chest - habitus & PA
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28 Terms
what kind of habitus is this
hypersthenic
what kind of habitus is this
sthenic
what kind of IR placement should we do on this body type
landscape
give a discription
high diaphragms and wide/short thorax
what is the body habitus
hyposthenic
describe the body
longer lungs, lower diaphragms
what is the body habitus
asthenic
how do you image for a hyposthenic patient
portrait
what is unique about the asthenic body habitus
lungs can peek up to their collar bones
why are breathing instrucitons important
to fully expand the lungs to see pathology, vasculature markings, presentation of the heart
what is the relationship of breathing and the heart
exhalation makes the heart move superiorly making it look bigger.
inhalation makes the heart move inferiorly because of the diaphragm.
when would we need to do inspiration and expiration pictures
pneumothorax, foreign body, diaphragm movement, atelectasis
what is the difference between the right and left lung?
the right lung is 1 inch shorter than the left. because the right side has the liver below it
what are the routine projections?
PA and lateral
Where is the CR in PA chest
T7 and midsagittal plane
what should the shoulders be in a PA CXR?
depressed forward
what are the breathing instructions for all chest
second inspiration
what anatomy should be included in PA CXR
costophrenic angles, trachea filled with air, apices, aortic arch and heart
how can you tell theres no roation
clavicles are equal, symmetric lungs, equal rib length, straight ish spine
name of this xray
PA chest
what is wrong with this CXR
rotation
how can you tell this has rotation
there is superimposition of the right clavicle and vertebrae. the right lung is just as long as the left. slight curvature of the spine
how should you position for a PA chest
hands on hips with shoulders depressed forward
what does this patient have?
scoliosis
what does this patient have?
scoliosis
what went wrong in the CXR
the patient is tilted forward, there is 2.5cm of apical tissue above the clavicle, hemidiaphragms are distorted, heart is distorted
what is wrong with this CXR
the patient is tilting backwards, less than 2.5 apical tissue above the clavicle
where should the manubrium be in PA CXR
4th thoracic vertebrae