Cardiorespiratory radiology Flashcards
How do the crura of the diaphragm differ on left lateral view compared to right lateral?
Left lateral - more of a V, meet halfway down the thorax
Right lateral - more parallel
What does pneumothorax look like on radiograph?
Lifting of heart
Caudal lung margin separate from spine
Outline mediastinal structures
What does a pleural effusion look like on radiograph?
Everything whiter
Obscured outlines
Scalloped (collapsed) lung lobes
Lung margins retracted from thoracic wall
What are the most common mediastinal masses? Where are they?
Lymphoma
Thyoma
Cranial
Where is the bifurcation of the trachea located?
4th/5th intercostal space
What are the 3 man pathological lung patterns?
Bronchial
Alveolar
Interstitial
What are the two different types of interstitial lung pattern?
Nodular
Unstructured
Where are bronchial markings seen normally?
Hilar region - more prominant with age
What are abnormal bronchial markings?
Tramlines and donuts - longitudinal and transverse
What can cause bronchial markings?
Chronic lower airway disease
Cushings
Age - calcification
How does alveolar pattern present on radiograph?
Fluffy, hazy soft tissue opacity filled lungs
Soft tissue margins are obscured - heart, blood vessels
Air bronchograms
What are air bronchograms?
Bronchi remain air filled so stand out clearly
What can cause alveolar filling?
Pulmonary oedema
Haemorrhage
Pneumonia
Neoplasia
What differential diagnosis is more likely with ventral alveolar filling?
Aspiration pneumonia
What differential diagnosis is more likely with alveolar filling around heart base?
Cardiogenic oedema