CHEST 2 Flashcards
DIAGNOSTIC DIAGNOSTIC IMAGING IMAGING OF THE CHEST AND ABDOMEN
1—CONGESTIVE HEART FAILURE
A Cardiac factors
– preload, afterload, myocardium contractility, heart
rate
– disturbance of one or more can lead to an inability
to circulate an adequate blood supply
B– Right‐sided failure failure
– blood backs up ___________
C– Left‐sided failure failure
– blood congests the _________ __________
D--Radiographic findings – enlarged \_\_\_\_\_ \_\_\_\_\_\_\_ = chamber enlargement – cephalization of blood flow • increased vascular markings – pleural effusion – pulmonary edema
systemically
pulmonary tissue
heart shadow
DIAGNOSTIC DIAGNOSTIC IMAGING IMAGING OF THE CHEST AND ABDOMEN
2–AORTIC UNCOILING
- Usually seen in OLDER individuals
- Results from hypertension
- Aortic shadow “________ ______” from the midline.
pulled away
DIAGNOSTIC DIAGNOSTIC IMAGING IMAGING OF THE CHEST AND ABDOMEN
3–ATHEROSCLEROSIS
• Damage to the aortic INTIMA causing a collection of reparative tissue, eventually _____&______ the lumen.
• Radiographic findings
– _____ _______ calcification along the LINING of the arteries
– can involve any artery
– best seen in the LARGER arteries of the body
calcifying and narrowing
thin linear
DIAGNOSTIC DIAGNOSTIC IMAGING IMAGING OF THE CHEST AND ABDOMEN
4—THORACIC AORTIC ANEURYSM
–Caused by a weakening of the wall of the aorta
Types
1– _______ = ; an out pouching of the wall of the aorta
2– _________ = a spindly widening of the aorta
3– _________ = separation of the layers of the wall of
the aorta.
–SLIDE 11
Saccular
Fusiform
Dissecting
DIAGNOSTIC DIAGNOSTIC IMAGING IMAGING OF THE CHEST AND ABDOMEN
5—LYMPHOMA
- –Separated into Hodgkin’s and non‐Hodgkin’s type
- –Classified by ___ _____, degrees of differentiation and patterns of distribution
- –_______ and MEDIASTINAL Lymphadenopathy represent the classic radiographic presentation for both, but Hodgkin s’ is slightly more common.
- –_________ ________ involvement involvement helps DDX from sarcoidosis
cell type
HILAR
Anterior mediastinum
DIAGNOSTIC DIAGNOSTIC IMAGING IMAGING OF THE CHEST AND ABDOMEN
6—TUBERCULOSIS
A—Chronic caseating granulomatous disease cause
by Mycobacterium tuberculosis
B—Radiographic findings‐ primary
—– RIGHT SIDE more commonly involved
– _______ lymphadenopathy is common
C— Ghon tubercle = Granuloma in the lung tissue
D– Ranke complex = Granuloma Granuloma in the lung tissue + Lymph node enlargement enlargement & involvement
E—Radiographic findings ‐ reactivation
– progressive ____________
– POSTERIOR and ________ segments of the upper lobes, more common on the RIGHT
– poorly defined, incomplete consolidations which
coalesce into radiopacities
– interstitial disease, fibrosis, and calcification can be
seen late stage.
hilar
infection
apical
DIAGNOSTIC DIAGNOSTIC IMAGING IMAGING OF THE CHEST AND ABDOMEN
7—ASBESTOSIS
A—A silicate fiber that is used in construction construction and automotive
• Radiographically
– Calcific ___________ ___________
- ** COMPLICATIONS OF ASBESTOSIS‐ MESOTHELIOMA
- – Irritation from the fibers can cause development of __________ ____________
- – MOST COMMON tumor is mesothelioma
A list of symptoms with mesothelioma
- Abdominal PAIN or abdominal SWELLING.
- Shortness of BREATH.
- COUGHING that is followed by PAIN.
- PAIN when BREATHING.
- ______ _______ that is uncharacteristic.
- Chest pain BELOW the _____ _____
- Unusual lumps‐ The lumps will appear BELOW the skin at the CHEST area.
- A DRY Cough
- Diarrhea or frequent constipation.
- Loss of appetite or difficulty SWALLOWING
pleural plaques
pleural tumors
Weight Loss
rib cage.
DIAGNOSTIC DIAGNOSTIC IMAGING IMAGING OF THE CHEST AND ABDOMEN
8—HIATAL HERNIA
A–When the abdominal contents emerge
through the _______ _______ end up in the chest
B— Most common structure to cross through the hiatus is the FUNDUS of the stomach.
• Often see a air/ fluid interface.
diaphragmatic hiatus
