Question 1 - Single Best Answer
What is the significant finding on the above CT scan and accompanying CXR?
A) Diffusely enlarged lymph nodes
B) Patchy interstitial fibrosis with pleural plaques.
C) Multiple well circumscribed circular masses in the lung parenchyma
D) Enlarged pulmonary vessels
Question 2 - Single Best Answer
What is the most likely diagnosis of the patient in question 1?
A) Primary lung cancer
B) Metastatic cancer to the lungs
C) Viral pneumonia
D) Asbestosis
Question 3 - Single Best Answer
What is the most likely clinical scenario of the patient in question 1?
A) 74 yo heavy smoker with a history of chronic bronchitis, weight loss, no energy, and no appetite.
B) 35 yo with a history of an excised sarcoma of the thigh with progressive onset of shortness of breath
C) 44 year old with fever and sputum production.
Question 4 - Single Best Answer
Describe the significant finding on the above CT scan.
A) Solitary peripheral pulmonary nodule on the left
B) Multiple well circumscribed circular masses in the lung parenchyma
Question 5 - Single Best Answer
What is the differential diagnosis?
A) Primary lung cancer
B) Metastastic lesion to the lung
C) Scarring after chest tube placement
D) Tuberculosis
E) all the above
Question 6 - Single Best Answer
The above PA and Lateral CXR demonstrate right middle lobe atelectasis. Which finding on the cxr suggests that the atelectasis is in the right middle lobe?
A) Obscured right heart border
B) Stomach bubble under the left diaphragm
Question 7 - Single Best Answer
The unfortunate patient in the film above (question 6) has a primary lung cancer. Given the location of the atelectasis, where could the cancer be located?
A) LML bronchus
B) RML bronchus
Question 8 - Single Best Answer
What is the significant finding on the CXR shown above?
A) Bilateral hilar infiltrates
B) Left lower lobe collapse
C) Right upper lobe mass with right paratracheal adenopathy
D) Cardiomegaly
Question 9 - Best 2 Answers

Based on the radiographic findings in the above CXR and CT, which two diagnosis would be most likely?
A) Lung cancer
B) Congestive heart failure
C) Pulmonary abcess
D) Hilar adenopathy