Geriatric Chest

Question 1

Why 72”?

Answer 1

1. reduce magnification of heart.
2. Better detail

Question 2

Why erect?

Answer 2

1. Air/fluid levels
2. Gravity pulls diaphragm down.
3. Prevent engorgement of pulmonary vessels.

Question 3

CR=

Answer 3

T7
3-4” below jug notch
7-8” below C7

Question 4

PA Anatomy EC

Answer 4

1. Both lungs from apices to a=costo angles.
2. Air-filled trach from T1 down.
3. Hilar region
4. Heart
5. Great vessels
6. Bony thorax

Question 5

PA Position EC

Answer 5

1. Chin not superimposing apices.
2. Shoulder rotation to prevent scapulae from being superimposed.
3. Both SC jts = distance from spine.
4. Distance from lat rib margins =
5. 10 post ribs above diaphragm.

Question 6

PA Exposure EC

Answer 6

1. No motion.
2. Vascular markings
3. Vertebrae visible through heart shadow

Question 7

Lateral CR

Answer 7

Midthorax
T7

Question 8

Lateral Anatomy EC

Answer 8

1. Entire lungs from apices to angles.
2. Sternum to post ribs.

Question 9

Lateral Position EC:

Answer 9

1. Chin & arms not superimposing.
2. No rotation.
3. Post ribs & cost angles on side away are 1’2” post due to divergent ray.
4. Hilar region in center.

Question 10

Lateral Exposure EC:

Answer 10

1. No motion.
2. Sharp outlines.
3. Long scale of contrast = rib outlines & lung markings through heart shadow & upper lung areas w/o overexposing other lung regions.

Question 11

R Lobes =

Answer 11

3 lobes

Question 12

R oblique fissure seperates

Answer 12

Upper & lower lobes

Question 13

R horizontal fissure seperates

Answer 13

Superior & middle lobes

Question 14

L lung lobes

Answer 14

2

Question 15

L lung fissure

Answer 15

oblique