Chapter 41, Module 5; Chest X-Ray

Question 1

Normal findings of Clavicles?

Answer 1

Midline, symmetrical, intact

Question 2

Abnormal findings of Clavicles?

Answer 2

Dark lines; clavicles not centered

Question 3

Suggested cause of Clavicles?

Answer 3

Fracture; patient rotated; image taken off center

Question 4

Normal findings of Chest wall?

Answer 4

Chest wall has rounded contour

Question 5

Abnormal findings of Chest wall?

Answer 5

Sternum pushed outward (lateral image) Sternum pushed inward (lateral image)

Question 6

Suggested Chestwall?

Answer 6

Pectus carinatum Pectus excavatum

Question 7

NORMAL FINDINGS OF

Inspiration?

Answer 7

Adequate inspiration

Question 8

ABNORMAL FINDINGS OF

Inspiration?

Answer 8

Less than 10 ribs identified

Question 9

SUGGESTED

Inspiration?

Answer 9

Inadequate inspiration

Question 10

NORMAL FINDINGS OF Vertebral column?

Answer 10

Straight, equal disk spaces

Question 11

ABNORMAL FINDINGS OF Vertebral column?

Answer 11

Curved Collapsed disk spaces

Question 12

SUGGESTED Vertebral column?

Answer 12

Kyphoscoliosis (lateral view); scoliosis (PA view) Degenerative disk disease

Question 13

NORMAL FINDINGS OF Ribs?

Answer 13

All ribs intact
Able to count 10 ribs
Ribs sloped at edges

Question 14

ABNORMAL FINDINGS OF Ribs?

Answer 14

Rib fractures present Less than 10 ribs identified Ribs horizontal or flattened

Question 15

SUGGESTED Ribs?

Answer 15

Trauma Inadequate inspiration Hyperinflated lungs, acute asthma, COPD

Question 16

NORMAL FINDINGS OF Trachea?

Answer 16

Midline

Question 17

ABNORMAL FINDINGS OF Trachea?

Answer 17

Deviation from midline Widening of trachea

Question 18

SUGGESTED Trachea?

Answer 18

Atelectasis: trachea deviated toward area of atelectasis; pneumothorax: air, fluid, tumor, lymph node enlargement push trachea away from center; rotated image Chronic cough, cystic fibrosis

Question 19

NORMAL FINDINGS OF Hilar region?

Answer 19

Normal size, centrally located Vascular markings extend <1/3 out into lung field
Bronchi invisible because air-filled bronchi have same density as air in lungs

Question 20

ABNORMAL FINDINGS OF Hilar region?

Answer 20

Area enlarged
Vascular markings >1/3 into lung field
Bronchograms present (bronchi become visible when lung tissue filled with fluid is contrasted with air-filled bronchi)

Question 21

SUGGESTED Hilar region?

Answer 21

Pulmonary artery congestion; lymph node enlargement Bronchopneumonia or pulmonary congestion
Infiltration; pulmonary edema Pneumonia

Question 22

NORMAL FINDINGS OF Gastric air bubble?

Answer 22

Present on right

Question 23

ABNORMAL FINDINGS OF Gastric air bubble?

Answer 23

Not visible

Question 24

SUGGESTED Gastric air bubble?

Answer 24

Image placement error; image label error

Question 25

NORMAL FINDINGS OF Diaphragm?

Answer 25

Right higher than left; right at level of sixth rib

Question 26

ABNORMAL FINDINGS OF Diaphragm?

Answer 26

Elevated
Radiolucent line present that follows curvature of diaphragm Flattened diaphragm
Elevation on left
Bilateral elevation

Question 27

SUGGESTED Diaphragm?

Answer 27

Collapsed lobe or multisegmental collapse; pleural effusion Free air present Emphysema, asthma, tension pneumothorax Perforated ulcer or gas distention of stomach Pregnancy, obesity, peritoneal fluid

Question 28

NORMAL FINDINGS OF Costophrenic angle?

Answer 28

Present, sharp edges

Question 29

ABNORMAL FINDINGS OF Costophrenic angle?

Answer 29

Blunted edges or absent

Question 30

SUGGESTED Costophrenic angle?

Answer 30

Pneumonia, pleural effusion

Question 31

NORMAL FINDINGS OF Visceral pleura?

Answer 31

Traced around chest wall

Question 32

ABNORMAL FINDINGS OF Visceral pleura?

Answer 32

Hairline shadow, dark black with no lung markings

Question 33

SUGGESTED Visceral pleura?

Answer 33

Pneumothorax

Question 34

NORMAL FINDINGS OF Heart size?

Answer 34

Cardiac ratio <50%

Question 35

ABNORMAL FINDINGS OF Heartsize?

Answer 35

Cardiac ratio >50%

Question 36

SUGGESTED Heart size?

Answer 36

Enlarged heart, patient rotated

Question 37

NORMAL FINDINGS OF Heart borders?

Answer 37

Presence of heart borders

Question 38

ABNORMAL FINDINGS OF Heart borders?

Answer 38

Loss of border

Question 39

SUGGESTED Heart borders?

Answer 39

Infiltrates

Question 40

NORMAL FINDINGS OF Lungs?

Answer 40

Translucent

Question 41

ABNORMAL FINDINGS OF Lungs?

Answer 41

Fluffy appearance Honeycomb appearance Butterfly appearance Density changes to consolidation Web-shaped density

Question 42

SUGGESTED Lungs?

Answer 42

Engorged vasculature Acute respiratory distress syndrome Pulmonary edema Bacterial pneumonia Pulmonary embolism