Chest radiology I Flashcards

1
Q

what are the 4 radiographic densities?

A

soft tissue (water)
fat
air
bone (calcium)

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2
Q

do high density objects absorb more or less photons? how does it appear?

A

more

white (ie bone)

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3
Q

do low density objects absorb more or less photons? how does it appear?

A

less

black (ie lungs)

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4
Q

should radiographs be performed in full inspiration or expiration?

A

inspiration

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5
Q

for reference, where should the midpoint of the right hemidiaphragm align?

A

posterior 9th or 10th ribs

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6
Q

how does the spine appear on lateral film, superior to inferior?

A

darkens superior to inferior - spine sign

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7
Q

what are the CV borders?

A
left brachiocephalic vein 
left common carotid artery 
left subclavian artery 
right brachiocephalic artery 
right brachiocephalic vein
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8
Q

definition: interlobar fissure

A

space between the lobes where the visceral pleural surfaces touch

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9
Q

how are fissures visualized? how are the major fissures seen best?

A

photon beam must be parallel to fissure

lateral view

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10
Q

where is the aortopulmonary (AP) window?

A

crescentic shaped lucency between the inferior border of the aortic arch and the superior border of the left pulmonary artery

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11
Q

what are the contents of the AP window?

A

lymph nodes
left recurrent laryngeal nerve
fat

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12
Q

what are the 3 clear spaces?

A

retrosternal
retrotracheal
retrocardiac

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13
Q

what are the 5 Ts (common diseases) of the retrosternal space?

A
"terrible" lymphoma 
thymoma 
teratoma 
thyroid 
thoracic AA
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14
Q

what are the common diseases of the retrotracheal space?

A

vascular abnormalities
esophageal disease
lung cancer

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15
Q

what are the common diseases of the retrocardiac space?

A

hiatal hernia
esophageal disease
LV enlargement
pneumonia

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16
Q

what is the cardiothoracic ratio? what is normal? when is it valid?

A

maximum transverse diameter of the heart to the diameter of the chest as measured at the highest level of the right hemidiaphragm

normal - 0.5

only valid on PA chest

17
Q

which hilum is more superior in 97% of cases?

A

left

18
Q

which hemidiaphragm is more superior 89% of the time?

A

right