Chest Imaging Flashcards

1
Q

What are the 6 general reasons for chest imaging?

A
  • Trauma
  • CXR Follow-up
  • Malignancy
  • Vascular
  • Lung Disease
  • Infection
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2
Q

Which anatomical structure must always be evaluated on a Chest X-Ray?

A

The heart.

For it’s size, location and morphology

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3
Q

What are 2 common pathologies for Vascular imaging?

A
  • PE (Pulmonary Embolism)
  • Aneurysm
  • Dissection
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4
Q

Pleural Effusions must be more than..

A

..500mls

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5
Q

Name 3 findings, apart from the Heart and presence of Pleural Effusions, that an X-Ray should be evaluated for.

A
  • FBs (Foreign Bodies)
  • Infection
  • Tumours/Metastases
  • Incidental Pathologies
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6
Q

During an Arterial Phase Scan, how many mls of contrast solution are injected?

A

100

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7
Q

True or False?

Arterial Phase Imaging requires high pressure contrast injection.

A

True.

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8
Q

List 5 clinical indications for imaging the chest.

A
  • Heavy Smoker or Hx of
  • Chest Pain
  • Trauma
  • Hypertension (High blood pressure)
  • Cough
  • PUO (Pyrexia of Unknown Origin)
  • Haemoptysis (Coughing up blood)
  • SOB
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9
Q

How many seconds should you wait before injecting & scanning an Arterial Phase image?

A

25-35s

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10
Q

The bolis tracking region of interest for an Arterial Phase image is the…

A

..Pulmonary Trunk.

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11
Q

How big must an Aortic Aneurysm be to be considered at risk of rupture?

A

6cm+

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12
Q

When does Aortic Dissection occur?

A

When the inner layer of the Aorta tears and causes blood to separate the inner and middle layer of the Aorta (🎾)

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13
Q

What is the difference between the two types of Aortic Dissection?

A

Type A: Ascending Aorta

Type B: Descending Aorta

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14
Q

Define Pulmonary Embolism.

A

A blood clot that occurs in the lungs and which can lead to restricted blood flow and decreased O2 levels.

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15
Q

List the common pathologies associated with infection imaging.

A
  • COVID 19 (Coronavirus-19)
  • Pneumonia
  • TB (Tuberculosis)
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16
Q

True or False?

The delay for Infection image in CT is 25-35s.

A

False.

The delay for infection imaging is 50 seconds because it is a Portal Veinous scan.

17
Q

List the anatomy associated with Malignancy imaging.

A
  • Lungs
  • Surrounding Organs
  • Great Vessels
  • Heart
18
Q

Common pathologies for malignancy imaging are primary tumours, nodules and..

A

..metastatic spread.

19
Q

What signs of malignancy are there to look for on CT imaging?

A
  • Contrast enhancing lesions
  • Comet tail sign (spiculated lesions)
  • Nodules larger than 3cm
20
Q

What are common abnormalities to look for in trauma imaging?

A
  • Pneumothorax
  • Fractures
  • FBs
  • Haemothorax
  • Flail chest
  • Vessel ruptures
21
Q

What windowing is used to view trauma imaging?

A
  • Bony
  • Soft Tissue
  • Lung
22
Q

What is high resolution scanning (HRCT) used for and why?

A

Lung disease because it highlights the differences in the structures of the lung tissues in detailed thin slices