Normal Radiographic Anatomy and Variants

Question 1

have the patient _____ shoulders to get scapula off the chest in PA view

Answer 1

internally rotate

Question 2

lateral view of the chest should have what side against the film

Answer 2

LEFT

gets rid of heart magnification

Question 3

views of the chest should mostly been done upon ________

Answer 3

inspiration

Question 4

count the ___ ribs to check for full inspiration of the film

Answer 4

RIGHT

Question 5

how many ribs should be counted upon full inspiration of the patient

Answer 5

9.5-10.5 ribs

Question 6

which mainstem bronchus has a sharper turn than the other

Answer 6

LEFT sharper than right

Question 7

stuff may get caught in the ____ airway/bronchus due to ease of airway path down into it

Answer 7

RIGHT

Question 8

what deviates the trachea

Answer 8

goiters

Question 9

what is the only way to tell the diameter of the desc. aorta

Answer 9

CT

Question 10

how can you tell if someone has a iodine allergy

Answer 10

if they are allergic to shellfish

Question 11

non calcified objects in the chest are typically

Answer 11

malignant

Question 12

calcified objects in the chest are typically

Answer 12

benign

Question 13

which hemi diaphragm is higher than the other

Answer 13

RIGHT always higher than the left

Question 14

plain film: R heart border is

Answer 14

R atrium

Question 15

plain film: L heart border

Answer 15

L ventricle

Question 16

if someone has sternoclavicular pain… what image should be performed

Answer 16

CT

Question 17

which hilum of the lung is higher than the other

Answer 17

LEFT hilum higher than right (95%)

Question 18

what would tell the clinician that a patient may have “hilar shift”

Answer 18

each hilum is at the same height

• due to loss of volume in lower lobe
• tumor in mediastinum most likely

Question 19

what artery is found in the “hilums”

Answer 19

pulmonary artery of each side
R with R
L with L

Question 20

what should the costophrenic angles look like in plain film

Answer 20

sharp and smooth

if not… order CT

Question 21

if the lungs are radiolucent

Answer 21

air is in the lungs (black)

Question 22

what are the round nodules in the hilum’s

Answer 22

where the vessels branch or turn

Question 23

important to check breast tissue in what plain film view

Answer 23

lateral view

Question 24

loss of normal heart border and lung interference due to pneumonia most likely

Answer 24

silhouette sign

Question 25

L side of the heart sits on the L ______

Answer 25

hemi diaphragm

Question 26

how shoulder the density of the thoracic spine change when viewing plain film lateral view

Answer 26

density should increase from inferior to superior low density - inferior high density - superior

Question 27

with cor pulmonale... which ventricle is typically enlarged

Answer 27

RIGHT ventricle filling in the retro sternal space

Question 28

what anatomical structure is just distal to the L ventricle

Answer 28

inferior vena cava

Question 29

distance from tube to film in PA view

Answer 29

6 feet (72 inch)

Question 30

distance from tube to film in AP view

Answer 30

40 inches

Question 31

which view is preferred for chest imaging

Answer 31

PA upon full inspiration

Question 32

``` On the _______ there is more equalization of the pulmonary vasculature when the size of the lower lobe vessels are compared to the upper ```

Answer 32

AP supine film

Question 33

helpful to assess the volume of pleural effusion and demonstrate whether a pleural effusion is mobile or loculated

Answer 33

Lateral Decubitus Position

Question 34

look at the nondependent hemithorax to confirm a pneumothorax in a patient who could not be examined erect

Answer 34

Lateral Decubitus Position

Question 35

what is done to accentuate a pneumothorax

Answer 35

expiration

Question 36

if pneumothorax, should the side affected be UP or DOWN upon plain film

Answer 36

pneumothorax UP | "air rises"

Question 37

fluid in pleural space

Answer 37

pleural effusion

Question 38

air in pleural space

Answer 38

pneumothorax

Question 39

when the phrenic nerve is terminated or not functioning well

Answer 39

unilateral diaphragmatic paralysis

Question 40

unilateral diaphragmatic paralysis: upon INSPIRATION Normal: Abnormal:

Answer 40

Normal hemi diaphragm: DOWN | Abnormal hemi diaphragm: UP

Question 41

unilateral diaphragmatic paralysis: upon EXPIRATION Normal: Abnormal:

Answer 41

Normal hemi diaphragm: UP | Abnormal hemi diaphragm: DOWN

Question 42

T/F: spontaneous pneumothorax usually resolve on their own

Answer 42

TRUE

Question 43

when the patient is instructed to lean their upper body back backward onto the film

Answer 43

lordotic view

Question 44

what cases are lordotic views recommended

Answer 44

* Apical Disease * Right Middle Lobe disease * Lingular Lobe disease

Question 45

T/F: in PA plain film, thoracic disc space should barely be visible through the heart

Answer 45

TRUE

Question 46

T/F: in PA plain film, bronchovascular structures can be seen through the heart

Answer 46

TRUE

Question 47

what plain film views are recommended for rib fractures

Answer 47

oblique views

Question 48

T/F: in a lateral view, the thoracic spine should appear darker as you move caudally

Answer 48

TRUE

Question 49

what anatomical structure should be looked at to check for rotation in the film

Answer 49

head of clavicles and spinous processes

Question 50

what image type is best to see masses in the thoracic cavity

Answer 50

CT

Question 51

what are the three different mass areas in the thoracic cavity

Answer 51

intraparenchymal pleural extrapleural

Question 52

T/F: fissures communicate with the pleural space

Answer 52

TRUE

Question 53

what occupations are at greatest risk for malignant mesothelioma

Answer 53

ship workers and pipe fitters | - due to asbestos

Question 54

The diaphragm should be found at about the level of | the right ____ posterior rib

Answer 54

10th