Chest Radiology: Patterns and Differential Diagnoses

Segmental and Lobar Consolidations

Questions 1. Homogeneous, left lower lobe consolidation, as seen in Fig. 14.1, A and B , is the typical radiologic manifestation of community-acquired lobar pneumonia. What is the most likely causal agent? a. Mycoplasma pneumoniae. b. Streptococcus pneumoniae. c. Mycobacterium…

Atelectasis

Questions 1. Which of the following abnormalities are present on the posteroanterior (PA) chest radiograph in Fig. 13.1 ? a. Right upper lobe opacification. b. Juxtaphrenic peak. c. Displacement of the horizontal fissure. d. Deviation of the trachea. e. All…

Posterior Mediastinal Mass

Questions 1. Which one of the following diagnoses is most likely for the case illustrated in Fig. 12.1, A-C ? a. Neuroblastoma. b. Paraspinal abscess. c. Schwannoma. d. Paraganglioma. e. Neurenteric cyst. 2. Which one of the following neural tumors…

Hilar Enlargement

Questions 1. The most likely cause of unilateral hilar enlargement in the adult in Fig. 11.1, A-C , is: a. Bronchogenic cyst. b. Lung cancer. c. Large right pulmonary artery. d. Pulmonary varix. e. Aneurysm of the descending aorta. 2.…

Middle Mediastinal Mass

Questions 1. The most likely diagnosis in the asymptomatic young patient shown in Fig. 10.1 , A-C is: a. Bronchogenic cyst. b. Leiomyoma of the esophagus. c. Carcinoma of the esophagus. d. Lymphoma. e. Neurenteric cyst. 2. Which one of…

Anterior Mediastinal Mass

Questions 1. Which one of the following diagnoses is most likely in a middle-aged adult with the chest radiographs and computed tomography (CT) scan shown in Fig. 9.1, A-C ? a. Goiter. b. Thymoma. c. Germ cell tumor. d. Cystic…

Widening of the Mediastinum

Questions 1. What is the most likely cause of the mediastinal widening in this patient ( Fig 8.1, A and B )? a. Lipomatosis. b. Hematoma. c. Adenopathy. d. Mediastinitis. e. Thymoma. 2. Which one of the following statements regarding…

Shift of the Mediastinum

Questions 1. Regarding the case shown in Fig. 7.1, A and B , which one of the following statements is incorrect? a. The right lung is overinflated. b. There is herniation of the right lung in front of the ascending…

Elevated Diaphragm

Questions 1. Which one the following diagnoses is most likely in the case illustrated in Fig. 6.1 ? a. Hepatomegaly. b. Interposition of the colon. c. Right upper lobe atelectasis. d. Phrenic nerve paralysis. e. Right upper lobe pneumonia. 2.…

Pleural Thickening and Pleural Calcification

Questions 1. What is the most likely diagnosis for the case illustrated in Fig. 5.1 ? a. Mesothelioma. b. Metastases. c. Empyema. d. Lung cancer. e. Lymphoma. 2. The large calcification in Fig. 5.2 is most probably caused by: a.…