CHEST & ABD I.A.

Question 1

Proper Position?

Answer 1

Yes
1 inch apicies above clavicles
vert in middle / equal distance lungs both sides
10 posterior ribs
no scapula in field
lung markings clear
no mandible, rotation or tilting visible

Question 2

Body Habitus & Casette Size

Answer 2

Hypersthenic
cross wise

Question 3

Body Habitus & Casette Size

Answer 3

Sthenic / Average
lengthwise

Question 4

Body Habitus & Casette Size

Answer 4

Hyposthenic / Thin
Lengthwise

Question 5

Body Habitus & Casette Size

Answer 5

Asthenic/ Slender
Lengthwise

Question 6

Analyze Image

Answer 6

Scoliosis - Vertebral column shifts laterally. The distance from the vertebral column to the lateral lung edges will vary down the length of each lung.

Question 7

Analyze Image

Answer 7

Breast Implants appear whiter / denser on image

Question 8

Analyze Image

Answer 8

Rotation Present based on Clavicles -
Left Clavicle over spine / Right Clav away =
patient rotated to left, right side away from IR - LAO position

Question 9

Analyze Image

Answer 9

Pneumothorax - darker lung appearance / lack of lung markings

Question 10

Analyze Image

Answer 10

Pneumothorax - Darker king appearance / lack of lung markings

Question 11

Analyze Image

Answer 11

Ateclatisis - collapsed lung / increase technique

Question 12

Analyze Image

Answer 12

Pleural Effusion - Fluid in lung / blunting of costraphrenic angel and diaphragm

Question 13

Analyze Image

Answer 13

Pleural Effusion - Fluid in lung / blunting of costraphrenic angel and diaphragm

Question 14

Analyze Image

Answer 14

COVID PNUEMONIA - opacities of lungs
- cloudy appearance

Question 15

What is this pointing to?

Answer 15

Free intraperium air of the LEFT side

Question 16

What is this pointing to?

Answer 16

Free intraperium air of the LEFT side

Question 17

Analyze Image

Answer 17

Sinus Inverses - congenital deformity makes image appear flipped / heart on RIGHT side

Question 18

What tube is displayed?

Answer 18

Tracheotomy Tube - inserted 1-2 in above carina

Question 19

What tube is displayed?

Answer 19

NG TUBE - inserted into stomach

Question 20

Analyze Image

Answer 20

ROTATED
- Rotated to the RIGHT side anterior
-Ribs more than 1/2 in separated
-RIGHT lung in front of sternum = R rotation

Question 21

Analyze Image

Answer 21

ROTATED
-Rotated LEFT anterior
- Ribs more than 1/2 inch separated
-Heart past sternum
-No right lung in front of sternum = left anterior

Question 22

Analyze Image

Answer 22

TILTING
- Hemidiaphragm not superimposed

Question 23

Analyze Image

Answer 23

TILTING
-hemidiaphragms not superimposed
- Left gastric bubble superior to R hemi

Question 24

What Pathology is indicated

Answer 24

Pleural Effusion of R lung
blunting of r diaphragm

Question 25

Analyze Image

Answer 25

Excessive Caudal angle of supine cxr - Ribs more vertical -Manubrium below T4 -Clavicles lower / more 1inch apicies above clavicle

Question 26

Analyze image

Answer 26

Excessive Cephalic - Clavicles higher / less than 1 inch apicies above clavicles -Ribs horizontal - Manubrium higher T4

Question 27

Analyze Image

Answer 27

Excessive Caudal - more than 1 inch apicies above clavicle -Ribs more vertical

Question 28

Analyze Oblique Chest Image

Answer 28

Oblique Chest - Inadequate Rotation - 1 Lung should be 2x larger than left - Heart too close to spine

Question 29

Analyze The Oblique Chest - What Position

Answer 29

Adequate RAO chest - 1 side 2x bigger than left - Heart away from spine

Question 30

Analyze Oblique Chest

Answer 30

Oblique Chest - Too much rotation - 1 side lung / almost lateral

Question 31

Analyze Image / Position

Answer 31

ADEQUATE KUB - Spine in middle / Spinous process centered in vertebral body -T12 ensure kidneys in image -Wings symmetrical -Bladder & Pubis Symph included

Question 32

Analyze Image / Position

Answer 32

Adequate UPRIGHT ABDOMEN - Diaphragm included - Spine centered / spinous process in middle of vert body - Wings symmetrical - Adequate Expiration / Diaphragm above T11

Question 33

What is the arrow pointing to

Answer 33

Free Intra Air

Question 34

Pathology Demonstrated

Answer 34

Bowel Gas

Question 35

Analyze Image

Answer 35

ABDOMEN ROTATION - Patient rotated to left closer / Right away from IR = LPO position - Spinous Process not centered / closer to RIGHT SIDE - Wings not symmetrical/ RIGHT narrower

Question 36

Analyze Image

Answer 36

ROTATED - Patient rotated to RIGHT side closer, left side away from IR = RPO -Spinous process to left - Left wing narrower

Question 37

Analyze KUB Image - how do you know it’s KUB & that there’s an error?

Answer 37

SUPINE KUB ABDOMEN clipped image - Marker says supine - KUB must include pubis symph - doesn’t need Diaphragm

Question 38

Analyze Upright Abdomen Image

Answer 38

UPRIGHT ABDOMEN Incorrect Expiration - Diaphragm below T11 means not on full expiration