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No abstract available. Article truncated at 150 words. A 22-year-old man with a known diagnosis of Tuberous Sclerosis Complex (TSC) presents for a follow-up unenhanced chest CT to re-evaluate pulmonary nodules seen in the lung bases on a prior abdominal CT. The patient also has a history of multiple renal lesions consistent with lipid-poor angiomyolipomas based on previous abdominal MRI findings. The chest CT demonstrated multiple scattered, randomly distributed sub-centimeter pulmonary nodules of solid or subsolid morphology [Figure 1A]. Those nodules visible in the lung bases on the prior abdominal CT had remined stable over the 12-month interval consistent with multifocal microscopic pneumocyte hyperplasia (MMPH)[Figure 1B,C]. Myocardial fatty foci (MFF) were visualized in the heart on soft tissue window display settings [Figure 2A] as were multiple scattered sclerotic bone lesions on bone window display settings [Figure 2B,C]. No pulmonary cysts were seen to suggest lymphangioleiomyomatosis (LAM) and there were no thoracic lymphangiomas. MMPH represents a benign hamartomatous proliferation …

No abstract available. Article truncated after first page. A 67-year-old man with a history of hypertension and chronic lymphocytic leukemia (CLL), the latter diagnosed 10 years earlier, in remission until recently, presented with complaints of weight loss, not eating much, lethargy, and shortness of breath. His CLL had recurred and he was treated with rituximab, and bendamustine (a nitrogen mustard alkylating agent) and intravenous immunoglobulin. Frontal chest radiography (Figure 1) was performed. Which of the following statements regarding the chest radiograph is most accurate? 1. The chest radiograph shows basal predominant linear opacities suggesting fibrosis 2. The chest radiograph shows large lung volumes with cystic change 3. The chest radiograph shows multifocal ground-glass opacity and cavitary consolidation 4. The chest radiograph shows multifocal ground-glass opacity and consolidation associated with linear and reticular abnormalities 5. The chest radiograph shows multiple nodules

No abstract available. Article truncated after the first page. A 61-year-old man presented with a 6-month history of easy fatigability and worsening shortness of breath. The patient noted that his difficulty breathing improved somewhat when lying flat. Frontal chest radiography (Figure 1) was performed. Which of the following statements regarding the chest radiograph is most accurate? 1. The chest radiograph shows basal predominant fibrotic lung disease 2. The chest radiograph shows large lung volumes with cystic change 3. The chest radiograph shows multiple nodules 4. The chest radiograph shows tubular opacities in the lower lobes bilaterally 5. The chest radiograph shows upper lobe peripheral consolidation and reticulation

No abstract available. Article truncated after first page. Clinical History A 60-year-old man presented with gradually worsening shortness of breath and dry cough over the previous six months, unresponsive to presumptive antibiotic therapy with levofloxacin first, followed by azithromycin. Frontal chest radiography (Figure 1) was performed. Which of the following statements regarding the chest radiograph is most accurate? 1.The chest radiograph shows basal predominant fibrotic lung disease 2.The chest radiograph shows large lung volumes with cystic change 3.The chest radiograph shows multifocal bronchiectasis 4.The chest radiograph shows multiple nodules 5.The chest radiograph shows upper lobe peripheral consolidation and reticulation ...

No abstract available. Article truncated after the first page. Clinical History A 64-year-old woman with a history of multiple sclerosis (wheelchair-bound), neurogenic bladder, and a number of other chronic medical conditions, presented with complaints of non-radiating neck pain without tingling or numbness. The patient also reported mild subjective fever and occasional nausea, but denied shortness of breath. Frontal and lateral chest radiography (Figure 1) was performed. Figure 1. Frontal (Panel A) and lateral (Panel B) chest x-ray. Which of the following statements regarding the chest radiograph is most accurate? 1.The chest radiograph shows bibasilar consolidation 2. The chest radiograph shows large lung volumes with cystic change 3. The chest radiograph shows multiple nodules 4. The chest radiograph shows no abnormalities 5. The chest radiograph shows symmetrical bilateral pleural effusions

No abstract available. Article truncated after the first page. An 18-year-old woman was recently diagnosed with non-ACTH-Mediated Cushing syndrome, now with a complaint of mild shortness of breath. Her cardiac exam showed normal sinus rhythm at 84 beats per minute and blood pressure of 130/80 mmHg. Her mitral first heart sound was slightly accentuated, but the pulmonic sound was normal. Grade-I diastolic murmur was heard over the mitral area. Opening snap was absent. Lungs were clear and chest radiograph showed slight cardiomegaly. She had multiple freckles on his face and trunk and along the vermillion border of the lips. An ultrasound of the heart was performed (Figure 1). Which of the following is the likely diagnosis? 1.Brugada syndrome 2.Carney syndrome 3.Gotway syndrome 4.Jervell and Lange-Nielsen syndrome 5.Peutz-Jeghers syndrome …

No abstract available. Article truncated after first page. A 22-year-old man is seen for shortness of breath. Cardiac ultrasound / echocardiography is performed (Figure 1). Which of the following best describes the ultrasound? 1. Enlarged left atrium. 2. Enlarged left ventricle. 3. Enlarged right atrium. 4. Enlarged right ventricle. 5. Normal

No abstract available. Article truncated after first page. A 76 year old woman presented with complaints of a new onset of headache especially on the right. Brain CT scan and MRI were unremarkable. Her erythrocyte sedimentation rate was markedly elevated. An ultrasound of the chest was performed (Figures 1 and 2). What does the ultrasound show? 1. Aortic aneurysm 2. Aortic insufficiency 3. Aortic stenosis 4. Aortic wall thickening 5. 1 and 2 6. 1 and 4 7. 2 and 4