A 49-year-old COPD patient arrives to the ER complaining of shortness of breath (SOB) and difficulty breathing. The physical examination reveals bilateral coarse crackles throughout the lung fields, pedal edema, and hepatomegaly.
The chest x-ray shows bilateral fluffy infiltrates with a bat's wing configuration. What clinical condition you may suspect on this patient?
a. Acute coronary syndrome
b. COPD exacerbation
c. Hypertensive crisis
d. Left heart failure
Q. 2 Which of the following are common radiographic findings seen in patients with volume loss due to atelectasis?
1. Elevation of the hemidiaphragm
2. Narrowing of the space between the ribs
3. Increase in the retrosternal airspace
4. Shift of the mediastinum
a. 1 only
b. 3 only
c. 1, 2, and 4 only
d. 3 and 4 only
Q. 3 Which of the following findings on the chest radiograph is considered a secondary sign of em-physema?
a. Flattening of the diaphragm
b. Widening of the cardiac shadow
c. Narrowing of the space between the ribs
d. Blunting of the costophrenic angle
Q. 4 How many solitary pulmonary nodules (SPNs) would be encountered for every 1000 routine chest radiographs?
a. 1 or 2
b. 10 to 15
c. 30 to 40
d. 80 to 100
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