APC: Chest Xray Flashcards
radiolucency
normal dark pattern usually from air
radiodense or radiopaque
white from solid, fluid, or bones
diffuse
spread throughout, scattered, and patchy
full ——– may be used to help identify ————–
exhalation
pneumothorax
what is RIP?
Rotation
Inspiration
Penetration
rotation
determined by the clavicles and apices of the lungs
inspiration
should see 6 anterior and 10 posterior ribs on full inspiration
penetration
should see vertebral bodies behind the heart
underpenitration
underexposed
unable to see vertebral bodies
whiter than normal
overpentitration
overexposed
vertebral bodies too clear and lungs appear too dark
what is the systematic review?
Airway (trachea) breathing (lungs) cardiac and mediastinum (heart) diaphragm ett
dense or patchy consolidation
unilateral, multilobar, or bilateral ( may contain bronchograms)
pneumonia
concave superior interface
blunting of costophrenic angles
loss of cardio phrenic angles (cardiac silhouette)
trachea shift to opposite side
pleural effusion
cardiomegaly
consolidation
bat wing/butterfly
kerely b lines
pulmonary edema
loss/absent lung markings
visible pleural line
deep sulcus sign
pneumothorax
dense white shadows that obscure the outline of the heart or diaphragm
silhouette sign
patchy or plate-like density from lobar collapse
hilar or diaphragm displacement
veil/sail/patchy
a mediastinal shift toward the collapsed area
atelectasis
white from top to bottom
reticulogranular pattern
ground glass
honey comb
ARDS
radiolucent lung fields with bilateral flattened diaphragms
COPD
scattered dark patches of air throughout soft tissues
seen in shoulders and neck
subcutaneous emphysema
use a pulmonary angiogram for diagnosis
pulmonary embolism
white round opacities
calcium deposits
nodules
eggshell opacities in peripheral or pleural space
tb/silicosis/asbestosis
calcificaitons
thick walled opacities with lucent center
tb or certain funguses
cavitations
further evaluate abnormalities
detects tumors, pe, aortic aneurysm, stage lung cancer
thoracic ct
evaluate/ detect bleeding
aneurysm, stroke, tbi, tumours
head ct
evaluate heart/lungs for pathology
thoracic mri
radioactive tracer injected into pt
pet scan
detects P.E.
V/Q scan
diagnostic ultrasound used as a rapid bedside method
used to detect pneumothorax, pleural/pericardial effusion, masses, atelectasis
also called eFast
transthoracic ultrasound`
absent gliding
pneumothorax
identifies and measures cardiac valve abnormalities
echocardiography
