CHEST

Question 1

triad of scimitar syndrome

Answer 1

• PAPVR (anomalous vein –> IVC) - hypoplastic right lung - systemic arterial supply to right lower lobe

Question 2

Answer 2

Kaposi sarcoma

• flame-shaped peribronchovascular nodules/opacities

Question 3

Answer 3

Castleman disease

• hyperenhancing mediastinal lymphadenopathy

Question 4

Castleman disease

Answer 4

angiofollicular lymph node hyperplasia

Question 5

POEMS

Answer 5

• polyneuropathy
• organomegaly (liver, spleen, lymph nodes)
• endocrinopathy
• monoclonal gammopathy (usually IgA lambda)
• skin changes (hyperpigmentation/thickening)

Question 6

horseshoe lung associated with

Answer 6

scimitar syndrome

Question 7

LIP associations

Answer 7

Sjogren’s, HIV

RA, SLE

Question 8

Answer 8

LLL atelectasis

Question 9

findings of TOF

Answer 9

• overriding aorta
• pulmonary stenosis
• RV hypertrophy
• VSD

Question 10

Sano shunt

Answer 10

RV –> Right PA

Question 11

leading cause of MV stenosis

Answer 11

rheumatic heart disease

Question 12

location of cardiac osteosarcoma

Answer 12

LA

Question 13

carcinoid syndrome is associated with which valvular abnormalities?

Answer 13

• tricuspid insufficiency
• pulmonary stenosis

Question 14

how to tell difference between stunned and hibernating myocardium?

Answer 14

• sestamibi or Tl scan
• stunned - normal perfusion
• hibernating - fixed perfusion defect

Question 15

FDG-PET findings in stunned vs hibernating myocardium

Answer 15

both normal (preserved metabolism)

Question 16

cardiac fibroma association

Answer 16

basal cell nevus syndrome (Gorlin syndrome)

Question 17

Carney complex

Answer 17

• atrial myxoma (often bilat)
• large cell calcifying Sertoli cell testicular tumor
• primary pigmented nodular adrenocortical disease (PPNAD) –> Cushing’s
• thyroid follicular adenoma
• psammomatous melanocytic schwannoma
• growth-hormone prodcuing adenoma (–> acromegaly)
• skin hyperpigmentation

Question 18

cardiac lipoma location

Answer 18

IV septum or LV free wall

Question 19

MC cause of tricuspid insufficiency

Answer 19

RV dilation (d/t heart failure or pulm hypertension/cor pulmonale)

Question 20

MC presentation of ARVD

Answer 20

LBBB on EKG

Question 21

Ebstein anomaly

Answer 21

• RA enlargement
• RV small (due to atrialization of RV)

Question 22

delayed post-Gd images obtained when?

Answer 22

10-12 min

Question 23

moderator band in which compartment?

Answer 23

RV

Question 24

moderator band connects which structures?

Answer 24

IV septum anterior papillary muscle

Question 25

patterns of DGE in amyloidosis

Answer 25

- diffuse subendocardial - patchy/nodular

Question 26

ddx of interventricular mesocardial DGE

Answer 26

- hypertrophic cardiomyopathy - dilated cardiomyopathy - pulmonary hypertension

Question 27

Answer 27

cryptogenic organizing pneumonia (reverse halo sign)

Question 28

which pulm arteries are enlarged in Pulmonary Stenosis?

Answer 28

main and LEFT

Question 29

sign and dx

Answer 29

reverse S (double aortic arch) - superior right sided impression from more superior right arch

Question 30

pulmonary sling is failure of formation of which embryological structure

Answer 30

6th *aortic **arch***

Question 31

trauma

Answer 31

pseudoaneurysm

Question 32

Answer 32

cardiac osteosarcoma - most common site is the left atrium