ST Imaging Final Image Study Questions

d. fibrous dysplasia

Based on the appearance of the right 4th posterior rib lesion what is the best differential diagnosis:

a. osteochondroma

b. Ewings sarcoma

c. metastasis

d. fibrous dysplasia

a. superior sulcus tumor

The prominent lesion in the right lung field is best described as:

a. superior sulcus tumor

b. right middle lobe atelectasis

c. pneumonia granuloma

d. hamartoma

c. retrocardiac space

What anatomical space is shown by the arrow:

a. retrovertebral space

b. retrosternal space

c. retrocardiac space

d. subdiaphragmatic space

c. eventration

The finding along the right hemidiaphragm is termed:

a. interstitial lung disease e

b. epicardial fat pad

c. eventration

d. hiatal hernia

b. False

T/F: A pleural effusion is present:

a. True

b. False

c. Schwannoma

Which of the following is NOT a good differential for conditions at this location:

a. Lymphoma

b. Thymoma

c. Schwannoma

d. Goiter

a. air bronchogram sign

What name sign is present in the right lung abnormality confirming airspace disease:

a. air bronchogram sign

b. meniscus sign

c. silhouette sign

d. luftsichel sign

b. False

T/F: The lesion indicated by the arrows silhouettes the right heart border:

a. True

b. False

b. mass

What pattern of lung disease is shown:

a. airspace

b. mass

c. consolidation

d. interstitial

c. meniscus sign

What name sign is shown in the image above:

a. batwing sign

b. cat under the rug sign

c. meniscus sign

d. air bronchogram sign

d. RML

Based on the image what lobe is collapsed:

a. RLL

b. RUL

c. LLL

d. RML

a. left lower lung zone

A large pulmonary lesion is present How would you best describe its location:

a. left lower lung zone

b. left upper lung zone

c. right lower lung zone

d. right upper lung zone

d. mass

What pattern of lung disease does the lesion fit into:

a. interstitial

b. airspace

c. reticular

d. mass

a. posterior mediastinum

Based on the position of the lesion on frontal and lateral projections this lesion is localized to what location:

a. posterior mediastinum

b. middle mediastinum

c. superior mediastinum

d. anterior mediastinum

c. hilum

What anatomical location are the arrows pointing to:

a. upper lung zone

b. cardiac silhouette

c. hilum

d. aortic arch

a. tall thin female

What is the typical patient presentation for this radiographic finding:

a. tall thin female

b. old obese female

c. old obese male

d. tall thin male

a. pectus excavatum

The finding indicated by the arrow is termed:

a. pectus excavatum

b. anterior mediastinal mass

c. sternum fracture

d. pectus carinatum

c. CT lung window

What imaging modality and window is shown:

a. MRI T2

b. MRI T1

c. CT lung window

d. CT bone window

c. right rib 9

What rib demonstrates acute fracture:

a. left rib 9

b. right rib 3

c. right rib 9

d. left rib 7

b. pectus excavatum

The patient has:

a. sternum fracture

b. pectus excavatum

c. pectus carinatum

d. anterior mediastinal mass

a. Any of the above

Based on the image what does the patient have?

a. Any of the above

b. hydrothorax

c. chylothorax

d. hemothorax

b. Thoracic aneurysm

Based on the image what is NOT an appropriate differential:

a. Lymphoma

b. Thoracic aneurysm

c. Metastasis

d. Goiter

a. Congestion

Based on the pattern of lung disease shown which of the following is NOT one of the classic clinical presentations:

a. Congestion

b. Cough

c. Crackles

d. Clubbing of nails

d. Superior sulcus tumor

Based on the chest wall findings which of the following should NOT be considered a differential:

a. Old rib fracture

b. Intercostal schwannoma

c. Pleural fibroma

d. Superior sulcus tumor

b. Snowman sign

c. Pituitary macroadenoma

Please choose the TWO most appropriate findings/conditions for this 50-year-old male with headaches and loss of vision.

a. Hydrocephalus

b. Snowman sign

c. Pituitary macroadenoma

d. Chiari II malformation

e. Spinal dysraphism

c. Optic chiasm

With the patient's history of blindness, which structure is likely involved in the patient's condition?

a. Cranial nerve II

b. Corpus colosum

c. Optic chiasm

d. Cranial nerve III

c. Neurosurgical referral

What is the best next step for this patient?

a. EENT referral

b. Chiropractic referral

c. Neurosurgical referral

d. Ophthalmologist referral

a. Infection

d. Prevertebral soft tissue swelling

Please choose the TWO most appropriate findings/conditions for this 30-month-old female with noisy breathing and growing neck mass.

a. Infection

b. Zenker diverticulum

c. Esophageal varices

d. Prevertebral soft tissue swelling

e. Trauma

a. Yes

This is an emergency referral.

a. Yes

b. No

a. Yes

Would this lead to difficulty swallowing?

a. Yes

b. No

c. Calcifications in hilar region

d. Pericardial fat pad

Please choose the TWO best findings/conditions for this chest radiograph of a 30 year old male. Select 2 correct answer(s)

a. Absent heart syndrome

b. Bilateral tenting of the diaphragm

c. Calcifications in hilar region

d. Pericardial fat pad

e. Tracheal deviation

b. PA at 72" FFD

What are the standard patient position and x-ray tube position for a chest radiograph?

