Radiology of Lung cancer

Question 1

What are the steps in a systematic review of a CXR?

Answer 1

• Check name/side marker/rotation/penetration
• Lines/metal work
• Heart
• Mediastinum
• Lungs (by zone)
• Diaphragm
• Soft Tissue
• Bones

Question 2

What do we look for in the mediastinum of a CXR?

Answer 2

Widening
Deviation of the Trachea
Obscured hilar vascular structures

Question 3

What does a pneumothorax look like on a CXR?

Answer 3

A dark air filled lung except it will lack the tell-tale lines of vascular structures.

Question 4

What do we look for regarding the heart on a CXR?

Answer 4

Enlargement (>50% of lungs width)

Behind it at the lung tissue

Question 5

What are the review areas of a CXR?

Answer 5

The hila
Lung Apices
Behind heart
Behind Diaphragm