Radiologic Lung Anatomy Flashcards

1
Q

identify the trachea

A
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2
Q

identify the aorta

A
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3
Q

identify the pulmonary artery

A
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4
Q

identify the hila

A
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5
Q

What causes the trachea to be slightly deviated to the right?

A

the aorta pushes it in that direction

deviation in the opposite diraction is usually a sign of an abnormality such as a right aortic arch or mediastinal mass

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6
Q

carina

A

structure that marks the termination of the trachea where it divides into the right and left mainstem bronchi

the right mainstem bronchus is shorter and more vertically oriented than the longer, more horizontal left mainstem bronchus

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7
Q

structures of the pulmonary hila

A

bronchi, pulmonary arteries, pulmonary veins, and lymph nodes

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8
Q

Why is the left hilum normally slightly higher than the right hilum?

A

laterally, the left pumonary artery lies on top of the left mainstem bronchus

on the right, the pulmonary artery is anterior to the bronchus

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9
Q

radiologic findings of pulmonary hypertension

A

central pulmonary arties may dilate, which manifests as enlarged hila on the chest radiograph

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10
Q

radiologic findings of sarcoid

A

enlarged lymph nodes int he mediastinum and primary hila

right paratracheal region and hila are often enlarged on radiographs

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11
Q

silhouette sign

A

when two structures of the same density are next to each other, the boreders of that structure iwll not be visible

for instance, during infections the right middle lobe of the right lung can be infected and obscure the right heart border

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12
Q

anterior and posterior junction lines

A

where the lungs touch, representing four layers of pleura

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13
Q

hallmark of pneumothorax in a radiograph

A

tha ability to discretely visualize the visceral pleural line

in an upright patient, air collects at the apex of the hemithorax

in a supine patient, air usually collects int he anterior, inferior hemithorax

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14
Q

azygous fissure

A

a normal anatomic variant composed of 4 layers of pleura

caused by an arrest in migration of the azygous vein to the right tracheobronchial angle during development

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15
Q

secondary pulmonary lobule

A

smallest unit of the lung that has a connective tissue covering

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16
Q

right major (oblique) fissure

A

divides the upper and middle lobes from the lower lobe

17
Q

minor (horizontal) fissure

A

divides the right upper and middle lobes

18
Q

left major fissure

A

divides the upper and lower lobes

19
Q

empyema

A

loculated infection in the pleural space

fibrin deposition on the visceral and parietal pleura causes these surfaces to thicken

“split pleura” sign