Questions 1. Refer to Fig. 24.1 . Which of the following is the best diagnosis? a. Adult respiratory distress syndrome. b. Pneumatoceles. c. Multiple abscesses. d. Bronchopleural fistula. e. Necrotizing pneumonia, abscesses, and bronchopleural fistula. 2. Which is the most likely diagnosis in the case illustrated in Fig. 24.2, A and B ? a. Metastatic squamous cell carcinoma. b. Histoplasmosis. c. Tuberculosis. d. Necrotizing pneumonia. e.…

Questions 1. Match the cases shown in Fig. 23.1, A – D , with the following diagnoses: ____Bronchogenic carcinoma. ____Pneumonia with abscess. ____Bronchopleural fistula with hydropneumothorax. ____Pulmonary gangrene. 2. Which one of the following pulmonary infections is least likely cause of necrotizing pneumonia? a. Streptococcus pneumoniae. b. Pseudomonas. c. Klebsiella. d. Staphylococcus aureus. e. Mixed gram-negative pneumonia. 3. Refer to Fig. 23.2 . Which one of…

Questions 1. Match the abnormal thoracic lucencies seen in Fig. 22.1, A to C , with the following diagnoses. ____ Bilateral pneumothorax. ____ Bullous emphysema. ____ Ruptured subpleural bullae with pneumothorax. 2. Asymmetric air trapping may be confirmed by which of the following radiographic techniques? a. Lateral decubitus view. b. Forced inspiratory view. c. Forced expiratory view. d. Overpenetrated view. e. Oblique view. 3. Mosaic attenuation…

Questions 1. A 50-year-old man admitted with a history of weight loss had the examinations shown in Fig. 21.1, A and B . Which one of the following procedures would most likely determine the site of a primary tumor? a. Physical examination of the testis. b. Total spine radiograph. c. Radionuclide bone scan. d. Computed tomography (CT) scan of the brain. e. Magnetic resonance imaging (MRI)…

Questions 1. Refer to Fig. 20.1, A and B . Which one of the following is the most likely diagnosis? a. Invasive mucinous adenocarcinoma. b. Adenocarcinoma in situ. c. Minimally invasive adenocarcinoma. d. Invasive adenocarcinoma. e. Lymphoma. 2. The changing pattern illustrated in Fig. 20.2, A and B , is most suspicious for which one of the following? a. Carcinoid. b. Granuloma. c. Hamartoma. d. Lung…

Questions 1. Refer to Fig. 19.1, A-C . The term honeycomb lung indicates which one of these processes? a. Emphysema. b. Cystic bronchiectasis. c. Paraseptal emphysema. d. End-stage interstitial fibrosis. e. Multiple cavities. 2. Which one of the following diagnoses is the least likely in the case shown in Fig. 19.2 ? a. Lymphangitic metastases. b. Sarcoidosis. c. Asbestosis. d. Usual interstitial pneumonia (UIP). e. Rheumatoid…

Questions 1. Kerley B lines ( Fig. 18.1 ) represent which one of the following? a. Thick interlobular septa. b. Dilated lymphatic vessels. c. Dilated venules. d. Thick alveolar walls. e. Fibrosis. 2. Which one of the following statements is not true? a. Kerley B lines are perpendicular to the pleura. b. Kerley A lines are deep in the lung parenchyma. c. Kerley lines are diagnostic…

Questions 1. Based on the radiologic appearance of the case illustrated in Fig. 17.1 , which one of the following diagnoses is the most urgent one? a. Miliary tuberculosis. b. Silicosis. c. Langerhans cell histiocytosis. d. Hypersensitivity pneumonitis. e. Sarcoidosis. 2. Regarding Fig. 17.2 , which of the following is the most likely diagnosis? a. Sarcoidosis. b. Metastatic carcinoma. c. Langerhans cell histiocytosis. d. Hypersensitivity pneumonitis.…

Questions 1. Which one of the following is the most likely diagnosis in the case seen in Fig. 16.1 ? a. Tuberculosis. b. Lung cancer c. Melanoma. d. Silicosis. e. Pneumonia. 2. Referring to Fig. 16.2 , the combination of hilar adenopathy and multifocal ill-defined opacities is most consistent with which one of the following? a. Granulomatosis with polyangiitis. b. Sarcoidosis. c. Hypersensitivity pneumonitis. d. Langerhans…

Questions 1. The images in Fig. 15.1, A and B , were of a patient who presented in the emergency department with a known diagnosis of granulomatosis with polyangiitis. Which one of the following complications is most likely? a. Pneumonia. b. Hemorrhage. c. Diffuse alveolar damage (DAD). d. Pulmonary edema. e. Acute interstitial pneumonia (AIP). 2. Which one of the following is not a sign of…

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 avium intracellulare. d. Legionella pneumophilia. e. Klebsiella pneumoniae. 2. Refer to Fig. 14.2, A and B . An expanded lobe with interspersed lucent spaces (shown by…

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 of the above. 2. Which one of the following is most likely to cause atelectasis? a. Metastasis. b. Adenocarcinoma. c. Lymphoma. d. Squamous cell carcinoma. e.…

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 is most likely in a 6-year-old patient ( Fig. 12.2, A and B )? a. Ganglioneuroma. b. Neurofibroma. c. Ganglioneuroblastoma. d. Schwannoma. e. Chemodectoma. 3. Which…

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. The most likely cause of the bilateral hilar enlargement in the asymptomatic young adult in Fig. 11.2 is: a. Metastasis. b. Primary tuberculosis. c. Sarcoidosis. d.…

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 the following is the most likely diagnosis for the case illustrated in Fig. 10.2 , A-C ? a. Lymphoma. b. Metastases. c. Primary tuberculosis. d. Sarcoidosis.…

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 hygroma. e. Pericardial cyst. 2. Which one of the following tumors is most likely to spread contiguously and is unlikely to metastasize to distant sites? a.…

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 aortic trauma is true? a. The mediastinal width is at least 8 cm. b. Mediastinal hematoma is specific for aortic injury. c. Ascending aorta is the…

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 aorta. c. Left pleural effusion is compressing the left lung. d. An endobronchial mass or mucous plug should be considered. e. The most significant abnormality may…

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. Which of the following is least likely to be associated with pleural effusion? a. Primary lung tumor. b. Interposition of colon. c. Subphrenic abscess. d. Echinococcal…