R1 Oral Chest

Front 1

Multiple Cavitary Lesions

Back 1

1. Infection
-Bacteria: Staph, Klebseilla
-Fungal: Histoplasmosis,Aspergillosis
-TB
-Parasites
2. Neoplasms
-Mets, Lymphoma, BAC
3. Vascular
-Wegners, Infarct, Septic emboli, RA

Front 2

Chest Wall Lesions

Back 2

Nipples, Artifacts
Skin Lesions - Moles, Muscles
Mesenchymal Tumour (Muscles, Lipomas, Desmoid)
Nerve - NF
Bone
-Benign (FCD, enchondroma)
-Malignant (Chrondosarc, Ewings, Mets)
-Infection (Osteomyelitis)
-Trauma (Fracture, Callus)

Front 3

Cavitating Nodules

Back 3

1. Neoplasm
Primary - SCC, AdenoCA, BAC
Mets - SCC (H/N,Cervix, Esophagus, AdenoCA, Melanoma, Osteosarcoma
Lymphoma
2. Infection
Septic Emboli, Aspergillosis
3. Vascular/CVD
PE, Wegener's, RA, SLE

Front 4

Pleural Opacities Solitary

Back 4

Infection (Loculated Effusion, Empyema)
Neoplasm (Mets, Mesothelioma, Neural tumour, fibrous pleural tumour)
Other (Lipoma, Hematoma)

Front 5

Multiple Pleural opacity

Back 5

Loculated Effusion
Mets, Invasive Thymoma, Mesothelioma
Pleural plaques (Abestos)

Front 6

Subpleural Opacity

Back 6

Infarct
Granuloma (TB, fungus)
Mets
Rheum Nodule
1' lung CA
lymphoma
Round Atelectasis

Front 7

Pleural Effusion

Back 7

1. CHF
2. Parapneumonic
3. Mets
4. Ascites
5. TB

Front 8

Pleural Calcification

Back 8

1. Trauma
2. Infection (Empyema, TB)
3. Inhalation (Asbestos, Talcosis)

Front 9

Pleural Thickening

Back 9

1. Infection (Empyema,TB,Fungal)
2. Neoplasm (Mets,Mesothelioma,Pancoast)
3.CVD (RA)
4. Trauma
5. Asbestos, Talc
6. Sarcoid

Front 10

Elevated HD

Back 10

1. Eventration
2. Subpulmonic Effusion
3. Atelectasis
4. Phrenic nerve
5. Hernia (incl Trauma)

Front 11

Wide Mediastinum

Back 11

1. Technical
2. Vascular (Aneurysm, Dissection, Coarctation, Congenital)
3. Trauma (Hematoma, Venous injury, VB #, Postop)
4. Neoplasm (Lymphoma, 1' CA, Mets)
5. Inflammation (Esophagus, TBT rupture, Iatrogenic
6. Infection (pneumonia, TB, Histo, MAC, Abscess)
7. Lipomatosis (Fat, cushing, steroids)

Front 12

Anterior Mediastinal Mass

Back 12

Thymic (Thymoma, Thymic cyst, thymolipoma, Thymic CA)
Germ Cell Tumours (Dermoid, Teratoma, Seminoma, mixed GCT)
Thyroid (Goiter, adenoma, CA)
Lymph Nodes
(Lymphoma, Mets, Sarcoid)
Vascular (AA, Pericardial cyst, Dilated SVC, Cardiac CA)

Front 13

Middle Mediastinal Mass

Back 13

1. Neoplastic Adenopathy (Mets, Lymphoma, AIDS)
2. Inflammatory Adenopathy (TB, Histo, EBV, AIDS, Amyloid, Drugs, Sarcoid, MAC)
3. Inhalational (Silicosis,CWP)
4. Duplication Cysts (Bronchogenic, Enteric Sequestration)
5. Tumours (Bronchogenic, Tracheal CA, Esophageal CA)
6. Vascular (Aneursym, Vein Distension
7. HH

Front 14

Unilateral Hilar Adenopathy

Back 14

1. Neoplasm (Broncho CA, Carcinoid, Mets, Lymphoma
2. Inflammation (TB, Fungal,EBV, drugs)

Front 15

PAH

Back 15

1. PreCapillary (Emphysema, COPD, CF, PE, Portal HTN, Cardiac Shunts, Idiopathic, PA aneursym, Vasculitis)
2. PostCapillary (Left CHF, MS, PE)

Front 16

Bilateral hilar Adenopathy

Back 16

1. Neoplasm
(Lymphoma, Mets, Leukemia)
2. Inflammation
(Sarcoid, Silicosis)
3. CVD (Lupus)

Front 17

Posterior Mediastinal Mass

Back 17

1. Neural Tumours
2. Mets
3. Hematoma/Aneursym
4. Paraspinal Abscess

Front 18

Atelectasis

Back 18

1. Obstructive (Large airway)
2. Resorption (Small Airway - Mucus or Infection)
3. Compressive
4. Passive (PTX, Pleural Effusion
5. Adhesive (Surfactant)
6. Cicatrization (TB, Histo, Silicosis, UIP)

