101. CXR collpase and consolidation

Question 1

What is the medical terminology used to describe when something looks abnormal

Answer 1

Opacification

Question 2

What indicates a lobar collapse?

Answer 2

A triangle of increased density (apart form LUL)

Question 3

If you cant see the left cardiac border, where is the pathology?

Answer 3

Left upper lobe

Question 4

If you cant see the right cardiac border where is the pathology?

Answer 4

Middle lobe

Question 5

What are the cardiogenic causes of pulmonary oedmea?

Answer 5

LHF, myocarditis, valve failure, cardiomyopathy

Question 6

What are the non cardiogenic causes of pulmonary oedema

Answer 6

fluid overload
drug induced causes
ARDS

Question 7

What are some CXR findings indicative of pulmonary oedema

Answer 7

cardiomegaly

upper zone pulmonary venous diversion

interstitial fluid accumulation (kerley b lines)

Alveolar oedema (batwing opacification)

Pleaural effusions

Question 8

Explain upper zone pulmonary venous diversion

Answer 8

Caused due to an enlarged left atrium

Upper vessels as prominent as lower zones (big vessels up and down)

Question 9

Explain Kerley B lines

Answer 9

Horizontal lines that indicate interstitial fluid at the edge and base of the lung

Question 10

Describe the appearance of alveolar oedema?

Answer 10

Almost like cotton wool balls they show bilateral patchy oedema

Question 11

Describe the appearance of pleural effusions on the lung?

Answer 11

Show an opacificaiton over the diaphragm

May be subtle and may just occur at the costophrenic angle