01.12.

23 Kanachur Institute of Medical Sciences

Department of Radiology
Sutton based Test – 01 – December 2023
RS – 1st Six Chapters
Instruction:
Draw neat, labelled diagrams for all the short and long answers.

1. ____________________________ projection view may be performed

with PA radiograph in an outpatient setting to enable lobar localization of
pathologies and mediastinal compartmentalization. (2 marks)

2. Short Answer: Projections and Views of Chest xray in clinical Practice. (5

marks)
3. _____________________________can help to improve detection of
small pneumothorax and significant air trapping. (2 marks)

4. Long Answer: Write an essay on Chest CT Protocols with a note on contrast

administration in CT. (8 marks)

5. Long Answer: Write an essay on Radiographic details of thorax in frontal

and lateral projections. (8 marks)

6. Four Differentials for Hyperlucent Hemithorax (4 marks)

7. Four Differentials for Opacified Hemithorax (4 marks)

8. Four Causes of elevated hemidiaphragm (4 marks)

9. Short Answer: Elaborate on Hilum Overlay sign and hilum convergence

sign (4 marks)

10. Short Answer: Four causes of low attenuation Lymphadenopathy and their
distinguishing features (4 marks)

11. On the lateral radiograph, the anterior and middle compartments are
separated by a line anterior to ______ and posterior __________. The
middle and posterior compartments are separated by _______________.
(0.5+0.5+1 = 2 marks)

12. Short Answer: Silhouette sign and its applications in localizing the
mediastinal/ lung lesions (1+2 = 3 marks)

13. Draw a neat diagram of normal frontal chest radiograph contours. (3 marks)

14. Short Answer: Imaging features of different types of Germ cell Tumors (4
marks)
15. Short Answer: Imaging features of mediastinal lymphadenopathy (4 marks)
16. Long Answer: Enumerate atleast 4 causes of posterior mediastinal lesion
and elaborate on their imaging features (8 marks)
17. At least _____mL of pleural fluid is necessary for blunting of the posterior
costophrenic angle. Approximately _____ mL of fluid is needed to fill this
recess to be able to see the fluid above the diaphragm on frontal radiograph.
At least _____ mL of fluid is minimum to be detected on a decubitus view. (3
marks)
18. On cross-sectional imaging, pleural effusion occupying less than one fourth of
anteroposterior dimension of the hemithorax in the midclavicular line
corresponds to less than _______ mL of pleural fluid. Pleural effusions
occupying more than half of the hemithorax on cross-sectional imaging have
more than _____ of pleural fluid. (2 marks)
19. Loculated fluid in the horizontal fissure appears as a well-defined
__________ opacity in both frontal and lateral radiographs. Loculated
fissural fluid can be confused with a mass lesion on a chest radiograph.
However, they _____________ following treatment, and hence are known
as ________________ tumor. (3 marks)
20. Short Answer: Pleural effusion Vs. Ascites on CT: Mention the
differentiating signs and enumerate any four of them. (4 marks)

21. ____________ can appear as unilateral apical thickening and it is

important to look at adjacent ribs and spine for any evidence of malignant
destruction. The most common cause of pleural mass with adjacent rib
destuction is ___________ or ____________. (3 marks)

22. Long Answer: Enumerate the imaging features of primary and secondary
pulmonary tuberculosis (8 marks)

23. Long Answer: Classify lung cancers and elaborate on variuos radiological
presentations of the lung cancers. How is CT helpful in lung cancers. (8
marks)