Radiography pictures - Chest XRay Flashcards
AP or PA?
AP
AP or PA?
PA
AP or PA?
PA
What view?
Lateral chest
Rotated?
Yes, clavicle is rotated and PT isn’t in perfect anatomical position
Rotated?
Yes, notice the gap on the left vs right.
Rotated?
Yes. Look at the sternal-clavicular joint spaces. Should be equal.
Rotated
Yes, this is rotated
Inspired sufficiently?
Inspired OK. Can count 9 ribs. Ideally 10.
Inspired sufficiently?
Can only count 8 ribs. Not well inspired.
Penetration OK?
No. Underpenetrated. Can’t clearly see thoracic spinal vertebrae by clavicles or vertebrae in mediastinum of CFAs
Penetration OK?
Overpenetration. Should not be able to see as much detail in a chest X-ray.
Good Cardiothoracic Ratio?
Yes. Sum of A+B should be less than C.
Which lobe?
Right Upper Lobe (RUL)
Which lobe?
Right Middle Lobe (RML)
Which lobe?
Right Lower Lobe (RLL)
Which lobe?
Left upper lobe (LUL) with Lingula
Which lobe?
Left Lower Lobe (LLL)
What “special area” of the lungs?
Lingula
Assessment?
Rotated? A little bit. Inspiration? 10 ribs. Good. Penetration? Can see spinal vertebrae in upper mediastinum. Good. Can trace diaphragm on R but not left side. There is an infiltrate on L side and cannot see heart borders. Notice parenchyma with fluffy/ cotton candy. If young PT then likely pneumonia, if older than likely CHF. “Alveolar Pattern”
Assessment?
Rotation? Good. Inspiration? 10 ribs. Good. Penetration? Lacy in parenchyma (interstitial). “Interstitial Pattern”. White stuff over lungs is the vasculature. Common picture for CHF patient retaining fluid. Need lasix.
Assessment?
Rotation? OK. Inspiration? 10+ too good. Penetration? Can clearly see vertebrae on top and bottom. OVER PENETRATED! Can see too clearly. “Vascular Pattern”
Assessment?
Rotation? OK Inspiration? OK Penetration? OK. Right Upper Lobe is filled with fluid. Likely pneumonia. “Consolidation”
Assessment?
Rotation? Maybe a bit. Inspiration? 10 ribs. Penetration? OK. Left side lower lobe looks weird. If cannot see heart border then likely lingular infiltrate. A lower lobe infiltrate usually lets you see the heart. “Consolidation”
Assessment?
Atelectasis, loss of lung volume.
Assessment?
Atelectasis at arrows. Penetrated? Under. Makes the atelectasis more prominent.
Assessment?
Congestive Heart Failure. Very enlarged heart. Under penetrated film, difficult to determine actual heart size. Large hila with indistinct markings, fluid in interlobar fissures, pleural effusions, alveolar edema
Assessment?
Rotated? No Penetration? Good Inspiration? 9 ribs, good. Aveolar pattern (white, fluffy, cottony pattern). Something likely in lungs. Kerley B Lines (Interstitial edema)=Fluid collection at minor fissures of lungs. Looks like little dashes out near CFAs. Cardiomegaly, dilated prominent upper lobe vessels, pleural effusion.
Assessment?
Heart failure. Female. Kerley B linesLittle dashes near CFAs. PT has cariomegaly. Get an echo.
What are these lines?
Kelrley B lines (Interstitial edema). Fluid collection at minor fissures of lungs. Looks like little dashes out near CFAs. Pathoneumonic for heart failure.
Assessment?
Rotation? No. Inspiration? 10 ribs, good. Penetration? Over. External structures. Corocoid process sticking out. Ribs. Pleura is gone, only seeing air and no water or fat. 5th intercostal space mid clavicle line to decompress.
Assessment?
PT’s left side. Cannot clearly see heart which implies a problem in the lingular part of lung. Cannot see CFA. If can’t see “double bubble” then bad. Pleural effusion.
Assessment?
Look at lung parenchyma. Looks OK. Look at lung tissue. Notice the circle, not normal. Density similar to bone. Possibly calcium deposit, possibly TB. Try to find an old X-ray to compare to.
Assessment?
Rotation? Good. Inspiration? 8-9. Penetration? Don’t see discs so under. Air fluid level. Very dense, possibly blood. Must do needle aspiration.
Assessment?
Rotation? Maybe mildly. Inspiration? Good Penetration? Good. Extra-thoracic structures? Good. Lung tissue? Aveolar. Common presentation in TB.
Assessment?
Rotated? Maybe? Inspiration? Can’t see many ribs. Penetration? Looks poor, over(?). Very large heart. CHF, Kerley b lines
Assessment?
Rotation? Yes Inspiration? OK. Penetration: Overpenetration. Can see thoracic vertebrae too clearly. External structures: ok Pleura:ok Parenchyma: ok. Look at top left apex of left lung there is something in the soft tissue. There is only one Breast, PT has had mastectomy.
Assessment?
Rotation? OK. Inspiration? Ok. Penetration? Little over, causing to undercall
Diaphragm? External structures?ok Ribs? Nothing obvious
Pleura?ok Lung tissue start from apicies. Left middle. Not metal, not bone, something fluidly or fat. Turned out to be a lung mass.
Assessment?
Rotation? Slightly but OK Inspiration? Good Penetration? Good Diaphragm? Good CFAs? Good
Ext Structures? Good. Pleura? Tough to tell but top left. Left upper lung pneumothorax!
Assessment?
Pneumothorax
