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Radiology · Chest radiography
Sample itemWhich chest radiograph feature favors pleural effusion over lobar consolidation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Blunting of the costophrenic angle with a meniscus
Pleural fluid layers dependently and typically blunts the costophrenic angle with a meniscus, unlike alveolar consolidation containing air bronchograms.
Option by option
A. Volume loss pulling a fissure
Fissure displacement suggests lobar volume loss.
B. Blunting of the costophrenic angle with a meniscus (correct)
Correct: dependent fluid creates a meniscus and angle blunting.
C. A focal cavitating lesion
Cavitation has an infectious or malignant differential.
D. Air bronchograms within an opacity
Air bronchograms favour alveolar consolidation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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