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Instead of remembering
 nothing about a lot of things,
 remember a little about a few things

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Acute Alveolar Infiltrate
1.
2.
3.
4.

Acute Alveolar infiltrate
1. Pulmonary edema
2. Pneumonia
3. Aspiration
4. Hemorrhage

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Anterior Mediastinal Masses
1.
2.
3.
4.

Anterior Mediastinal Masses
1. Thymoma
2. Teratoma
3. Substernal thyroid
4. Lymphoma

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Opacified Hemithorax
1.
2.
3.
4.

Opacified Hemithorax
1. Atelectasis
2. Pleural effusion
3. Pneumonia
4. Post-pneumonectomy

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Pneumomediastinum
1.
2.
3.
4.
5.

Pneumomediastinum
1. Ruptured esophagus
2. Ruptured trachea/bronchus
3. Iatrogenic
4. Asthma
5. Pneumoperitoneum

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Chronic Alveolar Disease
1.
2.
3.
4.

Chronic Alveolar Disease
1. Alveolar cell ca
2. Alveolar sarcoid
3. Lymphoma
4. Alveolar proteinosis

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Large Cavitary Lung Lesions
1.
2.
3.

Large Cavitary Lung Lesions
1. Abscess
2. Carcinoma
3. TB

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Bibasilar Interstitial Disease
1.
2.
3.
4.
5.
6.

Bibasilar Interstitial Disease
1. B
2. A
3. D
4. A
5. S
6. S

Bibasilar Interstitial Disease
1. Bronchiectasis
2. Aspiration
3. DIP
4. Asbestosis
5. Sickle Cell Disease
6. Scleroderma

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Upper Lobe Disease
1.
2.
3.
4.
5.

Upper Lobe Disease
1. TB (2° TB)
2. Silicosis
3. Eosinophilic granuloma
4. Ankylosing spondylitis
5. PCP rxd with Pentamadine prophylaxis

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Micronodular Lung Disease
1.
2.
3.
4.

Micronodular Lung Disease
1. Mets
2. Sarcoid
3. Pneumoconiosis
4. Miliary TB

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Chronic Interstitial Disease
Pulmonary Fibrosis
1.
2.
3.
4.
5.
6.

Chronic Interstitial Disease
Pulmonary Fibrosis
1. Pneumoconiosis
2. Interstitial Pneumonia
3. Granulomatous disease
4. Neoplastic disease
5. Idiopathic fibrosis
6. Collagen vascular disease

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Small Cavitary Lung Lesions
1.
2.
3.
4.

Small Cavitary Lung Lesions
1. Septic emboli
2. Rheumatoid nodules
3. Squamous or transitional cell mets
4. Wegener’s Granulomatosis

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Lymphangitic Spread to the Lungs
1.
2.
3.
4.
5.
6.

Lymphangitic Spread to the Lungs
1. Lung ca
2. Breast ca
3. Stomach ca
4. Pancreas ca
5. Laryngeal ca
6. Cervical ca

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Multiple Lung Nodules
1.
2 .
3.
4.
5.

Multiple Lung Nodules
1. Mets
2. Wegener’s granulomatosis
3. Rheumatoid nodules
4. AVMs
5. Septic emboli

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Pulmonary Interstitial Edema
1.
2.
3.

Pulmonary Interstitial Edema
1. CHF
2. Lymphangitic spread
3. Allergic reaction

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Shifting Infiltrates
1.
2.
3.
4.
5.

Shifting Infiltrates
1. Loeffler’s syndrome
2. ABPA
3. Asthma
4. Polyarteritis
5. Viral pneumonia

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Unilateral Hyperlucent Lung
1.
2.
3.
4.

Unilateral Hyperlucent Lung
1. Swyer-James syndrome
2. Pulmonary embolism
3. Pneumothorax
4. Obstructive emphysema

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Rapidly Clearing Alveolar Infiltrate
1.
2.
3.
4.

Rapidly Clearing Alveolar Infiltrate
1. Hemorrhage
2. Pulmonary edema
3. Aspiration
4. Pneumococcal pneumonia

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Cavitating Pneumonia
1.
2.
3.
4.

