Core Exam Flip
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Transcript of Core Exam Flip
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Core Exam FlipJK Amorosa
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Name 5 causes of ptx• 1.Spontaneous most common• 2.COPD• 3.Chronic cystic lung disease such as
LAM, histiocytosis• 4.Mets• 5.Catamenial ptx
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Rad signs of tension ptx
• 1.Contralateral mediastinal shift• 2.Diaphragmatic depression• 3.Rib cage expansion• 4.Flattening of the contours of the R
heart border and /or SVC
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Nodule
• 1.Spiculated margins• 2.Squamous cell ca• 3.T1 mass size• Best method of Dx
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Pleural plaques are seen in people who have worked in
• 1.Mining• 2.Insulation• 3.Ship building• 4.Brake lining
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Pleural plaques
• 1.Unilateral• 2.Symptomatic• 3.Premalignant
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Emphysema
• 1.Overinflation• 2.Reduced vascularity• 3.Flattening of diaphragms• 4.Best imaging method: HRCT
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Tracheal stenosis, etiologies:
• -trauma, most common: following prolonged ET, Sx, radiation • -chronic inflammatory diseases (amyloidosis, sarcoidosis,
relapsing polychondritis), • -benign neoplasm (respiratory papillomatosis), • -malignant neoplasm (primary tracheal, secondary invasion,
metastatic)• -collagen vascular diseases (tracheopathia osteoplastica,
Wegener granulomatosis). • Wenzel emedicine
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Miliary pattern
• 1.TB, fungal, silicosis, sarcoidosis, met thyroid or melanoma
• 2.How does it disseminate: hematogenously
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Pulmonary contusion occurs
• 1.Early: within 6 hours• 2.Later: within 7 day• 3.Resolves within 6 hours• 4.Resolves within 7 days
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Pulmonary Laceration
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Mesothelioma
• 1.More than 1 cm thick• 2. circumferential• 3.involves mediastinal surface• 4.Nodular
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Mesothelioma, pleural calcifications seen in
• 1.50%• 2.20%• 3.75%• 4.80%
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Pneumothorax on supine image
• 1.Hyperlucent upper abdominal quadrant
• 2.Double diaphragmatic contour• 3.Deep sulcus sign
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Anterior junction line is made up of how many pleural layers
• 1. 2• 2. 4• 3. 6
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Posterior junction line
• 1. Extends above the clavicles• 2. Does not extend above the
clavicles
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Which is seen more frequently?
• 1.Anterior junction line• 2.Posterior junction line
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ARDS
• 1.Clinical dx of acute respiratory failure with profound hypoxia and lung parenchymal opacities on chest X-ray
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ARDS causes• 1.Trauma• 2.Sepsis• 3.Aspiration• 4. Inhaled toxins• 5. Drug overdose• 6.Transfusion
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Cavity
• 1.Reactivation TB• 2.Squamous cell ca• 3.Vasculitis• 4.Granulomatous
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Right cardiophrenic mass
• 1.Pericardial cyst• 2.Pericardial fat pad• 3. Morgagni’s hernia• 4.Lipoma• 5.Thymolipoma• 6.Epicardial lymphnodes
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Cystic Fibrosis Inheritance Pattern
• 1.Autosomal recessive• 2.Autosomal dominant
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Treatment of hemoptysis for invasive aspergillosis
• 1.Surgical resection• 2.Bronchialartery embolization
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RLL andLLL segmentsRLL
• ALPM (anterior, lateral, posterior, medial)
LLL
• ALP (anteromedial, lateral, posterior)
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Anterior mediastinal mass
• Most common: thymic origin
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Thymic mass• 1.Thymoma – most common• 2.Thymic hyperplasia• 3. Thymolipoma• 4.Thymic cyst• 5.Thymic carcinoma-metastasizes
hematogeneously• 6.Thymic carcinoid
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Subcarinal mass
• 1.Subcarinal LN• 2.Bonchogenic cyst• 3.Left atrial enlargement
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Pneumomediastinum
• Decubitus image will show layering?