15. Lung Radiology (Part Two)

Question 1

How should a CXR be evaluated?

Answer 1

Systematic ABC approach
Patient demographics
Projection
Adequacy
Airway
Breathing
Circulation
Diaphragm / Dem bones
Review areas

Question 2

What do we look for in airway?

Answer 2

 Trachea
 Bronchi
 Hila

Question 3

What do we look for in breathing?

Answer 3

 Lungs
 Pleural spaces
 Lung interfaces

Question 4

What do we look for in circulation?

Answer 4

Mediastinum:
 Aortic arch
 Pulmonary vessels
 Hila
 Right heart border
--> Right atrium
--> Middle lobe interface
 Left heart border
--> Left ventricle
--> Lingula interface

Question 5

What are we looking for in Diaphragm/Dem bones?

Answer 5

 Free gas
 Nodules
 Fracture/dislocation
 Mass

Question 6

What are the 8 review areas for CXR, what are you looking for in these areas?

Answer 6

• Apices: pneumothorax
• thoracic inlet: mass
• paratracheal stripe: mass/lymph nodes
• AP window: lymph nodes
• hila: mass/collapse
• behind heart: mass
• below diaphragm: pneumoperitoneum/mass
• edge of films