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Tri 7 - Chest > Normal Radiographic Anatomy and Variants > Flashcards

Normal Radiographic Anatomy and Variants Flashcards

1
Q

have the patient _____ shoulders to get scapula off the chest in PA view

A

internally rotate

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2
Q

lateral view of the chest should have what side against the film

A

LEFT

gets rid of heart magnification

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3
Q

views of the chest should mostly been done upon ________

A

inspiration

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4
Q

count the ___ ribs to check for full inspiration of the film

A

RIGHT

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5
Q

how many ribs should be counted upon full inspiration of the patient

A

9.5-10.5 ribs

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6
Q

which mainstem bronchus has a sharper turn than the other

A

LEFT sharper than right

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7
Q

stuff may get caught in the ____ airway/bronchus due to ease of airway path down into it

A

RIGHT

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8
Q

what deviates the trachea

A

goiters

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9
Q

what is the only way to tell the diameter of the desc. aorta

A

CT

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10
Q

how can you tell if someone has a iodine allergy

A

if they are allergic to shellfish

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11
Q

non calcified objects in the chest are typically

A

malignant

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12
Q

calcified objects in the chest are typically

A

benign

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13
Q

which hemi diaphragm is higher than the other

A

RIGHT always higher than the left

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14
Q

plain film: R heart border is

A

R atrium

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15
Q

plain film: L heart border

A

L ventricle

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16
Q

if someone has sternoclavicular pain… what image should be performed

A

CT

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17
Q

which hilum of the lung is higher than the other

A

LEFT hilum higher than right (95%)

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18
Q

what would tell the clinician that a patient may have “hilar shift”

A

each hilum is at the same height

  • due to loss of volume in lower lobe
  • tumor in mediastinum most likely
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19
Q

what artery is found in the “hilums”

A

pulmonary artery of each side
R with R
L with L

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20
Q

what should the costophrenic angles look like in plain film

A

sharp and smooth

if not… order CT

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21
Q

if the lungs are radiolucent

A

air is in the lungs (black)

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22
Q

what are the round nodules in the hilum’s

A

where the vessels branch or turn

23
Q

important to check breast tissue in what plain film view

A

lateral view

24
Q

loss of normal heart border and lung interference due to pneumonia most likely

A

silhouette sign

25
Q

L side of the heart sits on the L ______

A

hemi diaphragm

26
Q

how shoulder the density of the thoracic spine change when viewing plain film lateral view

A

density should increase from inferior to superior
low density - inferior
high density - superior

27
Q

with cor pulmonale… which ventricle is typically enlarged

A

RIGHT ventricle filling in the retro sternal space

28
Q

what anatomical structure is just distal to the L ventricle

A

inferior vena cava

29
Q

distance from tube to film in PA view

A

6 feet (72 inch)

30
Q

distance from tube to film in AP view

A

40 inches

31
Q

which view is preferred for chest imaging

A

PA upon full inspiration

32
Q 
On the \_\_\_\_\_\_\_ there is
more equalization of the
pulmonary vasculature when
the size of the lower lobe
vessels are compared to the
upper
A

AP supine film

33
Q

helpful to assess the volume of pleural effusion and demonstrate whether a pleural effusion is mobile or loculated

A

Lateral Decubitus Position

34
Q

look at the nondependent hemithorax to confirm a pneumothorax in a patient who could not be examined erect

A

Lateral Decubitus Position

35
Q

what is done to accentuate a pneumothorax

A

expiration

36
Q

if pneumothorax, should the side affected be UP or DOWN upon plain film

A

pneumothorax UP

“air rises”

37
Q

fluid in pleural space

A

pleural effusion

38
Q

air in pleural space

A

pneumothorax

39
Q

when the phrenic nerve is terminated or not functioning well

A

unilateral diaphragmatic paralysis

40
Q

unilateral diaphragmatic paralysis: upon INSPIRATION
Normal:
Abnormal:

A

Normal hemi diaphragm: DOWN

Abnormal hemi diaphragm: UP

41
Q

unilateral diaphragmatic paralysis: upon EXPIRATION
Normal:
Abnormal:

A

Normal hemi diaphragm: UP

Abnormal hemi diaphragm: DOWN

42
Q

T/F: spontaneous pneumothorax usually resolve on their own

A

TRUE

43
Q

when the patient is instructed to lean their upper body back backward onto the film

A

lordotic view

44
Q

what cases are lordotic views recommended

A
  • Apical Disease
  • Right Middle Lobe disease
  • Lingular Lobe disease
45
Q

T/F: in PA plain film, thoracic disc space should barely be visible through the heart

A

TRUE

46
Q

T/F: in PA plain film, bronchovascular structures can be seen through the heart

A

TRUE

47
Q

what plain film views are recommended for rib fractures

A

oblique views

48
Q

T/F: in a lateral view, the thoracic spine should appear darker as you move caudally

A

TRUE

49
Q

what anatomical structure should be looked at to check for rotation in the film

A

head of clavicles and spinous processes

50
Q

what image type is best to see masses in the thoracic cavity

A

CT

51
Q

what are the three different mass areas in the thoracic cavity

A

intraparenchymal
pleural
extrapleural

52
Q

T/F: fissures communicate with the pleural space

A

TRUE

53
Q

what occupations are at greatest risk for malignant mesothelioma

A

ship workers and pipe fitters

- due to asbestos

54
Q

The diaphragm should be found at about the level of

the right ____ posterior rib

A

10th

Tri 7 - Chest (1 decks)

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