Radiology corner

A 35 year old female presents with haemoptysis, epistaxis and acute renal impairment. A chest radiograph is taken and a second radiograph is taken a week later. 1. Which of the following is the least likely diagnosis for these radiographic appearances? a) Pulmonary infarcts b) Systemic sclerosis c) Sarcoidosis d) Vasculitis e) Septic emboli 2. What is the most likely unifying diagnosis given the clinical history? a) Osteosarcoma metastases b) Systemic lupus erythmatosis c) Rheumatoid arthritis d) Granulomatosis with polyangiitis e) Pulmonary infarcts Case 2 A 33-year-old male non-smoker presents with wheeze and abnormal liver function tests on blood biochemistry. 1. Consult the chest radiograph and determine the most likely underlying diagnosis a) Asthma b) α 1-Antitrypsin deficiency c) Chronic obstructive pulmonary disease d) Obstructive sleep apnoea e) Pulmonary fibrosis a) b)