Which of the following indicates T3 rather than T4 lung

cancer?
A. Invasion of the oesophagus
B. Invasion of the trachea
C. Invasion of the pericardium
D. Malignant pleural effusion
E. Invasion of the vertebral body
21. A 78-year-old male smoker with hospital admission 2 months
ago for a dense left Middle Cerebral Artery (MCA) cerebral
infarct presents. He has a 3 week history of low grade fevers
and weight loss. Chest radiograph reveals new left lower lobe
consolidation with areas of cavitation and air fluid levels,
but no hilar lymphadenopathy. Which is the most likely
diagnosis?
A. Hospital acquired pneumonia with lung abscess
B. Bronchogenic carcinoma
C. Bronchoalveolar cell carcinoma
D. Traumatic contusion with lung cysts
E. Aspiration with anaerobic pneumonia
A 47-year-old female Caucasian smoker presents with
persistent cough and haemoptysis. CT shows a 2.2cm soft
tissue mass in the left lower lobe with coarse calcific foci
and no mediastinal, hilar or axillary lymphadenopathy. A
small endobronchial lesion is also seen in the left lower lobe
bronchus. What is the most likely diagnosis?
A. Bronchogenic carcinoma
B. Pulmonary TB
C. Lymphoma
D. Fibrosing mediastinits
E. Bronchial carcinoid
23. A 50-year-old builder undergoing CT of the chest has pleural
thickening and calcification along the diaphragmatic pleura.
Which is the most specific distinguishing feature to indicate
malignant rather than benign pleural disease?
A. Circumferential pleural thickening
B. Nodularity of the pleural thickening
C. Parietal pleural thickening greater than 1cm
D. Mediastinal pleural involvement
E. Pleural effusion
24. Which of the following features most favours melioidosis
rather than tuberculosis?
A. Lobar consolidation
B. Cavitation
C. Upper lobe predominance of nodular change
D. Rapid progression of clinical features
E. Lack of pleural involvement