Chest XRAY (only starred)

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23 Terms

1
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1. Trauma to chest wall, sternum, ribs or other MSK

2. Shortness of Breath

3. Cardiac issue- that is acute in nature 4. Cough (persistent one)

5. Presumed aspiration or aspiration of foreign body

What are five reasons that one would order a XRAY?

2
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XRAYs are FASTER/SPEEDY

and cheaper and less radiation when compared to a CT scan

Why would you order a XRAY before a CT scan?

3
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P - position and penetration

I - inspiration

R - rotation

M - motion

A - anatomy

Mnemonic for looking at CXR

4
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PA film

Is the following a PA or AP film?

<p>Is the following a PA or AP film?</p>
5
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Position Lordotic bc the ribs are straight and normally they are curved in other positions

What position is this XRAY in and why?

<p>What position is this XRAY in and why?</p>
6
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YES

Does this film have adequate penetration?

<p>Does this film have adequate penetration?</p>
7
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1. Hilum

2. R heart border

3. IVC

4. Aortic knob

5. Pulmonary artery

6. Left atrium

7. Left ventricle

Label all arrows

<p>Label all arrows</p>
8
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Alveolar density

What type of density can be seen in this image?

<p>What type of density can be seen in this image?</p>
9
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Alveolar opacity

What abnormal sign is seen here?

<p>What abnormal sign is seen here?</p>
10
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Interstitial lines on L side and normal on R side

Which side is normal and which is abnormal?

<p>Which side is normal and which is abnormal?</p>
11
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Interstitial lines

What do you see in this zoom up?

<p>What do you see in this zoom up?</p>
12
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Interstitial lines

Asbestosis

What abnormality do you see here? Which disease is this?

<p>What abnormality do you see here? Which disease is this?</p>
13
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Alveolar

Do you see a alveolar or interstitial pattern here?

<p>Do you see a alveolar or interstitial pattern here?</p>
14
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BOTH

What do you see in this image, alveolar or interstitial?

<p>What do you see in this image, alveolar or interstitial?</p>
15
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Deepened costophrenic angle because pleural air collects laterally.

Suggestive of pneumothorax

Define a deep sulcus sign. What is it suggestive of?

16
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Deep sulcus sign

What sign do you see in this CXR?

<p>What sign do you see in this CXR?</p>
17
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Deep sulcus sign

What sign do you see here?

<p>What sign do you see here?</p>
18
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Companion line in L lobe

Air trapped in L lobe

No bronchovesicular lines in L lobe laterally

Trachea deviated to R

DX: Pneumothorax

Analyze this XR. What line do you see here and what is missing? What is the diagnosis?

<p>Analyze this XR. What line do you see here and what is missing? What is the diagnosis?</p>
19
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companion line

outer margin of the visceral pleura (and lung), known as the pleural line, separated from the parietal pleura

20
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pleural effusion

A meniscus sign is suggestive of a

21
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away

parietal

Passive atelectasis is when the lung relaxes ______ from the ______ pleural surface

22
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RUL atelectasis

Silhoutte of RUL and R sternal border, loss of bronchovesicular lines

What is your diagnosis? Why?

<p>What is your diagnosis? Why?</p>
23
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Pneumonia because of broken ribs on R side, loss of silhoutte in RLL and R cardiac border

What is your diagnosis? Why?

<p>What is your diagnosis? Why?</p>