WWYD 1-5 Scenario quiz

Which sign is synonymous with a LEFT upper lobe collapse

• Veil sign

• S-sign of Golden

• Sail sign

• Black bronchus sign

Which are possible causes for a LOBAR COLLAPSE?

• Endobronchial mass

• Pancreatitis

• Mucus Plugging

• Pleural Effusion

• Pneumothorax

When would you suspect a malignant cause (rather than infective) for a lobar collapse when reporting a chest radiograph

• Completely normal previous chest radiograph

• Outpatient film

• Surrounding consolidation

• Infective symptoms in history

What is the correct modality of imaging for SUSPECTED LUNG CANCER on a chest radiograph?

• CT Thorax, Abdomen and Pelvis with Contrast

• CT Thorax Non-contrast

• CT Thorax with Contrast

• CT Thorax and Abdomen with Contrast

• MRI Thorax and CT Abdomen

What should be recommended if infective consolidation is suspected on chest radiograph?

• Repeat Chest Radiograph in 6 Weeks

• No Follow-up Imaging

• Respiratory Referral

• CT Thorax (Non-contrast

What is the correct next step when malignancy of an unknown primary (i.e not lung) is suspected on a chest radiograph?

• CT Thorax Non-contrast

• CT Thorax, Abdomen and Pelvis with Contrast

• CT Head, Neck, Thorax, Abdomen and Pelvis with Contrast

• CT Thorax, Abdomen and Pelvis with Contrast

What is the correct phase of contrast when suspected thoracic malignancy?

• Venous

• Arterial

• Non-contrast

• Pulmonary Arterial

• Dual phase (Split Bolus)

Why is venous phase the correct choice of contrast in CT to characterise thoracic malignancy?

• Better enhancement of pleura

• Better enhancement of pulmonary arteries

• Better enhancement of mediastinal structures

• Better enhancement of primary lesion

• Reduced streak artefact

What are suspicious features for pleural mesothelioma on chest radiograph?

• Unilateral effusion

• Circumferential pleural thickening

• Pleural plaques

• Rib destruction from pleural mass

• Chest wall invasion of pleural mass

Which of these are differentials for an anterior mediastinal mass?

• Thymoma

• Lymphoma

• Thyroid goitre

• Toxic Mediastinitis

• Teratoma (Germ Cell Tumour