Chest X-Ray Terminology and Treatment

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Questions and Answers

A patient presents with diffuse bilateral radiopacity on a chest X-ray. Which of the following conditions is most likely?

  • Pleural Effusion
  • Pulmonary Embolus
  • Pneumonia
  • ARDS or IRDS (correct)

Which of the following is the MOST appropriate initial treatment strategy for a patient diagnosed with pulmonary edema?

  • Heparin
  • Antibiotics
  • Antitubercular agents
  • Diuretics (correct)

A patient exhibits blunting of the costophrenic angle on a chest radiograph. This finding is MOST indicative of which condition?

  • Pneumonia
  • Atelectasis
  • Pulmonary Edema
  • Pleural Effusion (correct)

What radiological finding would MOST strongly suggest a diagnosis of tuberculosis?

<p>Cavity formation, especially in the upper lobes (C)</p> Signup and view all the answers

A patient's chest X-ray reveals scattered densities and thin-layered densities. Which of the following conditions is MOST likely?

<p>Atelectasis (D)</p> Signup and view all the answers

Which of these therapies is MOST likely to be used to manage ARDS or IRDS?

<p>Low VT or PIP (C)</p> Signup and view all the answers

A patient's chest X-ray demonstrates a peripheral wedge-shaped infiltrate. Which of the following diagnoses should be suspected?

<p>Pulmonary Embolus (C)</p> Signup and view all the answers

A chest X-ray shows increased density from consolidation and atelectasis alongside air bronchograms. Which condition is MOST likely?

<p>Pneumonia (B)</p> Signup and view all the answers

For which of the following conditions would heparin or streptokinase MOST likely be prescribed?

<p>Pulmonary Embolus (C)</p> Signup and view all the answers

Which of the following sets of terminology are MOST closely associated with pulmonary edema?

<p>Fluffy infiltrates, butterfly pattern, batwing pattern (C)</p> Signup and view all the answers

A patient's chest X-ray report describes an area of 'increased vascular markings.' Which of the following conditions is most likely associated with this finding?

<p>Congestive Heart Failure (CHF) (A)</p> Signup and view all the answers

Which of the following best describes the appearance of an 'infiltrate' on a chest radiograph?

<p>Any ill-defined radiodensity (C)</p> Signup and view all the answers

A chest X-ray reveals an area described as 'radiodense'. This finding suggests the presence of what?

<p>Primarily solid or fluid material (B)</p> Signup and view all the answers

In the context of chest radiography, what does the term 'hyperlucency' refer to?

<p>Extra pulmonary air (B)</p> Signup and view all the answers

A patient presents with a chest X-ray indicating 'diffuse' involvement. Which of the following is the MOST accurate interpretation of this finding?

<p>The abnormality is spread throughout. (A)</p> Signup and view all the answers

What pathological process is most likely to have occurred if a chest X-ray shows a consolidation in the lower right lobe?

<p>Alveoli filled with fluid or solid material. (C)</p> Signup and view all the answers

Which of the following pathological states is most likely indicated by 'radiodensity' on a chest X-ray

<p>Fluid accumulation in the lungs. (B)</p> Signup and view all the answers

What diagnosis is least likely to be associated with hyperlucency?

<p>Pneumonia/pleural effusion (C)</p> Signup and view all the answers

A chest X-ray indicates the presence of an opaque region. Considering the definitions, what underlying condition is MOST likely?

<p>Fluid or solid material filling the alveoli (D)</p> Signup and view all the answers

Which of the following conditions would least likely appear as 'radiodense' on a chest X-ray?

<p>Normal lung function (B)</p> Signup and view all the answers

Flashcards

Pulmonary Edema

Diffuse whiteness or infiltrate in the shape of a butterfly in both lungs.

Atelectasis (radiology)

Patchy or platelike infiltrates causing scattered or thin-layered densities in the lungs.

ARDS or IRDS

Ground glass or honeycomb appearance with diffuse bilateral radiopacity.

Pleural Effusion

Fluid level on affected side with blunting/obliteration of costophrenic angle.

