Chest Xray Flashcards
A good inspiratory effort exposed the ___ rib anteriorly or the 10th rib ___ at the middle of the right hemi-diaphragm
6th, posteriorly
The ____ hemi-diaphragm is normally higher than the ____ but by NO MORE than ___ rib interspace
right, left, one
A filling defect or distortion or narrowing of the trancheo-bronchial air column may be the only indication of what?
tracheal carcinoma or adenoma
The mediastinum may be pushed to one side by _____, air trapping, or _____
pleural effusion, tension pneumothorax
Peripheral (aka _____) calcification within lymph nodes suggests silicosis but can also occur in some cases of what?
eggshell; sarcoidosis
Central calcification with lymph nodes suggests what?
old granulomatous process
What type of calcification is seen in scar carcinoma?
eccentric
Several line shadows within the mediastinum, normal or abnormal?
normal
Normally, the heart spans less than _____ the transverse diameter of the _____
half, rib cage
Loss of concavity (or development of convex density) between the aortic knob and the left pulmonary artery may be indicative of what?
lymphadenopathy
Vessels should do what as they branch out?
taper
Blunting at the costophrenic angle indicates what?
fluid, fibrosis, or a mass in the pleura
Normal or Abnormal: presence of “companion shadow” along the first and second ribs laterally.
Normal
Asymmetric pleural thickening is indicative of what?
malignancy until proven otherwise
Normal or Abnormal: Increased density within the parenchyma of the lung.
Abnormal - indicative of air space disease, interstitial diseases or a combo
Nodule size vs. Mass size
less than 2 cm; greater than 2 cm
The presence of a line under the diaphragm indicates what type of problem?
peritoneal
The right diaphragm is slightly higher than the left due to the presence of what?
liver
Lateral view provides more visibility of what?
spine
“Eggshell” calcification is normal in the elderly - True or False?
True
____are identifiable as the lung markings that you see branching from the midline of the mediastinal shadow.
blood vessels - they taper gradually
In the lung fields, increased lucency indicated what?
destruction of lung parenchyma
Decreased lung marking might indicated what? Increased lung markings?
Pneumothorax; congestive pathologic conditions
True or False: Chest Xrays are a diagnostic tool.
NO - will give you info but most of the time will NOT diagnosis.
AKA lung root
hilum
___ hilum is slightly higher than the ____ because of the slightly higher takeoff of its pulmonary artery
left; right
Abnormal hilar shadows may be result of ___ or ____
CHF, mitral stenosis
Dilatation of arteries will also render abnormal hilar shadows and may indicate ___ or ___
PDA or atrial septal defect
True or False: medially more vasculature exists while more overall in the lower half than in the upper
True
Normal or Abnormal: right cardiophrenic angle has many overlapping trunks and may give appearance of shadows.
normal
Appears as dense white and radiopaque on the chest film
air space disease
Remember to view an xray in an organized and sequenced manner every time
BS, PC, MF, RA - bone, soft tissue, pleural space, cardiac silhouette, mediastinum, lung fields, retrocardiac space, apices.
