Chest Lecture 1

Question 1

Signs and symptoms for a chest radiograph

Answer 1

Chronic cough
Expectoration
Shortness of breath
Cyanosis
Clubbing of fingers
Pain in chest, t-spine, or upper extremity

Question 2

Films needed for screening in a young patient

Answer 2

PA view may be adequate as screening procedure

Question 3

Basic chest image setup

Answer 3

PA and L. Lateral
72” FFD
110-150 kVp
Full inspiration

Question 4

How do you confirm breathing instructions were correct?

Answer 4

10 visible posterior ribs above right hemidiaphragm

Question 5

How do you assess rotation?

Answer 5

Medial end of the clavicles to the spinous process

Question 6

What specialized imagine is used for hilar vascularity?

Answer 6

MRI

Question 7

What specialized imaging best defines complex anatomy?

Answer 7

CT

Question 8

What specialized imaging is most sensitive to a pulmonary embolism?

Answer 8

Scintigraphy

Question 9

What are the division of the mediastinum (w/ regard to imaging)

Answer 9

Anterior, Middle, Posterior

Question 10

The primary lobule of an alveola is distal to what airway?

Answer 10

Respiratory bronchiole

Question 11

The secondary lobule of an alveola is distal to what airway?

Answer 11

Terminal bronchiole

Question 12

An interstitial disease has what type of pattern?

Answer 12

Honey-combed

Question 13

What does airspace disease look like?

Answer 13

Hazy, indistinct, soft-tissue opacity

Question 14

What causes an air bronchogram sign?

Answer 14

The usually invisible bronchi become filled w/ fluid density due to blood, pus, edema, aspiration, etc.

Question 15

What is a silhouette sign?

Answer 15

Interruption of a normally sharp anatomic shadow (such as the heart shadow)

Question 16

The cervicothoracic sign shows that only structures located in the ________ apex of lung are seen above the clavicles. As such, structures of the neck appear cutoff ________ the clavicle.

Answer 16

Posterior

Above