Interpreting Chest X-Ray for Bone Fractures and Lung Conditions
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Questions and Answers

In which chest X-Ray view is the diaphragm ideally seen at the level of the 8th – 10th posterior rib or 5th – 6th anterior rib?

PA view

Which chest X-Ray view consists of both a PA and lateral X-Ray?

Standard chest X-Ray

In the lateral chest X-Ray view, which chest should be against the cassette?

Left chest

In the AP view, what structures are magnified due to anterior structures, mainly the sternum?

<p>Heart and mediastinal shadow</p> Signup and view all the answers

When are supine views of the chest X-Ray less useful and should be reserved for critical patients?

<p>When patients cannot stand in an erect position</p> Signup and view all the answers

In chest X-Ray exposure/penetration, ideally, what structures should be visible?

<p>Heart, blood vessels, and intervertebral spaces</p> Signup and view all the answers

What should be visible on an AP chest X-Ray view according to the 'ABCDEF' analysis?

<p>Airways, Bones, Cardiac, Diaphragm, Extrathoracic tissues, Fields and Fissures</p> Signup and view all the answers

Why is it important to check for the deviation of the trachea away from the midline on a chest X-Ray?

<p>Introduction of air into one side of the chest cavity can cause lung collapse, pushing the trachea to the opposite side, leading to a visible deviation.</p> Signup and view all the answers

What does an underexposed PA X-Ray film make it difficult to appreciate?

<p>Thoracic vertebras</p> Signup and view all the answers

What is the consequence of overexposure on a PA X-Ray film in terms of bone structures?

<p>Details of bone structures will be lost</p> Signup and view all the answers

How should the interpretation of a chest X-Ray be approached?

<p>Systematically, following the 'ABCDEF' analysis</p> Signup and view all the answers

What structures are classified as the upper airway on a chest X-Ray?

<p>Trachea, carina, and both main bronchi</p> Signup and view all the answers

What is the purpose of looking for ribs and clavicle fractures in a chest X-Ray?

<p>To assess for fractures</p> Signup and view all the answers

How can rib fractures be identified on a chest X-Ray?

<p>By following each rib across its length</p> Signup and view all the answers

What causes hyperinflated lungs on a chest X-Ray?

<p>Chronic obstructive pulmonary disease (COPD)</p> Signup and view all the answers

How can the number of visible ribs on a chest X-Ray be affected?

<p>By overinflation of the lungs</p> Signup and view all the answers

What does it indicate if the heart base is wider than 1/2 the total width of the diaphragm on a chest X-Ray?

<p>Cardiomegaly or pericardial effusion</p> Signup and view all the answers

Where should the silhouette of the heart be identified on a chest X-Ray?

<p>In the cardiac part of the X-Ray</p> Signup and view all the answers

What are the borders of the 'Aortopulmonary Window'?

<p>Ascending aortic arch (anterior), descending aortic arch (posterior), left pulmonary artery (inferior), inferior border of aortic arch (superior).</p> Signup and view all the answers

What is the significance of a 'concave' lateral border in the Aortopulmonary Window?

<p>If the lateral border is not concave, it may indicate mediastinal lymphadenopathy and aorta/pulmonary artery aneurysms.</p> Signup and view all the answers

Where should the hilar point be located in relation to the ribs?

<p>The hilar point should be at the level of the lateral extent of the right 6th rib.</p> Signup and view all the answers

What is the expected position of the right hemidiaphragm compared to the left on a chest X-ray?

<p>The right hemidiaphragm should be higher than the left.</p> Signup and view all the answers

What structures should be visible behind the heart in a chest X-ray?

<p>Spine, paraspinal region, and azygoesophageal line.</p> Signup and view all the answers

What is the maximum width of the mediastinum in an ideal PA chest X-ray?

<p>6 cm</p> Signup and view all the answers

What specific areas of the lung should you pay attention to when checking for infiltrates?

<p>Apices</p> Signup and view all the answers

What should be almost invisible at the lung periphery on a chest X-ray?

<p>Vessels</p> Signup and view all the answers

What are some hidden areas in the chest that need special attention during evaluation?

<p>Apical zones, hilar zones, retrocardial zone, zone below the dome of diaphragm</p> Signup and view all the answers

What is the most common primary anterior mediastinal mass?

<p>Thymoma</p> Signup and view all the answers

What is the diagnosis in the case of an anterior mediastinal mass with findings of nodular sclerosing Hodgkin's lymphoma?

<p>Nodular Sclerosing Hodgkin’s Lymphoma</p> Signup and view all the answers

Name two patterns of infiltration to identify when checking for infiltrates in the lung fields.

<p>Interstitial or alveolar pattern</p> Signup and view all the answers

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