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Pneumonia (radiology)

Increased density from consolidation or atelectasis.

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Pulmonary Embolus

A peripheral wedge-shaped infiltrate in the lung.

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Tuberculosis (radiology)

Cavity formation, often in the upper lobes of the lungs.

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Pulmonary Edema treatment

Medications like diuretics, digitalis and digoxin that helps to strengthen the heart.

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Atelectasis treatment

Lung expansion therapy like SMI/IS, IPPB, CPAP and PEEP.

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ARDS or IRDS treatments

Low VT or PIP used to reduce lung damage, CPAP to recruit alveoli and lung and PEEP to reduce shunting

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Radiolucent

Dark pattern indicating the presence of air; this is normal in the lungs.

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Radiodense/opacity

White pattern indicating solid or fluid; this is normal for bones and organs.

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Infiltrate

Any ill-defined radiodensity, associated with atelectasis.

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Consolidation

Solid white area, often indicating pneumonia or pleural effusion.

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Hyperlucency

Extra pulmonary air, possibly indicating COPD, asthma attack, or pneumothorax.

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Vascular markings

An increase due to fluid overload, present with CHF, absent with pneumothorax.

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Diffuse

Spread throughout, seen in atelectasis or pneumonia.

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Opaque

Fluid or solid, indicating consolidation.

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Study Notes

Diagnostic Descriptions and Interpretation

Pulmonary Edema

  • Terminology includes fluffy infiltrates, butterfly pattern, and batwing pattern.
  • Described as diffuse whiteness or an infiltrate in the shape of a butterfly.
  • Treated with diuretics, digitalis, and digoxin to strengthen the heart.

Atelectasis

  • Terminology includes patchy infiltrates, platelike infiltrates, crowded pulmonary vessels, and crowded air bronchograms.
  • Described as scattered densities or thin-layered densities.
  • Treated with Lung Expansion Therapy, including SMI/IS, IPPB, CPAP, and PEEP.

ARDS or IRDS

  • Terminology includes ground glass appearance, honeycomb pattern, and diffuse bilateral radiopacity all over both lungs.
  • Described as reticulogranular or reticulonodular.
  • Treated with oxygen, low VT or PIP, CPAP to recruit lung alveoli, and PEEP to reduce shunting.

Pleural Effusion

  • Fluid outside lungs.
  • Terminology includes blunting/obliteration of costophrenic angle, basilar infiltrates with meniscus, and concave superior interface/border.
  • Described as fluid level on affected side and possible mediastinal shift to unaffected side.
  • Treated with thoracentesis, chest tube, antibiotics, and steroids.

Pneumonia

  • Terminology includes air bronchogram.
  • Increased density from consolidation and atelectasis.
  • Treated with antibiotics.

Pulmonary Embolus

  • Terminology includes peripheral wedge-shaped infiltrate.
  • May be normal.
  • Treated with Heparin to prevent clots from forming and Streptokinase to also break down clots for emergency use.

Tuberculosis

  • Terminology includes cavity formation often in upper lobes of lungs.
  • Treated with antitubercular agents.

Radiology Terminology and Interpretation

Radiolucent

  • Described as a dark pattern indicating air.
  • Appears normal in lungs.

Radiodense/Opacity

  • Described as a white pattern indicating solid or fluid.
  • Appears normal for bones and organs.

Infiltrate

  • Described as any ill-defined radiodensity, potentially worse than an infiltrate.
  • Associated with atelectasis.

Consolidation

  • Solid white area.
  • Associated with pneumonia or pleural effusion; may have hyperlucency at times.

Hyperlucency

  • Indicates extra pulmonary air.
  • Associated with COPD, asthma attack, or pneumothorax.

Vascular Markings

  • Involving lymphatics, vessels, and lung tissue.
  • Increased with congestive heart failure (CHF) and absent with pneumothorax due to increased fluid overload.

Diffuse

  • Spread throughout.
  • Associated with atelectasis or pneumonia.

Opaque

  • Fluid or solid.
  • Indicates consolidation.

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