A 65-year-old woman presents with palpitations and a heart
murmur. Which of the following features are more in keeping
with an atrial myxoma rather than thrombus as demonstrated on CT? A. Prolapse through the mitral valve on CT B. The presence of calcification C. The low attenuation of the lesion D. A lack of enhancement E. A smooth surface of the lesion 29. Plain radiographs of a previously well 60-year-old man with lower limb pain show lamellar periosteal reaction in the diametaphyseal regions. Bone scintigraphy demonstrates symmetrical increased uptake along the cortical margins in the diametaphyseal regions. What is the most likely underlying thoracic cause? A. Pulmonary haemangioma B. Pleural fibroma C. TB D. Blastomycosis E. Malignant mesothelioma 30. The chest radiograph of a 35-year-old male smoker, performed for immigration purposes, shows hyperlucency of the entire right lung, with a small ipsilateral hilum. Lung markings are seen to the periphery. An expiratory film performed immediately after reveals air trapping. Which is the most likely diagnosis? A. Hypogenetic lung syndrome B. MacLeod syndrome C. Unilateral proximal obstruction of the right pulmonary artery D. Bronchial obstruction E. Unilateral bullae A 65-year-old woman presents with palpitations and a heart murmur. Which of the following features are more in keeping with an atrial myxoma rather than thrombus as demonstrated on CT? A. Prolapse through the mitral valve on CT B. The presence of calcification C. The low attenuation of the lesion D. A lack of enhancement E. A smooth surface of the lesion 29. Plain radiographs of a previously well 60-year-old man with lower limb pain show lamellar periosteal reaction in the diametaphyseal regions. Bone scintigraphy demonstrates symmetrical increased uptake along the cortical margins in the diametaphyseal regions. What is the most likely underlying thoracic cause? A. Pulmonary haemangioma B. Pleural fibroma C. TB D. Blastomycosis E. Malignant mesothelioma 30. The chest radiograph of a 35-year-old male smoker, performed for immigration purposes, shows hyperlucency of the entire right lung, with a small ipsilateral hilum. Lung markings are seen to the periphery. An expiratory film performed immediately after reveals air trapping. Which is the most likely diagnosis? A. Hypogenetic lung syndrome B. MacLeod syndrome C. Unilateral proximal obstruction of the right pulmonary artery D. Bronchial obstruction E. Unilateral bullae A 65-year-old woman presents with palpitations and a heart murmur. Which of the following features are more in keeping with an atrial myxoma rather than thrombus as demonstrated on CT? A. Prolapse through the mitral valve on CT B. The presence of calcification C. The low attenuation of the lesion D. A lack of enhancement E. A smooth surface of the lesion 29. Plain radiographs of a previously well 60-year-old man with lower limb pain show lamellar periosteal reaction in the diametaphyseal regions. Bone scintigraphy demonstrates symmetrical increased uptake along the cortical margins in the diametaphyseal regions. What is the most likely underlying thoracic cause? A. Pulmonary haemangioma B. Pleural fibroma C. TB D. Blastomycosis E. Malignant mesothelioma 30. The chest radiograph of a 35-year-old male smoker, performed for immigration purposes, shows hyperlucency of the entire right lung, with a small ipsilateral hilum. Lung markings are seen to the periphery. An expiratory film performed immediately after reveals air trapping. Which is the most likely diagnosis? A. Hypogenetic lung syndrome B. MacLeod syndrome C. Unilateral proximal obstruction of the right pulmonary artery D. Bronchial obstruction E. Unilateral bullae A 65-year-old woman presents with palpitations and a heart murmur. Which of the following features are more in keeping with an atrial myxoma rather than thrombus as demonstrated on CT? A. Prolapse through the mitral valve on CT B. The presence of calcification C. The low attenuation of the lesion D. A lack of enhancement E. A smooth surface of the lesion 29. Plain radiographs of a previously well 60-year-old man with lower limb pain show lamellar periosteal reaction in the diametaphyseal regions. Bone scintigraphy demonstrates symmetrical increased uptake along the cortical margins in the diametaphyseal regions. What is the most likely underlying thoracic cause? A. Pulmonary haemangioma B. Pleural fibroma C. TB D. Blastomycosis E. Malignant mesothelioma 30. The chest radiograph of a 35-year-old male smoker, performed for immigration purposes, shows hyperlucency of the entire right lung, with a small ipsilateral hilum. Lung markings are seen to the periphery. An expiratory film performed immediately after reveals air trapping. Which is the most likely diagnosis? A. Hypogenetic lung syndrome B. MacLeod syndrome C. Unilateral proximal obstruction of the right pulmonary artery D. Bronchial obstruction E. Unilateral bullae 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