Pleural Effusion and Chest Imaging Quiz
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Questions and Answers

What finding is indicative of a loculated pleural effusion?

  • Loss of lateral portion of diaphragmatic silhouette (correct)
  • Uniform opacity throughout the lung
  • Increased lung volume
  • Presence of a pulmonary nodule
  • Which condition is NOT included in the differential diagnosis for pleural effusion based on the provided findings?

  • Atelectasis
  • Lung cancer (correct)
  • Pneumonia
  • Post-pneumonectomy / agenesis
  • What ultrasound finding corresponds to a diagnosis of pleural effusion?

  • Minimal right side pleural effusion (correct)
  • Increased echogenicity in lung tissue
  • Presence of air in the pleural cavity
  • Localized thickening of the pleura
  • Which of the following best describes the appearance of an atelectasis on a chest X-ray?

    <p>Lung obscuration and mediastinal shift</p> Signup and view all the answers

    The finding of a loculated loss of the cardiophrenic angle on a chest X-ray suggests the presence of which condition?

    <p>Loculated pleural effusion</p> Signup and view all the answers

    What is the primary diagnosis indicated by a loss of the costophrenic angle?

    <p>Pleural effusion</p> Signup and view all the answers

    In which condition would the cardiac border silhouette most likely be lost?

    <p>Pleural effusion</p> Signup and view all the answers

    Which of the following is not a differential diagnosis for pleural effusion?

    <p>Tuberculosis</p> Signup and view all the answers

    What does the finding of 'no vascular markings on the right' most likely indicate?

    <p>Pleural effusion</p> Signup and view all the answers

    Which finding is characteristic of atelectasis compared to pleural effusion?

    <p>Increased opacity in the lung fields</p> Signup and view all the answers

    What does a horizontal fluid level in the pleural space indicate?

    <p>Presence of both air and fluid in the pleural space</p> Signup and view all the answers

    Which of the following statements is true regarding lung margin visibility and fluid levels?

    <p>Bilateral fluid levels indicate the presence of both air and fluid.</p> Signup and view all the answers

    If a scan shows the lung margin is visible, what can be inferred?

    <p>There may be fluid or air present within the pleural space.</p> Signup and view all the answers

    What is suggested by the presence of a horizontal fluid level in medical imaging?

    <p>It means there is a combination of air and fluid in the pleural space.</p> Signup and view all the answers

    Which observation directly correlates with a diagnosis involving pleural fluid accumulation?

    <p>Presence of a horizontal fluid level and visible lung margins.</p> Signup and view all the answers

    What diagnosis can be concluded from the given chest X-ray findings?

    <p>Massive pleural effusion</p> Signup and view all the answers

    Which finding is consistent with massive pleural effusion on a chest X-ray?

    <p>Left hemi opacification</p> Signup and view all the answers

    What could be a possible cause for the shift of the mediastinum to the right?

    <p>Left-sided massive pleural effusion</p> Signup and view all the answers

    Which of the following is NOT indicated in the findings from the chest X-ray?

    <p>Tracheal shift to the left</p> Signup and view all the answers

    Which diagnosis is excluded by the absence of fibrosis on the chest X-ray?

    <p>Atelectasis</p> Signup and view all the answers

    What is the most appropriate diagnosis for opacification in the left lower lung zone with obscured left hemidiaphragm?

    <p>Hamartoma</p> Signup and view all the answers

    Which finding is commonly associated with a diagnosis of carcinoma based on the chest X-ray?

    <p>Multiple nodules greater than 3cm</p> Signup and view all the answers

    Which option represents a differential diagnosis for a well-defined nodule smaller than 3cm?

    <p>Hamartoma</p> Signup and view all the answers

    Among the following, which finding is indicative of a lung abscess?

    <p>Cavitation and irregular borders</p> Signup and view all the answers

    What finding is associated with the diagnosis of sarcoid on a chest X-ray?

