Chest X-Ray

Question 1

Indications for a CXR:

Answer 1

Question 2

Radiology form:

Answer 2

Question 3

Normal anatomy frontal view CXR:

Answer 3

Question 4

Normal anatomy lateral view CXR: (2)

Answer 4

Question 5

1. Checks and comments on identification:

Answer 5

• Patient’s name, age, date and time when CXR done

Question 6

2. Checks and comments on quality of CXR:
   Anatomy inclusion -

Answer 6

Question 7

2. Checks and comments on quality of CXR:
   Position -

Answer 7

• Supine vs erect
• Gastric air bubble indicates erect position

Question 8

2. Checks and comments on quality of CXR:
   Projection -

Answer 8

Question 9

2. Checks and comments on quality of CXR:
   Orientation -

Answer 9

Sides left/right (L or R) are correctly labeled because the gastric air bubble is seen on the left

Question 10

2. Checks and comments on quality of CXR:
   Rotation -

Answer 10

Question 11

2. Checks and comments on quality of CXR:
   Penetration -

Answer 11

Question 12

2. Checks and comments on quality of CXR:
   Inflation -

Answer 12

Question 13

3. Identify foreign bodies:

Answer 13

Tubes, lines, ECG leads, pacemaker, clothing zips/buttons etc

Question 14

4. Checks and comments if the soft tissues are normal:

Answer 14

Reports on the presence of masses, surgical emphysema, breast tissue

Question 15

5. Checks and comments if the bones are normal:

Answer 15

Question 16

6. Checks and comments on the lung fields:

Answer 16

Question 17

7. Checks and comments on the diaphragm:

Answer 17

Question 18

8. Checks and comments on the tracheal position:

Answer 18

• Central until the level of aortic knuckle where it slightly deviates slightly to the right

Question 19

9. Hilar region and mediastinum:

Answer 19

Question 20

Anatomy inclusion X-ray:

Answer 20

Question 21

Supine vs erect picture:

Answer 21

Question 22

PA vs AP:

Answer 22

Question 23

Adequately exposed:

Answer 23

Question 24

Overexposed vs underexposed:

Answer 24

Question 25

Inadequate inflation:

Answer 25

Question 26

Foreign bodies:

Answer 26

Question 27

Soft tissues:

Answer 27

Question 28

Breasts:

Answer 28

Question 29

Bones:

Answer 29

Question 30

Lung fields: Upper zone Middle Zone Lower zone

Answer 30

Question 31

Hyperinflation:

Answer 31

Question 32

Lung bulla:

Answer 32

Question 33

Pneumothorax:

Answer 33

Question 34

Collasped lung:

Answer 34

Question 35

Right upper lobe collapse/atelectasis:

Answer 35

Question 36

Post bronchoscopy:

Answer 36

Question 37

Causes of opacification/consolidation:

Answer 37

Question 38

Air bronchograms, spared airways, characteristic of consolidation

Answer 38

Question 39

Right upper lobe:

Answer 39

Question 40

Right middle lobe:

Answer 40

Question 41

Right lower lobe:

Answer 41

Question 42

Bronchopneumonia:

Answer 42

Question 43

Ground glass diffuse opacifications:

Answer 43

Question 44

Describing a lesion:

Answer 44

Question 45

Solitary pulmonary nodule vs mass

Answer 45

Question 46

Normal vs abnormal costophrenic angle

Answer 46

Question 47

Pleural effusion:

Answer 47

Question 48

Pneumoperitoneum:

Answer 48

Question 49

Trachea Rotated? Pushed? Pulled?

Answer 49

Question 50

Hilar region:

Answer 50

Question 51

True or False, PA cannot be used to determine CTR.

Answer 51

FALSE, AP cannot be used to determine CTR

Question 52

Cardiothoracic ratio =

Answer 52

Question 53

CTR > 50% =

Answer 53

Cardiomegaly