CHEST X-RAY

Question 0

Lateral x ray features?

Answer 0

Good for looking at fluids pleural effusions

Delineate whether mass is anterior or posterior

Question 1

What is your system for x rays?

Answer 1

Comment on

• pt
• quality: rotation, penetration and inspiration
• trachea
• RH border
• LH border
• cardiophrenic angle
• costophrenic angles
• lung fields
• bones

Question 2

Negatives of AP?

Answer 2

Done in resus
Met calls
Icu
Mobility issues

Can’t determine cardio thoracic ratio for cardiomegaly

Question 3

When would you do inspiratory expiratory?

Answer 3

Used to exaggerate air in pleural cavity.

Expiratory phase good to look at pneumothoraxies and kids who have swallowed foreign bodies

Question 4

What are the main features of left side of a chest x ray?

Answer 4

1st bump - aortic knuckle
2 - pulmonary trunk
3 left atrium
4 LV

Question 5

What is the hilum?

Answer 5

Contains main vessels

• pulmonary artery
• pulmonary veins
• L main bronchus

Question 6

What is dextrocardia? What is situs inversus and situs solitus?

Answer 6

Dextrocardia - right side heart, apex points to right

Situs inversus - mirror image of the chest, not highly associated with CHD

Situs solitus - normal structure, if dextrocardia -> high risk of CHD

Question 7

X ray of APO?

Answer 7

KERLEY b lines - running perpendicular and parallel to one another. = interstitial oedema, fluid in between alveoli

Question 8

What distinguish feature for RML pneumonia? What about RLL? What about LLL?

Answer 8

Absence of right heart border
R Diaphragm not intact
L diaphragm not intact

Question 9

Black on an xray means what?

Answer 9

AIR!

Question 10

Gas under hemidiaphragm?

Answer 10

Perforated hollow viscus