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Pulm > CXR > Flashcards

CXR Flashcards

1
Q
A

Normal PA view: upright

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2
Q
A

Normal lateral view

left of large line: upper lobe

right of large line: lower lobe

below short line: middle lobe

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3
Q
A

PA view: ideal view

can see spinous processes

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4
Q
A

air bronchogram: classic in pneumonia

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5
Q
A

ASD with air bronchogram

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6
Q
A

bilateral air space disease with a little air bronchogram: left side pleural effusion

infiltrate

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7
Q

with bilateral infiltrate on CXR

A

sputum: rusty

pneumonia

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8
Q
A

cardiomegaly with perihilar infiltrate

bilateral alveolar infilatrate: see dots that are most abundant at hilum

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9
Q
A

CHF before and after Lasix

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10
Q
A

batwing infiltrate: pulmonary edema (CHF)

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11
Q
A

cephalization: earliest radiologic sign of CHF

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12
Q
A

cardiomegaly

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13
Q
A

left: normal
right: cephalization: flow is no longer caudal

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14
Q
A

fluid in the fissures: can see in CHF

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15
Q

presented with hemoptysis and blood in urine

A

pulmonary hemmorhage: Good pasture’s

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16
Q
A

reticulonodular pattern: sarcoidosis

reticlular: crisscrossing of lines

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17
Q
A

reticularnodular pattern

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18
Q
A

reticular nodular pattern

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19
Q
A

paratracheal or bilateral hilar adenopathy with or without reticular infiltrates

sarcoidosis

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20
Q

Possible causes of hilar and mediastinal lymphadenopathy

A

lymphoma

histoplasmosis

phenytoin

TB

Castleman’s Disease

HIV

Sarcoidosis (Dx of exclusion)

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21
Q
A

non-caseating granuloma: sarcoidosis

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22
Q
A

honeycomb pattern: endstage IPF (idiopathic pulmonary fibrosis)

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23
Q
A

COPD: flat diaphragm

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24
Q
A

COPD: flat diaphragm

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25
Q
A

Bullous Emphysema

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26
Q
A

bronchiectasis

27
Q
A

cystic bronchiectasis

28
Q
A

pulmonary embolism: elevated left hemi diaphragm

29
Q
A

Westermark sign: can’t see any vasculature markings in right lung

pneumothroax or pulmonary embolism

30
Q
A

hampton hump: pulmonary embolism

31
Q
A

pneumothroax

32
Q
A

pleural effusion

33
Q
A

Nodule

34
Q

signs of benign solitary pulmonary nodule (SPN)

A

well defined nodules

no associated lymph or mediastinal masses

no satellite lesions

calcified nodules

Types of benign calcifications: dense, popcorn, lamellar

35
Q

features of malignancy of SPN

A

spiculated nodules

non-calcified nodules

associated mediastinal or lymph node masses

presence of cavitation

large nodules

36
Q
A

SPN

37
Q
A

SPN

38
Q
A

SPN: solitary pulmonary nodule

39
Q
A

Normal alveoli

40
Q
A

low V/Q

41
Q
A

low V/Q + shunt

42
Q
A

pulmonary edema

low V/Q and shunt

43
Q
A

interstitial lung disease

low V/Q

44
Q
A

pulmonary fibrosis

low V/Q and diffusion limitation

45
Q
A

AP view: supine

heart looks larger than it is

46
Q

AP or PA view?

A

right: PA upright
left: AP supine

47
Q
A

RUL

48
Q
A

RML

49
Q
A

RLL

50
Q
A

LUL

51
Q
A

LLL

52
Q

How does acinar/alveolar/airspace disease appear on xray?

A

dots

53
Q

How does interstitial disaese appear on xray?

A

lines in irregular weblike pattern

54
Q

radiologic signs of CHF

A

cephalization

cardiomegaly

perihilar infiltrates

peribronchial cuffing

R. pleural effusion

enlarged azygos vein

kerley B lines

55
Q
A
  1. Ascending aorta
  2. left pulmonary artery
  3. left mainstem bronchus
  4. Descending aorta
  5. esophagus
  6. right mainstem bronchus
  7. superior vena cava
56
Q

How do we diagnose SPN (solitary pulmonary nodule)?

A
  1. surgical excision
  2. transbronchial sampling in bronchoscopy
  3. trans throracic needle aspiration
  4. sputum cytology (low yield)
57
Q
A

edema: laying down and all flows to dorsal region: ARDS

cardiogenic edema would be nearly symmetrical and not all in the dorsal portion

58
Q
A

cardiogenic pulmonary edema: edema is uniform

ARDS would just be dorsal laying down

59
Q
A

COPD

arrows

  1. increased vascular markings
  2. hyperinfalated lung
  3. TEAR DROP shaped heart
  4. flat diaphragm
60
Q
A

bullous emphysema

61
Q
A

ground glass: early stage ILD

62
Q
A

reticular, nodular

reticulo-nodular

mid stage ILD

63
Q
A

end stage ILD

honeycomb

Pulm (11 decks)

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