CXR

Question 1

Name and Technical

Answer 1

Name, date, AP/PA, L+R, RIPE

Question 2

System

Answer 2

Note main observation and ask if they want you to continue. Foreign objects, trachea, mediastinum, heart borders, diaphragm, costo and cardiophrenic angles, lung borders, hilar and lungs, bones and breasts

Question 3

Pneumothorax

Answer 3

Dark area - no lung markings (tension = shift of mediastinum away from the pneumothorax)

Question 4

Consolidation

Answer 4

White area with air bronchograms translucency - name the zone. Middle R if R heart border obscured - lower R if not obscured

Question 5

Pleural effusion

Answer 5

White opacity with meniscus - costophrenic angle shouldn’t be seen on the side of the effusion

Question 6

Cancer

Answer 6

Look for lesion and boney mets

Question 7

Pneumonia

Answer 7

Look for consolidation

Question 8

Fibrosis

Answer 8

general diffuse increased opacity - a bit like thumb prints

Question 9

Pulmonary Oedema

Answer 9

blunted costophrenic angles, mucky appearance of lower zones

Question 10

Heart Failure

Answer 10

Bats wings, Kerley B, Cardiomegaly, Upperlobe diversion, pleural effusion

Question 11

Lung collapse

Answer 11

Collapse is hard to see because the healthy lobes will push it away so it appears as a small opacity in the vague direction of where it is (apex, hilar, lower)