Xray Signs Flashcards

1
Q

What is the name of the procedure where in the sternum is opened vertically?

A

Stenotomy

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1
Q

What would you expect to see in a CXR on patient with PHx of rheumatic fever?

A

Enlarged heart due to mitral valve disease causing enlargement of LA

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1
Q

What are some causes of marked increase in size of the cardiac silhouette?

A

Cardiomyopathy

Mixed valvular heart disease

Pericardial effusion

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2
Q

What is the normal cardiothoracic ratio?

A

<50%

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3
Q

What is the hallmark of airspace opacity?

A

Fluffy opacity filling the terminal alveolar sacs and air bronchograms

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4
Q

How can you see an enlarged LA on lateral CXR?

A

Injest barium which will outline the oesophagus

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5
Q

A silhouette that obstructs the R hemidiaphragm would be in which lobe?

A

R lower lobe

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6
Q

How can you tell if a CXR is aligned properly coronally?

A

Look for the position of the spinous processes in respect to the clavicles

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7
Q

What are air bronchgrams?

A

The phenomenon of air-filled bronchi (dark) being made visible by the opacification of surrounding alveoli (grey/white). It is almost always caused by a pathologic airspace/alveolar process, in which something other than air fills the alveoli. Air bronchograms will not be visible if the bronchi themselves are opacified (e.g. by fluid) and thus indicate patent proximal airways.

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9
Q

What structure is in place of the R middle lobe in the L lung?

A

Lingula

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10
Q

What are some causes of airspace opacity in a patient 4 hours post operation?

A

Aspiration

Fluid overload due to fluid or blood transfusions

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11
Q

When is a expiration radiograph obtained deliberately?

A

Suspected pneumothorax - usually small ones

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13
Q

What are syndesmophytes?

A

Boney growth originating inside a ligament

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14
Q

What is a cause of pulmonary arterial enlargement

A

Pulmonary artery hypertension

Post stenotic pulmonary dilation

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15
Q

What are Kerly B-lines an indications of?

A

Interstitial oedema

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16
Q

How do you measure the heart size on CXR?

A

Measure the distance between R and L lateral border and compare that to the width of the diaphragm

Normal = <50%

17
Q

Consolidation in the lingula will obstruct the silhouette of which structure?

A

L heart border

18
Q

How many anterior and posterior ribs are present in CXR with full inspiration?

A

7 and 10

19
Q

Lung base opacity with decreased lung volume, what do you think?

A

Interstitual fibrosis

20
Q

In which part of the lung does pathology appear to have a linear pattern?

A

Interstitium

21
Q

Which lung cancers tend to be central?

A

SCC

Small cell carcinoma

22
Q

What do you think of when you see a unilateral pleural effusion?

A

Ca

23
Q

What is lymphangitis carcinomatosis?

A

Cancer blocking the lymph ducts causing effusion

24
Q

What are some lung masses that cavitate?

A

Malignancy

TB

Pulmonary abscess

Vasculitis

Asbestoma

25
Q

What are some common sites of lung cancer metastasis?

A

Bone

Adrenals

Brain

Liver

26
Q

How do you make a pneumothorax more obvious on CXR?

A

Expiration film

27
Q

Which cancers tend to met to the lungs?

A

Melanoma

Breast

GIT