Perihilar fluffy opacities on chest X-ray is seen in

Discussion in 'Question Zone' started by Guest, Feb 27, 2010.

  1. Guest

    Guest Guest

    Perihilar fluffy opacities on chest X-ray is seen in
    A Pulmonary arterial hypertension
    B Pulmonary embolism
    C Pulmonary venous hypertension
    D pericardial effusion
  2. Guest

    Guest Guest

    Ans: C Pulmonary venous hypertension

    Explanation:
    X Ray Findings - Chest
    Heart & Blood Vessels

    * Flask-shaped / Pear-shaped / Leathe- bottle / Money-bag shaped heart - Pericardial effusion
    * Boot-shaped heart / Coer-en-sabot - Fallot's tetralogy
    * Box shaped appearance - Tricuspid atresia
    * Jug Handle appearance - Primary pulmonary artery hypertension
    * "3" like appearance - Coarctation of Aorta

    * Egg on side appearance - Transposition of great vessels
    * Egg in cup appearance - Constrictive pericarditis

    * Snow-man heart - TAPVC (total anomalous pulmonary venous connection)
    * Figure of '8' - TAPVC (total anomalous pulmonary venous connection)
    * Cottage Leaf appearance - TAPVC

    * Pericardial calcification - Constrictive pericarditis
    * Calcification in heart wall - is seen in - Carcinoid syndrome
    * Calfication of ascending aorta - Atherosclerosis, Syphilis

    * Hilar dance on fluoroscopy - Atrial Septal Defect
    * Xray finding in Ebstein's anomaly - Pulmonary oligemia

    * Posterior displacement of trachea - seen in - aneurysm of aorta
    * Obliteration of left border of heart (PA view of chest) is - suggestive of - Lingular pathology (left lung)
    * Bat's wings appearance - Pulmonary oedema
    * Pruned tree appearance (of pulmonary circulation) - Pulmonary artery hypertension

    Lungs

    * Ground glass appearance - Hyaline membrane disease
    * Solitary pulmonary mass lesion > 4cms - is most commonly due to - Bronchial adenoma
    * Honey Comb appearance -
    o SarcoidosisQ
    o Histiocytosis XQ
    o Interstitial lung diseaseQ
    o TuberculosisQ
    o Collagen disordersQ
    o PneumoconiosisQ
    o Drugs - bleomycin, busulphan, melphalan, cyclophosphamide


    * Meniscus sign / Crescent sign (mobile mass in pulmonary cavity) is most commonly seen in - Aspergilloma (fungal ball lesion)
    * Egg-Shell calcification - SilicosisQ , SarcoidosisQ , Coal miner's pneumoconiosisQ, Lymphoma following radiotherapyQ
    * Pop-corn calcification / Craggy pop-corn calcification - Pulmonary Hamartoma

    * Pleural calcification - commonest cause is - Tuberculosis (Asbestosis)
    * Diaphragmatic Pleura calcification - is due to - Asbestosis
    * Calcification in a pulmonary metastasis - is most commomly due to - Osteosarcoma
    * Coin shadow in the lung (single), with calcification in the centre - Epidermoid carcinoma

    * For radiologically evident pleural effusion - the minimal amount of pleural fluid that should be present is - 250 ml

    * Plethoric lung fields - seen in - L-R shunts ( VSD, PDA, ASD)
    * Oligemic lung fields - Pulmonary atreisa, Stenosis; Ebstein's anomaly
    * Perihilar fluffy opacities - seen in - Pulmonary venous hypertension

    Ribs

    * Superior surface notch of ribs - seen in - Hyperparathyroidsm, Neurofibromatosis, Connective tissue disorders
    * Inferior surface notch of ribs - seen in - Coarctation of Aorta, SVC obstruction, Chest wall AV fistula, Aortic Thrombosis,
    * Unilateral notching of ribs - Coarctation of Left subclavian artery, Subclavian artery block, Blalock-Taussig Operation

    Others

    * Displacement of tracheal shadow - most common cause is - Thyroid swelling
    * Water Lily sign - Ruptured hydatid cyst

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