Case 1
A 54-year-old female presents with dry cough and exertional breathlessness.
1. What is the most likely cause of these appearances (figure 1)?
a) Bronchiectasis
b) Sarcoidosis
c) Pneumoconiosis
d) Atypical infection
e) Metastatic malignancy
Case 2
A 34-year-old alcoholic presents with chest pain.
1. What is the main abnormality (figure 2)?
a) Pneumomediastinum
b) Lobar collapse
c) Bony abnormality
d) Cardiomegaly
e) Pneumoperitoneum
Answers
Case 1
1. b) Sarcoidosis. There are multiple nodular opacities noted throughout both lungs with larger conglomerate nodular opacities in the upper peri-hilar regions. This patient was previously diagnosed with sarcoidosis.
Small, rounded or irregular opacities are the most common pulmonary pattern observed in patients with sarcoidosis. …