneumonia classification, the most likely appearance for viral/mycoplasmal pneumonia is
Interstitial pattern
93
Resorption atelectasis
RML or RLL in children Aka obstructive
94
Acinonodular pattern
Widespread non-homogenous consolidation pattern
95
Emphysema
Air vs soft tissue ratio favoring greater air volume
96
Pulmonary air space edema
Bilateral medullary lung consolidation/butterfly
97
Honeycomb lung
Pneumothorax and pulmonary hypertension complication
98
Peter James Kerley was knighted in teh 1970s by ___ for his service to radiology in the UK and to the royal family
Queen ELizabeth II

Soft A (6 decks)

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