Radiology PA: Introduction to Chest Radiology
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111 Terms
indication for this imaging technique include: pneumonia, pulmonary edema, effusions, pneumothorax, cardiomegaly, rib fractures, and lung nodules (screening)
x-ray
what imaging type is almost ALWAYS the first line modality for chest imaging
x-ray
the indications for this imaging type include: pulmonary embolism, coronary CT, lung mass, and trauma
CT
the indications for this imaging type include: assessing the blood flow in heart, pericardial effusion, an echocardiogram, point of care (POC) imaging (supplements physical exam and definitive imaging), eFAST, cardiac, PNA, and pleural effusion
US
what imaging type provides the MOST LIMITED evaluation of the lungs?
US
what imaging type is used when masses in the mediastinum are suspected?
MRI
What is the preferred view for an abled bodied pateint for a chest x-ray?
PA
what x-ray view is used to help visualize the retrocardiac space and lower lung lobes?
lateral
what x-ray view is used to visualize the lung apex to look for masses and TB?
lordotic
what x-ray view is used to identify a pleural effusion or pneumothorax?
lateral decubitus
to view possible EFFUSION on the lateral decubitus view, the effusion side of interest should be ________
down
to view possible PNEUMOTHORAX on the lateral decubitus view, the pneumothorax side of interest should be _____
up
to determine if cardiomegaly is present is a patient, the cardio-thoracic ratio needs to be grater than __%
50
number 1 on the image is referring to what structure?
superior vena cava
number 2 on the image is referring to what structure?
right atrium
number 3 on the image is referring to what structure?
inferior vena cava
number 4 on the image is referring to what structure?
aortic arch
number 5 on the image is referring to what structure?
pulmonary trunk
number 6 on the image is referring to what structure?
left artial appendage
number 7 on the image is referring to what structure?
left ventricle
the area highlighted RED indicates:
the right upper lobe
the area highlighted GREEN indicates:
right middle lobe
the area highlighted PURPLE indicates:
right lower lobe
the area highlighted YELLOW indicates:
left upper lobe
the area highlighted BLUE indicates:
on the LATERAL view, the area highlighted RED indicates:
right upper lobe
on the LATERAL view, the area highlighted GREEN indicates:
right middle lobe
on the LATERAL view, the area highlighted PURPLE indicates:
right lower lobe
on the LATERAL view, the area highlighted YELLOW indicates:
left upper lobe
on the LATERAL view, the area highlighted BLUE indicates:
left lower lobe
to inspect x-ray image QUALITY, the acronym RIP is used and it stands for:
rotation, inspiration, and penetration
to review perform a SYSTEMATIC review of an xray, the acronym ATMLL is used and stands for:
abdomen, thorax, mediastinum, lungs, and line/tubes
the included image is an example of _______ interferring with the x-ray as the ANTERIOR portion of 5-7 ribs are NOT visable at the midclavicular line
inspiration
the included image has an example of a thoracic abnormality; what is it?
fractured clavicle
the included image has an example of a thoracic abnormality; what is it?
rib fracture on left side of image
the included image has an example of a thoracic abnormality; what is it?
air located subcutaneous tissue above right clavicle
the included image has an example of a mediastinal abnormality; what is it?
widening of the aorta
the included image has an example of a mediastinal abnormality; what is it?
mediastinal mass
the included image has an example of a mediastinal abnormality; what is it?
cardiomegaly
the included image has an example of infiltrate; what is it?
alveolar
the included image has an example of infiltrate; what is it?
interstitial
what sign or indicator is noted when the border of the heart, aorta, or diaphragm is obliterated or obscured?
silhouette sign
where is the infiltrate in this image?
left lower lung
where is the infiltrate in this image?
lingula of left lung
this x-ray has an example of a sign of pleural effusion: what is it?
meniscus sign on right side
is the attached image an example of effusion or infiltrate?
infiltrate
is the attached image an example of effusion or infiltrate?
effusion
what is the abnormality is noted on the patient’s left side in this image?
pneumothorax
what is the abnormality is noted on the patient’s left side in this image?
pneumothorax
Is an inspiration view or expiration view more benficial to see a subtle pneumothorax?
expiration
what is the name of the horizontal fine white lines (which are found along the periphery of the lung and aim straight into the pleura) noted on a chest x-ray due to fluid build-up in the lobar septa?
Kerly B lines
what Kerly B lines, hilar vascular congestion, cephalization of vessels, and cardiomegaly all signs of if viewed on a chest x-ray?
congestive heart failure
what abnormality is highlighted by the blue lines in this image
Kerly B lines
if trauma is the mechanism of injury, what imaging type should be used?
CT
The structure labeled 1 in this image is:
right subclavian vein
The structure labeled 2 in this image is:
right brachiocephalic vein
The structure labeled 3 in this image is:
right lung
The structure labeled 4 in this image is:
liver
The structure labeled 5 in this image is:
stomach
The structure labeled 6 in this image is:
left atrium
The structure labeled 7 in this image is:
right atrium
The structure labeled 8 in this image is:
left ventricle
The structure labeled 9 in this image is:
left lung
The structure labeled 10 in this image is:
superior vena cava
The structure labeled 11 in this image is:
aorta
The structure labeled 12 in this image is:
pulmonary trunk
The structure labeled 13 in this image is:
spleen
The structure labeled 1 in this image is:
right lung
The structure labeled 2 in this image is:
superior vena cava
The structure labeled 3 in this image is:
left brachiocephalic vein
The structure labeled 4 in this image is:
right brachiocephalic artery
The structure labeled 5 in this image is:
left common carotid artery
The structure labeled 6 in this image is:
left subclavian artery
The structure labeled 7 in this image is:
left lung
The structure labeled 8 in this image is:
esophagus
The structure labeled 9 in this image is:
trachea
The structure labeled 1 in this image is:
right lung
The structure labeled 2 in this image is:
superior vena cava
The structure labeled 3 in this image is:
ascending aorta
The structure labeled 4 in this image is:
left pulmonary artery
The structure labeled 5 in this image is:
left lung
The structure labeled 6 in this image is:
descending aorta
The structure labeled 7 in this image is:
trachea
The structure labeled 1 in this image is:
right lung
The structure labeled 2 in this image is:
superior vena cava
The structure labeled 3 in this image is:
ascending aorta
The structure labeled 4 in this image is:
right pulmonary artery
The structure labeled 5 in this image is:
pulmonary trunk
The structure labeled 6 in this image is:
left pulmonary artery
The structure labeled 7 in this image is:
left lung
The structure labeled 8 in this image is:
descending aorta
The structure labeled 9 in this image is:
main bronchi
The structure labeled 1 in this image is:
right lung
The structure labeled 2 in this image is:
right pulmonary artery
The structure labeled 3 in this image is:
superior vena cava
The structure labeled 4 in this image is:
ascending aorta
The structure labeled 5 in this image is:
right ventricle
The structure labeled 6 in this image is:
left lung
The structure labeled 7 in this image is:
left pulmonary artery
The structure labeled 8 in this image is:
descending aorta