Cavitating Pneumonia
1. Staph
2. Strep
3. TB
4. Gram negative (Klebsiella)

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Middle Mediastinal Masses
1.
2.
3.
4.

Middle Mediastinal Masses
1. Lymphadenopathy
2. Aneurysms
3. Esophageal duplication
4. Bronchogenic cysts

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Masses with Air Bronchograms
1.
2.
3.

Masses with Air Bronchograms
1. Lymphoma
2. Alveolar cell ca
3. Pseudolymphoma (Maltoma)

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Hilar Adenopathy
1.
2.
3.
4.
5.

Hilar Adenopathy
1. Sarcoid
2. TB
3. Lymphoma
4. Bronchogenic ca
5. Mets

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Cavities Containing Masses
1.
2.
3.
4.

Cavities Containing Masses
1. Aspergillosis
2. Cavitating bronchogenic ca
Tuberculosis
Hydatid cyst

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Infiltrates with Effusion
1.
2.
3.
4.

Infiltrates with Effusion
1. Staph pneumonia
2. Strep pneumonia
3. TB
4. Pulmonary infarct

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“Mass”+ ipsilateral adenopathy
1.
2.
3.

“Mass”+ ipsilateral adenopathy
1. Bronchogenic ca
2. Lymphoma
3. TB

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Solitary Pulmonary Nodule
1.
2.
3.
4.
5.
6.
7.
8.

Solitary Pulmonary Nodule
1. Bronchogenic ca
2. Hamartoma
3. Histoplasmoma
4. TB granuloma
5. Bronchial adenoma
6. Solitary met
7. Round pneumonia
8. Rounded atelectasis

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Pleural Effusion
1.
2.
3.
4.
5.
6.
7.
8.
9.

Pleural Effusion
1. CHF
2. Mets
3. Pancreatitis
4. Pulmonary embolism
5. Trauma
6. Empyema
7. Collagen vascular
8. Ovarian tumor (Meig’s Syndrome)
9. Chylothorax

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Left-sided Pleural Effusion
1.
2.
3.
4.

Left-sided Pleural Effusion
1. Boerhaave’s Syndrome
2. Dissecting aortic aneurysm
3. Pancreatitis
4. Distal thoracic duct rupture

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Multiple Small Calcifications
1.
2.
3.
4.
5.

Multiple Small Calcifications
1. Histoplasmosis
2. Silicosis
3. Chicken pox pneumonia
4. Pulmonary ossification 2° MS
5. Alveolar microlithiasis

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Posterior Mediastinal Masses
1.
2.
3.

Posterior Mediastinal Masses
1. Neurogenic tumors
2. Lymphadenopathy
3. Extramedullary hematopoesis

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Mediastinal Adenopathy
1.
2.
3.
4.
5.

Mediastinal Adenopathy
1. Bronchogenic ca
2. Lymphoma
3. TB
4. Mets
5. Sarcoid

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Lung Disease & Rib Destruction
1.
2.
3.
4.

Lung Disease & Rib Destruction
1. Bronchogenic ca, i.e Pancoast tumor
2. Actinomycosis
3. Blastomycosis
4. Multiple myeloma

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Pleural Calcification
1.
2.
3.

Pleural Calcification
1. Old TB empyema
2. Asbestos exposure
3. Hemothorax

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“Masses” in Cardiophrenic Angle
1.
2.
3.

“Masses” in Cardiophrenic Angle
1. Sequestration
2. Diaphragmatic hernia
3. Pericardial cyst

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Unilateral Pulmonary Edema
1.
2.
3.
4.

Unilateral Pulmonary Edema
1. Aspiration
2. Disease in other lung, e.g. COPD
3. Postural
4. Rapid expansion of PTX

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Reverse “Pulmonary Edema”
1.
2.
3.

Reverse “Pulmonary Edema”
1. Eosinophilic lung disease, e.g. Loeffler’s
2. Sarcoid
3. Pulmonary contusions

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