Radiology Flashcards
Listed below are the sections of the ‘clock face analogy’ used when viewing the heart in VD/DV recumbency radiographs, give the pertinent anatomy.
- 11:00-1:00
- 1:00-2:00
- 2:00-3:00
- 2:00-5:00
- 5:00-9:00
- 9:00-11:00
- 11:00-1:00 (Aorta)
- 1:00-2:00 (Pulmonary trunk)
- 2:00-3:00 (Left auricle)
- 2:00-5:00 (Left ventricle)
- 5:00-9:00 (Right ventricle)
- 9:00-11:00 (Right atrium)
(T/F) Expiration can make the heart look enlarged due to decreased overall volume of the thorax.
True
(T/F) Radiographs are best for more severe cardiac abnormalities and other modalities would be better for subtle abnormalities.
True
Enlargement of what chamber of the heart would be indicated if you saw enlargement of the dorsocaudal border on a lateral view?
Left atrium
What direction deviation of the entire trachea would occur with enlargement of the left atrium?
Dorsal deviation
Left atrial enlargement may produce increased opacity at what location of the heart on a VD/DV radiograph?
Base of the heart
The enlargement of the left ventricle is typically combined with left atrial enlargement, this gives the heart what appearance?
‘Tall heart’; caudal heart border is elongated and upright
Besides increased width of the heart and elevation of trachea in severe cases, what else is indicative of right heart enlargement on a lateral radiograph that may be normal in brachycephalic breeds?
Increased sternal contact
The reserve ‘D’ appearance that can indicate right heart enlargement can be viewed on what radiograph recumbency?
VD/DV
(T/F) Pulmonary trunk enlargement is not routinely seen on lateral recumbency radiographs
True
Give the clock times (‘clock face analogy’) in which you would see pulmonary trunk enlargement on a VD/DV radiograph?
1:00-2:00
Give some examples of abnormalities (3 to be exact) that can cause generalized cardiomegaly.
Severe pericardial effusion, combined right/left heart enlargement, and pericardial-peritoneal diaphragmatic hernias
You take a lateral thoracic radiograph on a feline patient and see increased length of the heart and slight bulging of the cranial cardiac silhouette:
- Would the outward appearance of the left ventricle be abnormal?
No, abnormalities are inside
You take a lateral thoracic radiograph on a feline patient and see increased length of the heart and slight bulging of the cranial cardiac silhouette:
- These abnormalities would primarily be due to the enlargement of what chamber of the heart?
Left atrium
You take a lateral thoracic radiograph on a feline patient and see increased length of the heart and slight bulging of the cranial cardiac silhouette:
- When you take a VD recumbency radiograph, would you expect the apex of the heart to be affected?
No, normal apex is maintained