2.4.2 MRI and CT Imaging Flashcards

1
Q

What are the lung anatomy KEYS TO VICTORY?

A

Right lung has two fissues and 3 lobes

The upper lobes are upper and more anterior

The lower lobe is lower and more posterior

The right middle lober is anterior and beneath the minor fissure

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2
Q

What is this?

A

Bovine arch

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3
Q

What is this an image of?

A

Coarctation of the aorta

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4
Q

What type of plane is this?

A

Coronal

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5
Q

What does an MRI give poor visualization of?

A

The lungs

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6
Q

What is this an image of?

A

Mass - angiosarcoma in main PA

A pulmonary embolism would not extend past the PA

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7
Q

What are the arrows pointing to?

A

Left - LC

Right - Right common carotid

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8
Q

What is being separated by the lines in the image?

A

This image is more cranial - notice how the trachea has not split yet. The Left and right upper lobes lie on the anterior portion of the lines, while the lower lobes lie posterior

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9
Q

What are the lines separating in these images?

A

Left image - RUL, ML, and LRL

Right image - Upper and lower left lobes

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10
Q

What is the arrow pointing to?

A

Right subclavian

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11
Q

What is this an image of?

A

Large cavitary LUL squamous cell CA in a 63 y/o M smoker. The cavity is infected, proven by aspiration.

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12
Q

What are each of the arrows pointing to in this image?

A

Left side

Top - Aortic root

Bottom - LA

Right - LV

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13
Q

Identify what the arrow is pointing at and what is circled in this image

A

Arrow - left major fissure

Circled - right minor fissure

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14
Q

How does a CT image work?

A

CT uses beams of X-rays to measure density of tissues. Computer will construct densities into an image.

Air - Black

Bone - more white

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15
Q

What are the KEYS TO VICTORY on heart anatomy?

A

RV - Most anterior chamber - closest to sternum

LA - Most posterior -closest to spine

LV - Got them thick walls

RA - Accepts IVC and SVC

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16
Q

What type of plane is this?

A

Sagittal plane

17
Q

What are the red arrows pointing to in these images?

A

Upper trachea - black demonstrates air

18
Q

What is this an image of?

A

Right ventricular hypertrophy

19
Q

What is the arrow pointing at?

A

Aortic arch

20
Q

What are each of the arrows pointing at in this image?

A

Starting with top left moving counter-clockwise

RML

RLL

LUL

LLL

21
Q

What are the arrows pointing to in this image?

A

Left - Brachiocephalic

Right - Aortic branches

22
Q

What is being pointed to by the arrows in this image?

A

Left main bronchi and right main bronchi

23
Q

What are each of the arrows pointing to in this image?

A

Left side - Aortic root

Right side

Top - Pulmonary veins

Bottom - Descending thoracic aorta

24
Q

What are each of the arrows pointing to in this image? What type of image is this?

A

Left side

Top - SVC

Bottom - RA

Right side - LV

25
Q

What are the arrows point to?

A

Top - Brachiocephalic

Bottom - Branches of aortic arch

26
Q

What are the four arrows pointing at?

A

Starting at the top left going counter-clockwise

RV

RA

LA

LV

27
Q

What type of plane is this?

A

Axial plane on CT image

28
Q

What is this an image of?

A

RLL Large Cell Lung Cancer.

29
Q

What is this an image of?

A

Fibroelastoma on the pulmonic valve

30
Q

What is this an image of?

A

Arch origin of Left vertebral artery

31
Q

When would you want to get an MRI of the chest?

A

These are best used to answer specific clinical questions regarding the heart or major vasculature, or rarely to characterize a chest wall mass

32
Q

What is the arrow pointing to in this image?

A

Mitral valve

33
Q

How does an MRI machine work?

A

MRI uses a strong magnetic field and radiofrequencies to measure chemical properties of tissues

34
Q

What are the major vessels KEYS TO VICTORY?

A

The aorta courses anterior to posterior and right to left

The main PA sits to the left of the aorta

The 3 arch vessels arise in alphabetical order - Brachiocephalic, left carotid, and left subclavian

35
Q

What are each of the arrows pointing at?

A

Left

Top - Aorta

Bottom - SVC

Right - Pulmonary artery