Chest Radiology Flashcards Preview

CLASP Applied Anatomy & Radiology (Y3) > Chest Radiology > Flashcards

Flashcards in Chest Radiology Deck (69)
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1

What are the initial steps to assessing a chest radiograph?

- Check name & CHI no. - Establish side/view - Is it technically adequate - projection, inspiration, rotation, penetration?

2

What is meant by the projection?

AP or PA

3

Is a PA or AP chest radiograph preferable and why?

PA as doesn't over-magnify the heart

4

Cardio-thoracic ratio should only be done on...

PA radiograph

5

What is the correct inspiration for a chest radiograph?

At least 6 ribs should be visible

6

What is a normal cardiothoracic ratio?

< 0.5

7

How can you establish if the rotation of a chest radiograph is correct?

medial ends of the clavicles should be equidistant from the spinous processes of the upper thoracic vertebrae

8

Which structure does 1 correspond to?

Aorta

9

Which structure does 2 correspond to?

Pulmonary artery

10

Which structure does 6 correspond to?

Trachea

11

Which structure does 9 correspond to?

Horizontal fissure

12

Which structures are contained in the hila?

Pulmonary artery, vein, bronchi & nodes

13

Are the hila at the same level?

No, left hilum usually lies higher

14

Where does the diaphragm lie on each side?

Right around 1.5cm higher than left

15

When reporting chest radiographs, how can you describe the area of a lung field defect?

Upper, mid or lower zones

16

Where roughly is referred to as the upper zone?

Apex to rib 2

17

Where roughly is referred to as the mid zone?

Rib 2 to 5

18

Where roughly is referred to as the lower zone?

Rib 5 to base

19

What is meant by 'review areas'?

Areas which are commonly missed

20

What are the review areas on a chest radiograph?

Lung apices

Below the diaphragm

Behind the heart

Bones & soft tissues

21

Which lobes are seen from the front of the patient?

Right upper & middle lobes

Left upper lobe (including lingula)

22

Which lobes are seen from the back of the patient?

Right lower lobe

Left lower lobe

23

When does lobar collapse occur?

Obstruction of a bronchus

24

What pathology is shown here?

Left lower lobe collapse - sail sign

25

What is the classic sign of left lower lobe collapse?

Sail sign

26

What is the classic sign of right upper lobe collapse?

Veil-like opacity

27

What pathology is shown here?

Left upper lobe collapse

28

Which pathology is shown?

Right upper lobe collapse

29

Which classical sign is seen in right middle lobe collapse?

Obscures right heart border

30

Which pathology is seen?

Right middle lobe collapse