Wednesday, 7 October 2015

PGI MCQ for Medical PG Coaching & Preparations .. NIME | Kereley’s B’ lines are found in

Kereley’s B’ lines are found in
A. Interstitial edema
B. Pulmonary venous congestion.
C. Pericardial effusion
D. Mitral stenois
E. All of the above



Ans. A) Interstitial edema; (B) Pulmonary venous congestion; (D) Mitral stenosis
• Kerley lines are thickened inter lobular septa due to visible thickened lymphatics and surrounding connective tissues.
A –lines: Thin non-branching lines radiation from the hilum, 2-6cm long
B – lines: Transverse non-branching thin lines at the lung base, perpendicular to pleura, 1-3cm long
Causes:
* Pulmonary edema
*Mitral valve disease
* Pneumoconiosis
*Lymphangitis carcinomatosa
* Sarcoidosis -
*Idiopathic (in the elderly)
*Infections ( viral, Mycopiasma)
*Interstitial pulmonary fibrosis
* Alveolar cell Ca
* Lymphoma
* Lymphangiectasia
*Lymphatic obstruction
* Lymphangiomyomarosis