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
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
