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CXR Flashcards

1
Q
A

Normal PA view: upright

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2
Q
A

Normal lateral view

left of large line: upper lobe

right of large line: lower lobe

below short line: middle lobe

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3
Q
A

PA view: ideal view

can see spinous processes

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4
Q
A

air bronchogram: classic in pneumonia

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5
Q
A

ASD with air bronchogram

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6
Q
A

bilateral air space disease with a little air bronchogram: left side pleural effusion

infiltrate

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7
Q

with bilateral infiltrate on CXR

A

sputum: rusty

pneumonia

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8
Q
A

cardiomegaly with perihilar infiltrate

bilateral alveolar infilatrate: see dots that are most abundant at hilum

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9
Q
A

CHF before and after Lasix

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10
Q
A

batwing infiltrate: pulmonary edema (CHF)

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11
Q
A

cephalization: earliest radiologic sign of CHF

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12
Q
A

cardiomegaly

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13
Q
A

left: normal
right: cephalization: flow is no longer caudal

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14
Q
A

fluid in the fissures: can see in CHF

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15
Q

presented with hemoptysis and blood in urine

A

pulmonary hemmorhage: Good pasture’s

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16
Q
A

reticulonodular pattern: sarcoidosis

reticlular: crisscrossing of lines

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17
Q
A

reticularnodular pattern

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18
Q
A

reticular nodular pattern

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19
Q
A

paratracheal or bilateral hilar adenopathy with or without reticular infiltrates

sarcoidosis

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20
Q

Possible causes of hilar and mediastinal lymphadenopathy

A

lymphoma

histoplasmosis

phenytoin

TB

Castleman’s Disease

HIV

Sarcoidosis (Dx of exclusion)

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21
Q
A

non-caseating granuloma: sarcoidosis

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22
Q
A

honeycomb pattern: endstage IPF (idiopathic pulmonary fibrosis)

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23
Q
A

COPD: flat diaphragm

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24
Q
A

COPD: flat diaphragm

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25
Bullous Emphysema
26
bronchiectasis
27
cystic bronchiectasis
28
pulmonary embolism: elevated left hemi diaphragm
29
Westermark sign: can't see any vasculature markings in right lung pneumothroax or pulmonary embolism
30
hampton hump: pulmonary embolism
31
pneumothroax
32
pleural effusion
33
Nodule
34
signs of benign solitary pulmonary nodule (SPN)
well defined nodules no associated lymph or mediastinal masses no satellite lesions calcified nodules Types of benign calcifications: dense, popcorn, lamellar
35
features of malignancy of SPN
spiculated nodules non-calcified nodules associated mediastinal or lymph node masses presence of cavitation large nodules
36
SPN
37
SPN
38
SPN: solitary pulmonary nodule
39
Normal alveoli
40
low V/Q
41
low V/Q + shunt
42
pulmonary edema low V/Q and shunt
43
interstitial lung disease low V/Q
44
pulmonary fibrosis low V/Q and diffusion limitation
45
AP view: supine heart looks larger than it is
46
AP or PA view?
right: PA upright left: AP supine
47
RUL
48
RML
49
RLL
50
LUL
51
LLL
52
How does acinar/alveolar/airspace disease appear on xray?
dots
53
How does interstitial disaese appear on xray?
lines in irregular weblike pattern
54
radiologic signs of CHF
cephalization cardiomegaly perihilar infiltrates peribronchial cuffing R. pleural effusion enlarged azygos vein kerley B lines
55
1. Ascending aorta 2. left pulmonary artery 3. left mainstem bronchus 4. Descending aorta 5. esophagus 6. right mainstem bronchus 7. superior vena cava
56
How do we diagnose SPN (solitary pulmonary nodule)?
1. surgical excision 2. transbronchial sampling in bronchoscopy 3. trans throracic needle aspiration 4. sputum cytology (low yield)
57
edema: laying down and all flows to dorsal region: ARDS cardiogenic edema would be nearly symmetrical and not all in the dorsal portion
58
cardiogenic pulmonary edema: edema is uniform ARDS would just be dorsal laying down
59
COPD arrows 1. increased vascular markings 2. hyperinfalated lung 3. TEAR DROP shaped heart 4. flat diaphragm
60
bullous emphysema
61
ground glass: early stage ILD
62
reticular, nodular reticulo-nodular mid stage ILD
63
end stage ILD honeycomb

Pulm (11 decks)

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