Chest xray

What is the acronym for quality of chest x-ray?

PIER

What positions are chest x-rays done in?

Erect or supine

What does the lateral view help find?

Pinpoints abnormalities

What phase of breathing are chest x-rays done in?

Inspiratory

How many posterior ribs can be seen in PA view?

8-10

How many anterior ribs can be seen in PA view?

5-7

What is evidence of good exposure?

Visible lung markings and disc spaces behind heart shadow

How do you determine the person has rotated during scan?

The distance between clavicles and spinous processes

What happens if the person has rotated during scan?

Distorts heart, mediastinal structures and lungs

What is the initial for interpretation of chest x-ray?

ABCDEFGHI

What does A stand for and what to look for?

Airway and tracheal deviation

What does B stand for and what to look for?

Bones, soft tissues and fractures, dislocations, scoliosis, masses

What does C stand for and what to look for?

Cardiac and heart size and borders

What size is the heart relative to the thorax in PA view?

>50%

What does D stand for and what to look for?

Diaphragm and normal dome shape

What is the sign that there is fluid in pleural space extending past cardiophrenic angle?

Meniscus sign

What is the sign for fluid at cardiophrenic angle?

Blunting

What does E stand for and what to look for?

Extras and attachments

What does F stand for and what to look for?

Fields and upper, middle and lower lung zones

When are fissures visible?

When the fissure is abnormal

What does G stand for and what to look for?

Gastric bubble and air under diaphragm

What does H stand for and what to look for?

Hila and position and if there is fluid

What does I stand for and what to look for?

Impression and understand how quality, view, position affected image

What is the silhouette sign?

Change in density of a structure to abnormal