Deck 27: Chest Patterns

Question 1

The appearance of the hilar regions in Figure 27-3 is best described as __________.

A) Batwing
B) Potato nodes
C) Kerley C lines
D) Ranke complex

Answer 1

Potato nodes

Question 2

Which radiographic sign accounts for part non-visualization of the right heart border on the PA radiograph?

A) S-shaped Golden
B) Luftsichel
C) Plate
D) Silhouette

Answer 2

Silhouette

Question 3

Which of the following conditions would be most likely if enlarged right paratracheal nodes were also present on the radiographs and Figure 27-3?

A) Bronchogenic carcinoma
B) Lymphoma
C) Leukemia
D) Sarcoidosis

Answer 3

Sarcoidosis

Question 4

What radiographic pattern of disease is present in Figure 27-3?

A) Localized airspace disease
B) Enlarged hilum
C) Chest wall and pleural-based lesions
D) Multiple nodules and masses

Question 5

On the basis of the position of the lesion in the periphery of the lung parenchyma, which of the following cell types is likely to make up the mass if the underlying cause is bronchogenic carcinoma?

A) Squamous cell
B) Adenocarcinoma
C) Alveolar cell carcinoma
D) Small cell carcinoma

Question 6

Which of the following best characterizes the radiographic pattern of lung disease and Figure 27-2?

A) Multiple nodules and masses
B) Diffuse alveolar disease
C) Enlarged hilum
D) Diffuse interstitial disease

Question 7

Which of the following diagnoses best accounts for the radiographic abnormalities in Figure 27-2?

A) Cardiogenic pulmonary edema
B) Aspiration pneumonia
C) Adult respiratory distress syndrome
D) Neurogenic pulmonary edema

Question 8

Which of the following diagnostic imaging modalities would provide greatest sensitivity in further characterization of the lesion?

A) Computed tomography
B) Magnetic resonance imaging
C) Diagnostic ultrasound
D) Apical lordotic and lateral chest radiographs

Question 9

The linear densities noted at the lateral margins of the lower lungs are known as __________.

A) Kerley A lines
B) Kerley B lines
C) Kerley C lines
D) Subsegmental atelectasis

Question 10

What radiographic pattern of disease is evident on Figure 27-4?

A) Multiple nodules and masses
B) Lung parenchymal calcifications
C) Solitary pulmonary nodule/mass
D) Pleural calcifications

Question 11

Which of the following diagnoses would be most likely if this patient disclosed a history of cigarette smoking?

A) Bronchiocarcinoid tumor
B) Bronchogenic carcinoma
C) Bronchogenic cyst
D) Metastasis

Question 12

Definitive diagnosis of the underlying cause of this patient's disease would best be accomplished with __________.

A) Biopsy
B) Computed tomography of the chest
C) Sputum culture
D) Spirometry

Question 13

On PA chest radiographs, what is a normal measure of the pulmonary arteries?

A) 5 mm
B) 11 mm
C) 16 mm
D) 22 mm

Question 14

Considering the patient's history, what is likely to be the underlying cause of this abnormality?

A) Lymphadenopathy
B) Mucous plug obstructing a bronchus
C) Air-space consolidation
D) Cardiomegaly

Question 15

What other clinical symptoms are likely in this patient?

A) Night sweats
B) Fever
C) Wheezing and dyspnea
D) No symptoms (asymptomatic)

Question 16

Which radiographic pattern of disease is evident in Figure 27-1?

A) Atelectasis
B) Hilar and mediastinal calcification
C) Enlarged hilum
D) Localized alveolar (air-space) disease

Question 17

Failure of which organ(s) may produce similar radiographic findings to those in Figure 27-2?

A) Kidneys
B) Splay
C) Pancreas
D) Liver

Question 18

Normal transverse dimension of the heart should measure less than __________ the widest transverse dimension of the thorax measured along the inner rib margins.

A) One fourth
B) One third
C) One half
D) Two thirds

Question 19

The triangular-shaped density noted on the lateral chest radiograph represents the right __________.

A) Hilum
B) Upper lobe
C) Middle lobe
D) Lower lobe

Question 20

Doubling of the lesion's size in which of the following timeframes would support a diagnosis of bronchogenic carcinoma?

A) 0-1 month
B) 1-18 months
C) 18-24 months
D) 24-36 months