NPS- CXR terminology and interpretation

Question 1

Terminology

reticulogranular densities, ground glass appearance, honeycomb pattern, and air bronchograms

Answer 1

DX: Infant respiratory distress syndrome

Question 2

Terminology

air trapping and sponge like appearance

Answer 2

DX:

BPD (bronchopulmonary displasia)

Question 3

Terminology

patchy infiltrates, plate-like densities, crowding of ribs, elevated hemidiaphragnm

Answer 3

DX:

Atelectasis

Question 4

If an NG is placed and enters the abdomen and passes back above the diaphragm… what does this indicate?

Answer 4

CDH
congenital diaphragmatic hernia

Question 5

Terminology-

air bronchograms and consolidation

Answer 5

DX- PNA

Question 6

Terminology

Hyperlucency, flattened diaphragm on the affected side, & medicinal shift away from the affected side

Answer 6

DX: pneumothorax

Question 7

Terminology

irregular bubbles radiating outward from hilium

Answer 7

Dx: PIE - pulmonary interstitial emphysema

Question 8

Terminology-

hyperlucency (dark area) in a ring around the heart or under the inferior heart border

Answer 8

Dx;

pneumopericardium

Question 9

Terminology-

Basilar infiltrates with meniscus, blunting, or obliteration of costophrenic angle

Answer 9

Dx: Pleural effusion

Question 10

Terminology-

fluffy infiltrates or batwing pattern

Answer 10

Dx:

pulmonary edema

Question 11

Terminology:

silhouette sign

Answer 11

Dx:
RLL PNA

Question 12

Terminology:

Sail sign, spinnaker sail sign

Answer 12

Dx:

Pnuemomediastinum

Question 13

Terminology:

Boot-shaped heart

NEED TO KNOW

Answer 13

Dx:

Tetralogy of Fallot (TOF)

Question 14

Terminilogy:

Egg-shaped heart

NEED TO KNOW

Answer 14

Dx:

Transposition of great vessels (TGV)

Question 15

Terminology:

Snowman-shaped heart

NEED TO KNOW

Answer 15

Dx:

Total Anomalous Pulmonary Venous Return (TAPVR)

Question 16

When would you ask to do a CXR with inspiratory and expiratory films?

Answer 16

Foreign body aspiration

Question 17

When would you ask to do an end- expiratory film?

Answer 17

When you anticipate a small PTX?

Question 18

When would you ask for a lateral neck film?

Answer 18

when croup or epiglottits is suspected