Front 19

Obstructive Atelectasis

Back 19

- Tumour (broncho, Carcinoid, Mets,Lymphoma)
-Inflammatory (TB, Sarcoid)
-Other (Left Atrium Big, FB, Wegeners)

Front 20

Signs of Atelectasis

Back 20

Direct (Fissure displacement, Crowding of Vessels)
Indirect (HD elevation, Shift, Inflation of other lung, Hila movement)

Front 21

Specific Atelectasis Signs

Back 21

Golden S - RUL
Juxtaphrenic Peak - Upper lobes
Luftsichel Sign - LUL
Flat Waist - LLL
Comet-Tail - rounded

Front 22

Atelectasis RUL

Back 22

Frontal
Increase opacity
Right shift of Trachea
Silh of R upper mediastinum
Golden S
Hila Elevation
Lateral:
Anterior - Major Fissure
Superior - Minor Fissure

Front 23

Atelectasis LUL

Back 23

Frontal:
Increase opacity
L shift of Trachea
Silh of L upper mediastinum
Luftsichel
Hila Elevation
Lateral:
Anterior and bowing of the Major Fissure

Front 24

Atelectasis RML

Back 24

Frontal:
Minor Fissure not seen
Silh of R heart border
Lateral:
Downward/Bowing of MinorF
Anterior/Bowing of MajorF
Opacity at Hila

Front 25

Lower lobe Atelectasis

Back 25

Frontal:
Major Fissure is seen
Wedge shaped opacity
Downward MinorF (right)
Flat waist (left)
Obscuration of HD
Lateral:
Posterior HD not seen
Posterior bowing of MajorF

Front 26

Lobar/Segmental Consolidation

Back 26

Pneumonia (Bacteria,Viral)
Lung CA
Aspiration
TB
Infarct/Hemorrhage

Front 27

Diffuse Airspace Opacity

Back 27

Water - CHF, Noncardiac
Pus - Bacteria, Virus, Fungal
Blood - Coumadin, hemophilia, Trauma, Vasculitis
Cells - BAC, Lymphoma
Other - PAP, Lipoid, AIP

Front 28

Non Cardiac Pulmonary Edema

Back 28

CRF
Inhalation (Smoke, Silica, Co2)
Anaphylaxis
Narcotics
Neurogenic
Drowning
Fluid overload
Fat Emboli

Front 29

Diffuse Air Space (top 5)

Back 29

1. edema
2. pneumonia
3. ARDS
4. PCP
5. Hemorrhage

Front 30

Multifocal Ill-Defined Opacities

Back 30

Pneumonia
Sarcoid
BAC
Granulomatous
Septic Emboli

Front 31

Miliary Pattern

Back 31

1. TB
2. Fungal (histo)
3. Mets (thyroid, renal, melanoma)
4. Sarcoid/LCH
5. Silicosis

Front 32

Fine Reticular Opacity

Back 32

1. Edema
2. Interstital pneumonia (Virus, PCP, mycoplasma)
3. CVD
4. Lymphangitic Carc
5. IPF

Front 33

Honeycombing

Back 33

1. IPF - UIP
2. Rheumatoid
3. Scleroderma
4. Sarcoid
5. Absestosis

Front 34

SPN

Back 34

Neoplasm
-Malignant (Lung CA, Mets, Lymphoma)
- Benign (Hamartoma, AVM, Lipoma)
2. Inflm (TB, Fungal, Abscess)
3. Vascular (AVM, infarct, rheum, wegeners)
4. Inhalation (silicosis, mucoid)

Front 35

Hyperlucent Thorax

Back 35

PTX
SC Emphysema
Emphysema
Asthma
Mastectomy
Chest Wall - Poland

Front 36

Bronchiectasis

Back 36

Local (TB, Bronchial stenosis, tumour)
Diffuse (CF, Dysmotile Cilia, Postinfection [TB,MAC], ABPA

Front 37

IIP (Idiopathic Interstitial Pneumonia)

Back 37

A. IPF - UIP
B. Non IPF
-DIP
-RB ILD
-AIP
-COP
-NSIP
-LIP

Front 38

UIP - Usual Interstitial Pneumonia

Back 38

>50, >men, SOB, Poor prognosis
Subpleural with gradient from apical region to bases with honeycombing, reticular > GGO, traction bronchiectasis

Front 39

NSIP - Nonspecific

Back 39

40-50, SOB, Steroids
No gradient, Irregular reticular markings, micronodules, No stacked honeycombing.

Front 40

Sarcoid

Back 40

Plain Film
Bilateral hilar/paratracheal Nodes
Upper lobes - reticulonodular
CT
Hilar nodes +/- calcification
Micronodules mainly in perilymphatic, can thicken interlobular septa
Traction bronchiectasis