1.2.3 Chest X-Ray Basics Flashcards

(32 cards)

1
Q

What lobe is this highlighting?

A

Left upper lobe

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2
Q

How would you describe the size of the heart in this patient?

A

Heart is enlarged - cardiomegaly

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3
Q

Where are all the parts of the heart located?

A
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4
Q

What is the standard distance of a PA CXR?

A

6 feet

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5
Q

What is the silhouette sign?

A

Structures that anatomically contact each other will obscure that border.

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6
Q

What is the normal heart size on a CXR?

A

Less than 1/2 the width of the chest

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7
Q

Where would the divides occur on this lateral CXR?

A
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8
Q

What is occurring in this image?

A

This is normal

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9
Q

What is this patients PCWP?

A

This patient has alveolar edema caused by heart failure. Their PCWP would be greater than 25

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10
Q

Why would you be able to say this infiltrate is in the left lower lobe?

A

It obscures the border of the diaphragm

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11
Q

What is being affected in this image?

A

Right middle lobe

This is a right middle lobe pneumonia

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12
Q

What is wrong with this PICC line?

A

It is positioned too low in the RA, and can put the patient at risk for developing irregular heart beats

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13
Q

In regards to heart failure, what are the CXR findings and their respective PCWP?

A
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14
Q

How would you describe the size of the heart in this patient?

A

Normal sized

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15
Q

Where is this infiltrate located?

A

Right upper border - affecting alveoli

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16
Q

How would you describe the size of the heart in this patient? What is important to note about this image?

A

This patient has cardiomegaly, but it is important to note that this is an AP image. This could cause the heart to appear larger than what it actually is.

17
Q

What is the PCWP on this patient?

A

This patient has congestion and interstitial edema. Their PCWP is most likely 18-25

18
Q

What lobe is this highlighting?

A

Right lower lobe

19
Q

Where should a PICC line go?

A

Right at the SVC

20
Q

What would the PCWP be in this patient?

A

This person has PV congestion, their PCWP is most likely 12-18

21
Q

Where would the fissures appear on a CXR?

22
Q

What lobe is this highlighting?

A

Right upper lobe

23
Q

More dense objects will show up how on an CXR?

A

More dense will be whiter and less dense will be darker

24
Q

What is wrong in this image?

A

This is a malpositioned ETT tube in the right bronchus

25
What lobe is this highlighting?
Right middle lobe
26
On this CXR, the circled part appears to be affecting what?
The alveoli - note cloudy appearance
27
On this CXR, the infiltrates are affecting the?
Interstitium
28
How will alveolar infiltrates look on a CXR compared to interstitial infiltrates?
Alveolar will look cloudy and interstitial will look like lines
29
What lobe is this highlighting?
left lower lobe
30
What is wrong with this image?
Malpositioned PICC line into R subclavian vein
31
What is this highlighting?
Lingula
32
What is wrong with this image?
Malpositioned PICC line in the left jugular