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Chest and Vascular

1. A 79 year old male nursing home resident had become increasingly short of breath over the preceding few months. A GP chest x-ray shows bilateral symmetrical lower zone fibrosis and a small left pleural effusion. Which of the following is the single most likely cause of this appearance in this patient?
Rheumatoid disease
Chronic Extrinsic Allergic Alveolitis (EAA)
Ankylosing spondylitis
2. A 50 year old post renal transplant patient is admitted with chest pain. A chest x-ray shows the outer ends of the clavicles are eroded. The most likely cause in this patient would be:
Gorlin syndrome
Rheumatoid arthritis
Cleidocranial dysplasia
Osteogenesis imperfecta
3. A 35 year old male undergoes a CT pulmonary angiogram at which a 4 cm non-calcified cyst is seen between the oesophagus and carina which displaces the carina anteriorly. What is the most likely diagnosis?
Neuroenteric cyst
Aberrant left pulmonary artery
Bronchogenic cyst
Oesophageal duplication cyst
4. A 5 year old patient has a barium swallow for dysphagia. A small smooth indentation is noted posteriorly at the oesophagus at the level of T4. What is the most likely diagnosis?
Aberrant left pulmonary artery
Double aortic arch
Left aortic arch with an aberrant right subclavian artery
Anomalous left common carotid artery
Right aortic arch with right descending aorta and aberrant left subclavian artery and persistent left ductus
5. A 30 year old man presents with night sweats, weight loss and anorexia. His ESR is elevated and a serum ACE is normal. A chest radiograph shows bilateral hilar lymphadenopathy. What is the most likely diagnosis?
Hodgkins lymphoma
Multiple myeloma

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