RESP- CXR Flashcards
A- slight tracheal deviation to the left
B- thickened bronchial markings in the upper zones
C- dextrocardia, heart is pointing to the right rather than left
D- stomach gas bubble on the right side rather than left
E- nothing present
Situs Invertus with Bronchiectasis
Situs invertus as the heart and gastric bubbles are on the other side, thickened bronchial markings indicating bronchiectasis
A- No tracheal deviation, this is scoliosis
B- patchy consolidation in left middle and lower zones
C- Heart borders lost, cannot see cardiophrenic angle
D- Loss of costophrenic angle
E- none
Bronchiectasis
A- very slight deviation to the right
B- patchy lesion in all zones of right lung
C- normal heart borders
D- normal costophrenic angles
E- Endotracheal tube, Left subclavian line
Pneumonia
A- deviation to the right
B- complete opacity in the left lung, all zones
C- heart completely obscured
D- right costophrenic angle and hemidiaphragm normal, obscured on the left
E-none
Pneumonia
A- Slight left deviation of trachea
B- Hyperinflation, 10 posterior ribs
C- Normal heart borders
D- Flattened diaphragm, hyperinflation
E-nothing, circle in left upper zone is a necklace or something
COPD
A- Central trachea
B- Hyperinflated lugs, 10 or more ribs present
C- Heart borders present
D- Flattened hemidiaphragms
E- Object in the stomach
COPD
A- Tracheal deviation to the right side
B- Opacification in right upper and middle zones, fluid in right lower zone, right upper zone collapse
C- Cardiophrenic border present, heart very difficult to see
D- Costophrenic angle present on the left
E- ECG stickers
Pneumonia
AP
A- Complete deviation to the right side
B- Complete right lung collapse
C- Heart obscured, cardiophrenic angle present, mediastinal shift
D- Left costophrenic angle present, obscured on the right side
E- ECG stickers
Complete right lung collapse, as opposed to pneumonia as the trachea deviates to this side
A- Central trachea
B- Multiple lesions in all zones bilaterally
C- Heart obscured
D- Obscured
E- None
Multiple metastases
A- Central trachea
B- Complete opacification of left middle and lower zones, meniscus present
C- Completely obscured
D- Costophrenic angle present on the right and hemidiaphragm, completely obscured on the left
E- None
Pleural effusion
A- Central trachea
B- Multiple lesions in all zones bilaterally
C- Normal size, borders normal, slightly obscured
D- Obscured both sides
E- None
Miliary TB
Rifampicin
Isoniazid
Pyrazinamide
Ethambutol
Start with all for 2 months, continue with RI for further 4
A-Central trachea
B- Multiple lesions in all zones bilaterally
C- Distinctive heart borders, regular heart size
D- Normal hemidiaphragms either side, normal costophrenic angles
E- None
Multiple Lung Metastases
A- Deviated to the right
B- Large rounded mass in right upper zone, small opacities in right middle and lower zones
C- Aorta irregular, heart borders normal
D- Hemidiaphragm present, costophrenic angles fine
E- ECG stickers
Large lung cancer in the right upper zone
A- Tracheal deviation to the left
B- Extremely dark on the right, PTX, accumulation of air
C- Heart deviation
D- Cannot comment, not enough seen in CXR
E- None
Tension PTX
A- Tracheal deviation to the left
B- Extremely dark in entire right lung with right lung border defined , PTX
C-Borders present
D- Normal angles, compression of diaphragm on the right side
E- None
Tension PTX
A- Central, no deviation
B- Extremely dark right zones, can clearly
C- Normal borders and size
D- Normal either side
E- None
Simple PTX
A- Central, no deviation
B- Bilateral hilar masses, lesions in the left upper,middle and lower zones, right upper and middle zones
C- Cardiophrenic angle not visible
D- Very sharp costophrenic angles, left hemidiaphragm is blunt
E- None
Batwing sign, bilateral perihilar masses
Pneumomediastinum
Streaky linear lucencies parallel to mediastinum
Gas in neck and axillae
Potential oesophageal tear
Pleural plaques
Calcified bilatearlly at the lung edge and on top of diaphragm
Asbestos exposure
What is this?
Mesothelioma
Lung encased by tissue, due to asbestos exposure
A- Central, no deviation
B- Slight lesions bilaterally from lung hilar
C- Clear heart borders, normal size
D- Large bowel bubble on the left, air present under right hemidiaphragm
E- None
Bowel perforation- due to accumulation of bowel gas underneath the diaphragm
