EMQ practice - Chest radiograph pathology

Chest radiograph pathology

• 28 year old, Male, African-Carribean, Dry cough, Progressive shortness of breath, Bilateral hilar lymphadenopathy
• Sarcoidosis
• Other causes of bilateral hilar lymphadenopathy
• TB
• Malignancy (more commonly unilateral)
• Organic dust diseases
• Extrinsic allergic alveolitis
• 13 year old, male, cystic fibrosis, tramline and ring shadows
• Bronchiectasis
• Cough productive of large amounts of purulent sputum
• Haemoptysis
• Clubbed, coarse inspiratory crackles over infected areas of lung
• Bronchiectasis - Kartagener's syndrome, pertussis, bronchial obstruction
• 65 year old dockward worker, Male, Weight loss, Shortness of breath, Clubbed and Cachectic, Pleural calcification and lobulated pleural mass
• Mesothelioma
• Asbestos exposure
• Mass with lobulated margin
• Pleural calcification alone is actually benign
• 40 year old, woman, clubbing and sortness of breath, fine end-inspiratory crackles, ground-glass appearance of lungs
• Crytogenic fibrosing alveolitis
• SOB + clubbing + fine end-inspiratory crackles suggests crytogenic fibrosing alveolitis
• Middle age
• Ground-glass shadowing, followed by 'honeycomb' lung
• Fibrosing alveolitis is associated with RA, systemic sclerosis, and UC (in which case it is not cryptogenic)
• 65 year old, smoker, eight ribs seen anteriorly above the diaphragm (in mid clavicular line)
• COPD
• Hyperexpansion