Cardiorespiratory radiology Flashcards

(32 cards)

1
Q

How do the crura of the diaphragm differ on left lateral view compared to right lateral?

A

Left lateral - more of a V, meet halfway down the thorax

Right lateral - more parallel

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2
Q

What does pneumothorax look like on radiograph?

A

Lifting of heart
Caudal lung margin separate from spine
Outline mediastinal structures

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3
Q

What does a pleural effusion look like on radiograph?

A

Everything whiter
Obscured outlines
Scalloped (collapsed) lung lobes
Lung margins retracted from thoracic wall

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4
Q

What are the most common mediastinal masses? Where are they?

A

Lymphoma
Thyoma
Cranial

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5
Q

Where is the bifurcation of the trachea located?

A

4th/5th intercostal space

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6
Q

What are the 3 man pathological lung patterns?

A

Bronchial
Alveolar
Interstitial

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7
Q

What are the two different types of interstitial lung pattern?

A

Nodular

Unstructured

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8
Q

Where are bronchial markings seen normally?

A

Hilar region - more prominant with age

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9
Q

What are abnormal bronchial markings?

A

Tramlines and donuts - longitudinal and transverse

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10
Q

What can cause bronchial markings?

A

Chronic lower airway disease
Cushings
Age - calcification

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11
Q

How does alveolar pattern present on radiograph?

A

Fluffy, hazy soft tissue opacity filled lungs
Soft tissue margins are obscured - heart, blood vessels
Air bronchograms

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12
Q

What are air bronchograms?

A

Bronchi remain air filled so stand out clearly

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13
Q

What can cause alveolar filling?

A

Pulmonary oedema
Haemorrhage
Pneumonia
Neoplasia

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14
Q

What differential diagnosis is more likely with ventral alveolar filling?

A

Aspiration pneumonia

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15
Q

What differential diagnosis is more likely with alveolar filling around heart base?

A

Cardiogenic oedema

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16
Q

What differential diagnosis is more likely with caudodorsal alveolar filling?

A

Inhaled foreign body

17
Q

What differential diagnosis is more likely with peripheral alveolar filling?

A

Angiostrongylus vasorum infestation

18
Q

What does a nodular interstitial lung pattern look like?

A

Single/multiple nodules
Solid - pulmonary metastases
Distinguish from end on blood vessels

19
Q

What does unstructured/diffuse interstitial lung pattern look like?

A

Increased opacity of lung
Net curtains
Blurring of vessel margins but vessels remain visible

20
Q

What can cause unstructured/diffuse interstitial lung pattern?

A

Infiltration of lung tissue with fluid
Interstitial oedema/pneumonia/haemorrhage
Pulmonary fibrosis

21
Q

Where do veins lie in respect to their corresponding artery on radiograph?

A

Ventral and central

22
Q

What should the diameter of the caudal lobar pulmonary vessels be equivalent to?

A

The 9th rib where they cross

23
Q

What can cause enlarged vessels on radiograph?

A

LsCHF
Heartworm
Left to right shunts eg. ventricular septal defect, patent ductus arteriosus

24
Q

How wide should the heart be in a cat?

A

2-2.5 intercostal spaces

25
How wide should the heart be in a dog?
2.5-3.5 intercostal spaces
26
How do you work out the vertebral heart score?
Long axis add short axis (count from T5)
27
What is a normal range of vertebral heart score in a dog?
8.5-10.6
28
What are indications of left cardiac enlargement on a radiograph?
Tall heart Pushed up trachea Straight caudal border of heart Tenting left atrium
29
What can cause left cardiac enlargement?
``` Dilated cardiomyopathy MMVD PDA VSD Aortic stenosis ```
30
What are indications of right cardiac enlargement on a radiograph?
Wide heart Apex lifted from sternum Reverse D shape - straight left side, round right side
31
What can cause right cardiac enlargement?
Right AV valve insufficiency Pulmonic stenosis Tetralogy of fallot ventricular septal defect
32
What can cause generalised cardiomegaly (big heart)?
Pericardial effusion Idiopathic Neoplasia