    <p>Bilateral, symmetrical hilar adenopathy</p> Signup and view all the answers

    Which description best fits the imaging findings of rheumatoid nodules?

    <p>Small cavitary lung lesions</p> Signup and view all the answers

    Which finding might suggest a diagnosis of aspergillosis?

    <p>Cavities containing masses</p> Signup and view all the answers

    In the context of lung masses, which condition is most likely diagnosed with a rounded or oval mass that has sharp margins?

    <p>Large cell lung cancer</p> Signup and view all the answers

    Which condition is indicated by lymph nodes in the middle mediastinum?

    <p>Bronchogenic cysts</p> Signup and view all the answers

    What is the diagnosis associated with diffuse bilaterally fluffy opacity with air bronchograms?

    <p>Pulmonary edema</p> Signup and view all the answers

    Which diagnosis is linked to anterior mediastinum masses and a wide superior mediastinum?

    <p>Thymoma</p> Signup and view all the answers

    What is the differential diagnosis for a sizable left lower lobe mass?

    <p>TB/granuloma</p> Signup and view all the answers

    What finding is commonly associated with emphysema on a chest X-ray?

    <p>Hyperinflation</p> Signup and view all the answers

    Which diagnosis is suggested by calcified nodes in the right apical region?

    <p>Sarcoidosis</p> Signup and view all the answers

    What is indicated by the presence of cavitation and atelectasis on a chest X-ray?

    <p>Large cell cancer</p> Signup and view all the answers

    Which finding suggests extramedullary hematopoiesis?

    <p>Opacity in posterior mediastinum</p> Signup and view all the answers

    What finding indicates the diagnosis of spontaneous pneumothorax?

    <p>Sub pleural blebs (Bullae)</p> Signup and view all the answers

    Which diagnosis is characterized by the presence of mediastinal lymph nodes and micro nodules?

    <p>Micronodular lung disease (SARCOID)</p> Signup and view all the answers

    Which condition is associated with a severe loss of the cardiophrenic angle on a chest X-ray?

    <p>Pleural effusion</p> Signup and view all the answers

    What is typically identified with staph pneumonia on a chest X-ray?

    <p>Patchy airspace opacities</p> Signup and view all the answers

    Which finding signifies bronchogenic carcinoma (Pancoast tumor)?

    <p>Posterior rib destruction</p> Signup and view all the answers

    Study Notes

    Radiology Study Notes

    • Content Contributors: Mohamed Mamdouh, Youssef Essam, Ali Saad Eldin
    • Design & Organization: Ali Saad Eldin
    • Website: https://t.me/questionspt8
    • Page: PT8

    Chest X-Ray Posterior Anterior View (PA)

    • **Finding (Page 2, 3, 5, 6, 7, 8, 19, 20, 21, 22, 23, 25, 26, 27, 36, 37, 38, 40, 47, 48, 49,50, 51, 52,56,57):

      • Density in lower/upper lung field
      • Loss of heart/aorta silhouette
      • Intact diaphragmatic silhouette
      • No mediastinal shift
      • Blunting of costophrenic angle
      • Consolidation
      • Opacity in lower/upper lobe
      • Trachea shift to right/left
      • Fluid level
      • Multiple/bilateral opacities
      • Bilateral perihilar fluffy opacity
      • Diffuse haziness
      • Tracheal shift to right
      • Blunted costophrenic angle
      • Unilateral hyperlucent lung
      • Apical shadow
      • Posterior rib destruction
      • Bilateral airspace opacities
      • Bilateral perihilar fluffy opacity
      • Unilateral hyperlucent lung
      • Diffuse haziness
      • Tracheal shift to right
      • Blunted costophrenic angle
      • Unilateral hyperlucent lung
      • Bilateral, diffuse soft fluffy lesions
      • Air bronchogram
      • Butterfly pattern
      • Diffuse Bilateral Opacities
      • Butterfly pattern
      • Cardiomegaly
      • Air bronchogram
      • Increased vascular markings
      • Bilateral symmetrical hilar adenopathy
      • Rounded/oval mass
      • Sharp margin
      • No respect for anatomy
      • Cavities containing masses
      • Small cavitary lung lesions
      • Irregular border
    • Diagnosis (Page 2, 3, 4, 5, 6, 7, 8, 19, 20, 21, 22, 23, 25, 26, 27, 36, 37, 38, 40, 47, 48, 49, 50, 51, 56):

