CHEST & ABD I.A. Flashcards
CHEST & ABDOMEN IMAGE ANALYSIS
Proper Position?
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
Body Habitus & Casette Size
Hypersthenic
cross wise
Body Habitus & Casette Size
Sthenic / Average
lengthwise
Body Habitus & Casette Size
Hyposthenic / Thin
Lengthwise
Body Habitus & Casette Size
Asthenic/ Slender
Lengthwise
Analyze Image
Scoliosis - Vertebral column shifts laterally. The distance from the vertebral column to the lateral lung edges will vary down the length of each lung.
Analyze Image
Breast Implants appear whiter / denser on image
Analyze Image
Rotation Present based on Clavicles -
Left Clavicle over spine / Right Clav away =
patient rotated to left, right side away from IR - LAO position
Analyze Image
Pneumothorax - darker lung appearance / lack of lung markings
Analyze Image
Pneumothorax - Darker king appearance / lack of lung markings
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Ateclatisis - collapsed lung / increase technique
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Pleural Effusion - Fluid in lung / blunting of costraphrenic angel and diaphragm
Analyze Image
Pleural Effusion - Fluid in lung / blunting of costraphrenic angel and diaphragm
Analyze Image
COVID PNUEMONIA - opacities of lungs
- cloudy appearance
What is this pointing to?
Free intraperium air of the LEFT side
What is this pointing to?
Free intraperium air of the LEFT side
Analyze Image
Sinus Inverses - congenital deformity makes image appear flipped / heart on RIGHT side
What tube is displayed?
Tracheotomy Tube - inserted 1-2 in above carina
What tube is displayed?
NG TUBE - inserted into stomach
Analyze Image
ROTATED
- Rotated to the RIGHT side anterior
-Ribs more than 1/2 in separated
-RIGHT lung in front of sternum = R rotation
Analyze Image
ROTATED
-Rotated LEFT anterior
- Ribs more than 1/2 inch separated
-Heart past sternum
-No right lung in front of sternum = left anterior
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TILTING
- Hemidiaphragm not superimposed
Analyze Image
TILTING
-hemidiaphragms not superimposed
- Left gastric bubble superior to R hemi
What Pathology is indicated
Pleural Effusion of R lung
blunting of r diaphragm
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Excessive Caudal angle of supine cxr
- Ribs more vertical
-Manubrium below T4
-Clavicles lower / more 1inch apicies above clavicle
Analyze image
Excessive Cephalic
- Clavicles higher / less than 1 inch apicies above clavicles
-Ribs horizontal
- Manubrium higher T4
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Excessive Caudal
- more than 1 inch apicies above clavicle
-Ribs more vertical
Analyze Oblique Chest Image
Oblique Chest - Inadequate Rotation
- 1 Lung should be 2x larger than left
- Heart too close to spine
Analyze The Oblique Chest
- What Position
Adequate RAO chest
- 1 side 2x bigger than left
- Heart away from spine
Analyze Oblique Chest
Oblique Chest - Too much rotation
- 1 side lung / almost lateral
Analyze Image / Position
ADEQUATE KUB
- Spine in middle / Spinous process centered in vertebral body
-T12 ensure kidneys in image
-Wings symmetrical
-Bladder & Pubis Symph included
Analyze Image / Position
Adequate UPRIGHT ABDOMEN
- Diaphragm included
- Spine centered / spinous process in middle of vert body
- Wings symmetrical
- Adequate Expiration / Diaphragm above T11
What is the arrow pointing to
Free Intra Air
Pathology Demonstrated
Bowel Gas
Analyze Image
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
Analyze Image
ROTATED
- Patient rotated to RIGHT side closer, left side away from IR = RPO
-Spinous process to left
- Left wing narrower
Analyze KUB Image
- how do you know it’s KUB & that there’s an error?
SUPINE KUB ABDOMEN
clipped image
- Marker says supine
- KUB must include pubis symph
- doesn’t need Diaphragm
Analyze Upright Abdomen Image
UPRIGHT ABDOMEN
Incorrect Expiration - Diaphragm below T11 means not on full expiration
