Thoracic Imaging

Question 1

What is the standard way to X RAY?

Answer 1

Question 2

Systematic Approach to Reviewing an XRAY

Answer 2

Check the patients’ details!

Assess the quality of the image: ARIEA
Anatomical Inclusion
Rotation / Position
Inspiration
Exposure
Artifacts

Assess the image: ABCDE
Airway
Breathing
Cardiac
Diaphragm
Everything else

Question 3

Condition where azygous vein invaginates into the parenchyma of the lung. Present in ~1% of the population

Answer 3

The Azygous Lobe

Question 4

Usually following injury to the chest wall (e.g. stab)

Loss of negative intrathoracic pressure, air rushes into the pleural space.

Ipsilateral lung collapses (atelectasis) as no negative pressure to keep it inflated

Answer 4

Pneumothorax

Question 5

Air trapped in pleural space under positive pressure triggering mediastinal shift

Answer 5

Tension Pneumothorax

Question 6

Abnormal collection of fluid in the right pleural space leading to obliteration of right costophrenic angle and exhibiting a meniscus.

Answer 6

Pleural Effusion

Question 7

Pulmonary Oedema vs. Pleural Effusion

Answer 7

Pulmonary edema: fluid build up in alveoli due to congestive heart disease

Pleural effusion: fluid build up in pleura

Question 8

Pathological enlargement of the heart (more than half of wdith of the chest cavity)

Answer 8

Cardiomegaly

Question 9

What are Kerley Lines signs of?

Answer 9

Signs of congestive hear failure