      • Pneumonia
      • Atelectasis
      • Lung abscess
      • Pulmonary edema
      • Pleural effusion
      • Pneumothorax
      • Hydropneumothorax
      • TB
      • Miliary TB
      • Bronchopneumonia
      • Pulmonary fibrosis -Emphysema
      • Fungal infection
      • Lung cancer (large cell)
      • Alveolar cell carcinoma
      • Dissecting aortic aneurysm
      • Bronchogenic carcinoma
      • Cardiac/right lung atelectasis
      • Left lower lobe atelectasis
      • Foreign body inhalation
      • Micronodular lung disease
    • Differential Diagnosis (Page 2, 3, 4, 5, 6, 7, 8, 19, 20, 21, 22, 23, 25, 26, 27, 36, 37, 38, 40, 47, 48, 49, 50, 51, 56):   - Pulmonary edema

      • Pulmonary hemorrhage
      • Adenocarcinoma
      • Tumor
      • Atelectasis
      • Pleural effusion
      • Pneumonia
      • Pulmonary embolism
      • Emphysema
      • Oligemia
      • Obstruction (PE)
      • Mastectomy
      • Swyer James
      • Poland syndrome
      • Broncho-genic cyst
      • Lymphadenopathy
      • Aneurysms
      • Esophageal duplication
      • Metastasis
      • Sarcoid
      • Pneumoconiosis
      • Wegeners
      • Histoplasmoma
      • Round pneumonia
      • Round atelectasis
      • TB/granuloma

    CT Chest

    • Finding (Page 4, 5, 9, 11, 17, 29, 34, 35, 39, 41, 45, 46):

      • Pulmonary consolidation
      • Air bronchogram
      • Consolidation
      • Opacity in left upper, lower lobe
      • Multilobar bilateral sub pleural ground glass opacities
      • Lobar & rounded morphology mostly in periphery
      • Increase A-P diameter -Transmediastinal herniation
      • Hyperinflation
      • Ill-defined transducency
      • Focal lucencies (emphysematous spaces)
      • Sub pleural blebs (Bullae)
      • Small focal lucencies
      • Spontaneous pneumothorax
      • Diffuse ground glass opacity
      • Confluent airspace densities
      • Subpleural sparing
      • Mediastinal lymph nodes
      • Micro nodules randomly distributed
      • Sizable left lower lobe mass
      • Large mass in apical segment RLL
      • Pleural base
      • Without transgressing the limits of the fissure
      • Multiple nodules >3cm
      • Multiple rounded opacity
      • Well defined nodule (coin lesion) smaller than 3cm
        • Rounded opacity with cavitation in RLL
        • Irregular border
      • Consolidation or infiltrates around lesion
        • Lung parenchymal markings appear altered
    • Diagnosis: Pneumonia, Atelectasis, Emphysema, Lung cancer (large cell), Alveolar cell carcinoma, Bronchogenic cysts, Micronodular lung disease, Hydropneumothorax, Lung abscess, Tension pneumothorax

    • Differential Diagnosis (Page 4, 5, 9. ,11, 17, 29, 34, 35, 39, 41, 45, 46): Same differentials as those listed in the Chest X-Ray Section

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    Description

    Test your knowledge on the diagnostic findings related to pleural effusion and atelectasis. This quiz covers ultrasound and X-ray characteristics, differential diagnoses, and the significance of various imaging findings in respiratory conditions.

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