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Pre > Chest X-ray > Flashcards

Chest X-ray Flashcards

1
Q

Begin chest X-ray interpretation by checking.….. (4)

A

Patient details

Date and time the film was taken

Type of film

Previous imaging

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2
Q

Why need to check Previous?

A

useful for comparison

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3
Q

To Assess image quality (4)

A

RIPE

Projection

Rotation

Degree of inspiration

Exposure

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4
Q

Projection

A

Is the image AP or PA

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5
Q

The image is PA when (2)

A

there is no label

the scapulae are not projected within the chest

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6
Q

To check for rotation see (2)

A

The medial aspect of each clavicle should be equidistant from the spinous processes

Spinous processes should also be vertically orientated against the vertebral bodies

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7
Q

Degree of Inspiration
The depth is

A

The 5 - 6 anterior ribs or 9 -10 posterior ribs

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8
Q

Degree of Inspiration

Field

A

Lung apices,
both costophrenic angles,
and the lateral rib edges

should be visible

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9
Q

Exposure (Penetration)

A

Left hemidiaphragm should be visible to the spine and the vertebrae should be visible behind the heart

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10
Q

ABCDE Approach

A

Airway: trachea, carina, bronchi and hilar structures

Breathing: lungs and pleura

Circulation: Heart position, Heart size, Heart borders, Heart shape, Aortic stripe

Diaphragm: including assessment of costophrenic angles

Everything else: mediastinal contours, bones, soft tissues, tubes, valves, pacemakers, and review areas

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11
Q

Trachea is normally located

A

centrally or deviating very slightly to the right

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12
Q

Carina is

A

A cartilage situated at the
tracheal bifurcation

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13
Q

Rt main bronchus is .….. than the Lt.

A

wider, shorter & more vertical

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14
Q

Hila are

A

usually the same size

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15
Q

Lt hilum is .….. Than the Rt

A

often slightly higher

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16
Q

Hilar lymph nodes are

A

Not usually visible

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17
Q

Bilateral/ symmetrical enlargement (4)

A

sarcoidosis, Lymphoma, metastatic disease & tuberculosis

18
Q

Unilateral/asymmetrical enlargement of hilar (2)

A

Breast cancer, metastatic disease

19
Q

Abnormal hilar position

Being pushed

A

enlarging soft tissue mass

20
Q

Abnormal hilar position

Being Pulled (2)

A

lobar collapse or fibrosis

21
Q

Breathing check for

A

lungs and pleura

22
Q

pleura is

A

Normally not visible

23
Q

Heart position

A

2⁄3 to left, 1⁄3 to right

24
Q

Heart Size

A

occupies no more than 50% of chest width

25
Q

Heart’s borders

A

Right atrium makes up most of the right heart border &Left ventricle makes up most of the left heart border.

26
Q

Abnormal Heart shapes (3)

A

Global

Boot

Egg

27
Q

Aortic stripe are

A

bands that result from air outlining thicker intervening mediastinal structures

28
Q

Aortic stripe (3)

A

Rt &Lt paraspinal stripes

Aortopulmonary stripe

Rt &Lt paratracheal stripes

29
Q

right hemidiaphragm is ……. than the left

A

higher

30
Q

Stomach underlies the

A

left hemidiaphragm

31
Q

Diaphragm is indistinguishable from the underlying

A

Liver

32
Q

Costophrenic angles are

A

formed from the dome of each hemidiaphragm and the lateral chest wall.

33
Q

Loss of this acute angle called

A

blunting

34
Q

Loss of this acute angle can be due to (2)

A

Effusion

Hyperinflation

35
Q

Mediastinum contains (4)

A

heart, great vessels, lymphoid tissue & several potential spaces

36
Q

Aortic knuckle

A

can occur in the context of an aneurysm

37
Q

Aortopulmonary window is lost as a result of

A

mediastinal lymphadenopathy eg: malignancy

38
Q

Ribs, sternum, spine, clavicles
Look for (5)

A

symmetry, fractures, dislocations, lytic lesions, density

39
Q

Soft tissues
Look for (5)

A

symmetry, swelling, loss of tissue planes, subcutaneous air, masses

40
Q

great vessels, carotids
Look for

A

Calcification

41
Q

After checking Soft tissues check

A

Breast shadows

Pre (18 decks)

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