a. PA at 40" FFD

b. PA at 72" FFD

c. AP at 40" FFD

d. AP at 72" FFD

a. No further action necessary

Based on the radiographic findings, how would this patient best be managed?

a. No further action necessary

b. Blood evaluation for lymphoma

c. Consult with oncologist

d. Referral to pulmonologist

a. Fluid in the pleural space

d. Obscured right heart and diaphragm border

Please choose the TWO best findings/conditions for this 25 year old male with chest pain and difficulty breathing. Select 2 correct answer(s)

a. Fluid in the pleural space

b. Abdominal contents within right lung space

c. Large tumor of the diaphragm

d. Obscured right heart and diaphragm border

e. Interstitial lung disease

d. Chest CT

What imaging modality is the best follow up?

a. Apical lordotic chest radiograph

b. Abdominal ultrasound

c. Abdominal CT

d. Chest CT

a. Emergency referral to the hospital

Given the patient symptoms and radiographic findings, what is the best next course of action?

a. Emergency referral to the hospital

b. Referral to primary care physician

c. Trial of chiropractic care

d. No follow-up necessary

d. right middle

What lung lobe is highlighted in green?

a. lingula

b. right lower

c. left lower

d. right middle

a. air bronchogram sign

The left lung demonstrates opacification. The radiating air densities noted superimposed over the region of increased density is termed:

a. air bronchogram sign

b. target sign

c. bulging fissure sign

d. silhouette sign

c. right lung apex

A pulmonary mass is present. Identify the location.

a. left lung apex

b. right lower lung zone

c. right lung apex

d. left lower lung zone

a. Anterior mediastinum

Where is the lesion located?

a. Anterior mediastinum

b. Lung parenchyma

c. Retrocardiac space

d. Posterior mediastinum

a. Pleural effusion

What is the pertinent finding?

a. Pleural effusion

b. Pneumothorax

c. Anterior mediastinal mass

d. Lymphoma

b. Mass-like lesion

d. Posterior mediastinum density

Please select the TWO most appropriate findings/conditions in this adult patient. Select 2 correct answer(s)

a. Eventration of the diaphragm

b. Mass-like lesion

c. Airspace disease

d. Posterior mediastinum density

e. Atelectasis

b. CT with contrast

What is the imaging imaging modality that would best characterize this finding/condition?

a. No further imaging needed

b. CT with contrast

c. Bone scan

d. US with contrast

d. Referral to hospital for surgical consult

What is the best next course of action?

a. Referral to hepatologist

b. Referral to vascular surgeon

c. Raise your hand

d. Referral to hospital for surgical consult

c. Mass-like calcification

e. Extra pleural sign

Please choose the TWO best findings/conditions in the following image. Select 2 correct answer(s)

a. Left heart border silhouetting

b. Left upper lung zone opacification

c. Mass-like calcification

d. Consolidation

e. Extra pleural sign

d. pleural or extrapleural lesion

What differential diagnosis is most reasonable?

a. pneumonia

b. anterior mediastinal mass

c. pulmonary mass

d. pleural or extrapleural lesion

b. Local infection of the pleura

What would be the most likely associated finding or patient history?

a. Rib fracture

b. Local infection of the pleura

c. Blunt trauma to the left chest wall

d. Drug packing

b. Hyperlucency in the left upper lung zone

d. Triangular density in the left lower lung zone

Please select the TWO most appropriate answers based on the image presented of this 70 year old female with cough and dyspnea. Select 2 correct answer(s)

a. Blunted costophrenic angles

b. Hyperlucency in the left upper lung zone

c. Round density in the right middle lung zone

d. Triangular density in the left lower lung zone

e. Air bronchogram sign in right middle lung zone

b. Chest CT without contrast

Which imaging modality is best to further characterize this patients condition?

a. MRI with contrast

b. Chest CT without contrast

c. A nuclear imaging perfusion/ventilation study

d. PET scan of Chest

c. Emergency hospital referral

What is the best next course of action for this patient?

a. Referral to chiropractor

b. Referral to physical therapy

c. Emergency hospital referral

d. Referral cardiologist

c. atelectasis

Given the radiographic findings, what diagnosis is likely?

a. viral pneumonia

b. cardiomegaly

c. atelectasis

d. pulmonary mass

a. Airspace involvement

b. Pneumonia

Please select the TWO most appropriate answers based on the image presented of this 50 year old female with shortness of breath, fever, cough, and chest pain. Select 2 correct answer(s)

a. Airspace involvement

b. Pneumonia

c. Mass Interstitial involvement

d. Enlarged cardiac silhouette

d. Labs

Which of the following can best help narrow your differential for this patient?

a. Ultrasound

b. PET scan

c. Lateral radiograph

d. Labs

b. A course of anti-biotics

What is the best next course of action for this patient?

a. Referral to pulmonologist

b. A course of anti-biotics

c. Referral to chiropractor

d. Referral to orthopedist