Radiology: Lung Abnormalities
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Questions and Answers

What is the most valuable radiographic study for bowel infarction?

  • Barium meal examination
  • Dedicated single contrast small bowel examination
  • Enteroclysis
  • Plain film of the abdomen (correct)
  • What is required for a dedicated single contrast small bowel examination?

  • Only overhead films are required
  • Fluoroscopic monitoring only
  • Compression view is not necessary
  • Compression spot films and taken overhead films (correct)
  • What is a limitation of a dedicated single contrast small bowel examination?

  • It cannot detect small ulcerations (correct)
  • It is a continuation of the barium meal examination
  • It is a separate examination from barium meal
  • It can detect small ulcerations
  • How much barium suspension is administered orally for a single contrast examination?

    <p>600 - 900 ml</p> Signup and view all the answers

    What is evaluated in a dedicated single contrast small bowel examination?

    <p>Peristaltic activity, mucosal folds, and intraluminal filling defects</p> Signup and view all the answers

    What is a characteristic of enteroclysis?

    <p>It provides excellent distention of small bowel with demonstration of mucosal detail</p> Signup and view all the answers

    What is an advantage of enteroclysis over a dedicated single contrast small bowel examination?

    <p>It provides better distention of small bowel</p> Signup and view all the answers

    What is true about enteroclysis?

    <p>It is also called small bowel enema</p> Signup and view all the answers

    What is a limitation of a dedicated single contrast small bowel examination in detecting small ulcerations?

    <p>Double contrast techniques are superior for tiny ulcerations in Crohn disease</p> Signup and view all the answers

    What is the relationship between enteroclysis and a dedicated single contrast small bowel examination?

    <p>Enteroclysis is a separate examination from the dedicated single contrast small bowel examination</p> Signup and view all the answers

    Study Notes

    Lung Patterns on Chest X-Ray

    • Interlobular interstitial spaces may be prominent, but this does not include viral pneumonia
    • Alveolar aeration may not be maintained, leading to a reticular or reticulonodular pattern
    • The pattern may be focal or bilateral
    • Hypovascular lung may appear in pulmonary artery aneurysm, right-to-left shunt, or pulmonary artery stenosis
    • It can cause focal lucency or diffuse lucency on the chest X-ray

    Pneumococcal Pneumonia on Chest X-Ray

    • Characteristics: triangular opacity with the tip toward the hilum, homogeneous, medium intensity
    • May have air-bronchogram

    Bronchopneumonia on Chest X-Ray

    • Characteristics: nodular opacities of varying sizes, usually located on the bases of the lungs

    Aspiration Pneumonia on Chest X-Ray

    • May have irregular radiolucent areas or irregular areas of increased density
    • Can be bilateral and may progress to conglomerate opacities
    • Can be caused by aspiration of gastric contents, leading to pulmonary edema

    Mycoplasmal Pneumonia on Chest X-Ray

    • May have bilateral reticulo-nodular pattern
    • Cannot be represented by lobar or segmental opacities
    • Is a primary atypical pneumonia

    Lung Abscess on Chest X-Ray

    • Can be a hydro-aeric image or a consolidation
    • Differential diagnosis includes pneumonia, lung cancer, hydatid cyst, and fungal infection
    • Can be caused by aspiration of foreign material or surgery of the respiratory tract

    Primary TB

    • Cavitation can appear
    • May have mediastinal adenopathies
    • Can give hematogeneous spread

    Scintigraphic Method

    • Can provide information about ectopic tissue
    • Can be done with gamma-emitting radioisotopes
    • Tomographic acquisition can be SPECT or PET
    • Offers predominantly functional images

    131I

    • Can be used for diagnostic thyroid scintigraphy
    • Can be used for radioiodine therapy of thyroid cancer
    • Emits gamma radiation
    • Is not a stable isotope of iodine

    Radiopharmaceutical

    • Can be represented by a radioisotope + vector (tracer) molecule
    • May include an alpha-emitting radioisotope
    • Can be administered intravenously or orally
    • Is eliminated primarily by the renal route
    • Offers predominantly functional images

    99mTc

    • Is the metastable form of technetium
    • Has a half-life of 6 hours
    • Can be used in SPECT-CT or SPECT
    • Emits gamma radiation
    • Can be used to highlight glucose-consuming tissues

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    Description

    Identify the characteristics of lung abnormalities, including interlobular interstitial spaces, alveolar aeration, and vascular patterns. This quiz covers key features of radiological images.

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