Thoracic

Question 1

Bronchiectasis

Answer 1

Idiopathic
Impaired host defence - CF, ciliary dyskinesia, HIV
Post infectious - bacterial, mycobacterium
Autoimmune - ABPA, IBD
Obstruction - COPD, asthma
Congenital malformations - Mounier-Kuhn

Question 2

Multiple Pulmonary AVMs

Answer 2

HHT (Osler weber Rendu)
Hepatopulmonary syndrome

Question 3

Upper Zone Fibrosis

Answer 3

BREASTS

Berylliosis and other pneumoconioses
Radiation fibrosis
EAA
Ank spond and ABPA
Sarcoid
TB
cyStic fibrosis

Question 4

Calcified Hilar Nodes

Answer 4

Sarcoid
Treated lymphoma
Silicosis/pneumoconiosis
TB/histoplasmosis (both infectious granulomatous diseases)

Question 5

Lower zone diseases

Answer 5

BAD ASS

Bronchiectasis
Asp Pneumonia
Drugs - bleomycin, nitrifurantoin, methotrexate, amiodarone, DIP
Asbestosis
Scleroderma and other collagen vascular diseases
nSip/uip

Question 6

Cavitating Lesions

Answer 6

C: cancer (SCC); primary or met
A: autoimmune; GPA, RA
V: vascular; bland or septic embolism
I: infection; abscess, TB/fungal (histo)
T: Trauma; pneumatocele
Y: Youth; CPAM, sequestration, bronchogenic cyst

Question 7

Miliary Mets

Answer 7

Thyroid, Renal, Melanoma

Question 8

Lymphocytic Interstitial Pneumonia

Answer 8

Lymphocytic infiltration of alveolar septa characterises LIP, a lower lobe predominant hyperplasia of bronchus-associated lymphoid tissue.

Sjögren’s syndrome, AIDs (paeds)

Question 9

PJP

Answer 9

Ground glass/crazy paving
Pneumatocoeles
CD4<200

Question 10

Rasmussen Aneursym

Answer 10

Pulmonary artery aneurysm adjacent or within a TB cavity

(Uncommon complication)

Question 11

Round Pneumonia Criteria

Answer 11

Adjacent to pleural abnormality/thickening
Peripheral opacity in contact with pleura
Round or ovoid abnormality
Comet tail artefact
Volume loss