Chest Xray

Question 1

A good inspiratory effort exposed the ___ rib anteriorly or the 10th rib ___ at the middle of the right hemi-diaphragm

Answer 1

6th, posteriorly

Question 2

The ____ hemi-diaphragm is normally higher than the ____ but by NO MORE than ___ rib interspace

Answer 2

right, left, one

Question 3

A filling defect or distortion or narrowing of the trancheo-bronchial air column may be the only indication of what?

Answer 3

tracheal carcinoma or adenoma

Question 4

The mediastinum may be pushed to one side by _____, air trapping, or _____

Answer 4

pleural effusion, tension pneumothorax

Question 5

Peripheral (aka _____) calcification within lymph nodes suggests silicosis but can also occur in some cases of what?

Answer 5

eggshell; sarcoidosis

Question 6

Central calcification with lymph nodes suggests what?

Answer 6

old granulomatous process

Question 7

What type of calcification is seen in scar carcinoma?

Answer 7

eccentric

Question 8

Several line shadows within the mediastinum, normal or abnormal?

Answer 8

normal

Question 9

Normally, the heart spans less than _____ the transverse diameter of the _____

Answer 9

half, rib cage

Question 10

Loss of concavity (or development of convex density) between the aortic knob and the left pulmonary artery may be indicative of what?

Answer 10

lymphadenopathy

Question 11

Vessels should do what as they branch out?

Answer 11

taper

Question 12

Blunting at the costophrenic angle indicates what?

Answer 12

fluid, fibrosis, or a mass in the pleura

Question 13

Normal or Abnormal: presence of “companion shadow” along the first and second ribs laterally.

Answer 13

Normal

Question 14

Asymmetric pleural thickening is indicative of what?

Answer 14

malignancy until proven otherwise

Question 15

Normal or Abnormal: Increased density within the parenchyma of the lung.

Answer 15

Abnormal - indicative of air space disease, interstitial diseases or a combo

Question 16

Nodule size vs. Mass size

Answer 16

less than 2 cm; greater than 2 cm

Question 17

The presence of a line under the diaphragm indicates what type of problem?

Answer 17

peritoneal

Question 18

The right diaphragm is slightly higher than the left due to the presence of what?

Answer 18

liver

Question 19

Lateral view provides more visibility of what?

Answer 19

spine

Question 20

“Eggshell” calcification is normal in the elderly - True or False?

Answer 20

True

Question 21

____are identifiable as the lung markings that you see branching from the midline of the mediastinal shadow.

Answer 21

blood vessels - they taper gradually

Question 22

In the lung fields, increased lucency indicated what?

Answer 22

destruction of lung parenchyma

Question 23

Decreased lung marking might indicated what? Increased lung markings?

Answer 23

Pneumothorax; congestive pathologic conditions

Question 24

True or False: Chest Xrays are a diagnostic tool.

Answer 24

NO - will give you info but most of the time will NOT diagnosis.

Question 25

AKA lung root

Answer 25

hilum

Question 26

___ hilum is slightly higher than the ____ because of the slightly higher takeoff of its pulmonary artery

Answer 26

left; right

Question 27

Abnormal hilar shadows may be result of ___ or ____

Answer 27

CHF, mitral stenosis

Question 28

Dilatation of arteries will also render abnormal hilar shadows and may indicate ___ or ___

Answer 28

PDA or atrial septal defect

Question 29

True or False: medially more vasculature exists while more overall in the lower half than in the upper

Answer 29

True

Question 30

Normal or Abnormal: right cardiophrenic angle has many overlapping trunks and may give appearance of shadows.

Answer 30

normal

Question 31

Appears as dense white and radiopaque on the chest film

Answer 31

air space disease

Question 32

Remember to view an xray in an organized and sequenced manner every time

Answer 32

BS, PC, MF, RA - bone, soft tissue, pleural space, cardiac silhouette, mediastinum, lung fields, retrocardiac space, apices.