Anatomy LE 3: Chest Radiograph

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Which ribs are angled?

Anterior ribs (correct)

Posterior ribs

Lateral ribs

Middle ribs

What should you count from top to bottom during rib fracture evaluation?

Vertebrae

Scapulae

Ribs (correct)

Clavicles

What is the main purpose of taking an apical lordotic view radiograph?

To visualize the diaphragm and gastric bubble

To visualize the upper portion of the lungs, unobstructed by ribs and clavicles (correct)

To evaluate the airway and instruments

To examine the cardiac silhouette and mediastinum

What should you evaluate aside from the ribs?

Clavicle, scapula, and thoracic spine Signup and view all the answers

Why are the ribs oriented horizontally in an apical lordotic radiograph?

Because the patient is asked to line up against the cassette Signup and view all the answers

What is the systematic approach to properly interpreting a chest radiograph?

ABCDEFGHIFI Signup and view all the answers

What is an indication of a fracture?

Overlapping of structures Signup and view all the answers

What is the location of the aortic arch and pulmonary artery?

Upper left border of the mediastinum Signup and view all the answers

In a posterior-anterior view, what is the blue line representing?

Right main bronchus Signup and view all the answers

What can be seen in the lateral view but not in the PA view?

Right ventricle Signup and view all the answers

What is the purpose of the yellow arrow in Figure 10?

To show the obstruction of the apical portion of the lungs Signup and view all the answers

What is the name of the bumps seen on the upper left border of the mediastinum?

The bumps Signup and view all the answers

What is the orange line representing in Figure 11?

The x-ray beam Signup and view all the answers

What is the importance of evaluating the thoracic spine?

To assess the overall thoracic anatomy Signup and view all the answers

What is the main advantage of taking an apical lordotic view over a posterior-anterior view?

Better visualization of the upper portion of the lungs Signup and view all the answers

In a normal chest radiograph, what is the main obstacle to visualizing the upper portion of the lungs?

The ribs and clavicles Signup and view all the answers

What is a sign of osteoporosis?

Metastatic lesions Signup and view all the answers

What is the systematic approach to interpreting a chest radiograph helpful for?

Properly interpreting the entire chest radiograph Signup and view all the answers

Which direction do X-ray beams enter and exit in a Postero-Anterior (PA) view?

Enter at the back and exit at the front Signup and view all the answers

In which type of patients is a Postero-Anterior (PA) view done?

Patients who can stand upright and walk Signup and view all the answers

What is the advantage of a Postero-Anterior (PA) view in terms of pulmonary vessels?

Better spread of pulmonary vessels Signup and view all the answers

How does the position of the heart (cardiac shadow) differ in a PA view compared to an AP view?

The heart is closer to the film in a PA view Signup and view all the answers

What type of chest x-ray is a Postero-Anterior (PA) view?

Standard chest x-ray Signup and view all the answers

What is the characteristic of the left hemidiaphragm in a lateral view?

It is abruptly cut off Signup and view all the answers

What is the position of the patient in an Antero-Posterior (AP) view?

Supine position Signup and view all the answers

What is the characteristic of the right side in a lateral view?

It is more magnified Signup and view all the answers

What is the usual type of chest x-ray done in bedridden or non-ambulatory patients?

Antero-Posterior (AP) view Signup and view all the answers

Why is the heart less magnified in an AP view?

Because the heart is closer to the film holder (cassette) Signup and view all the answers

What is the purpose of a lateral decubitus radiograph?

To detect small effusions or pneumothorax Signup and view all the answers

Why is the left lateral view better for visualizing a lesion in the left thorax?

Because the lesion is closer to the film holder (cassette) Signup and view all the answers

What is the purpose of an expiratory radiograph?

To detect focal or diffuse air trapping Signup and view all the answers

How is a lateral decubitus radiograph performed?

With the patient lying on the affected side Signup and view all the answers

What is marked on a lateral view radiograph?

The side of the patient against the film (R or L) Signup and view all the answers

What is visualized in an expiratory radiograph?

An area without any lung markings Signup and view all the answers

What is the benefit of an expiratory radiograph over a PA view?

It can detect focal or diffuse air trapping Signup and view all the answers

Why is the lung expected to collapse in an expiratory radiograph?

Because the patient expires completely Signup and view all the answers

What is the normal ratio of the width of the heart to the width of the thoracic cavity in the POSTEROANTERIOR view?

0.5 Signup and view all the answers

What is the name of the condition where the heart is pointed to the right?

Dextrocardia Signup and view all the answers

What is the term for fluid collections within the pleural cavity?

Pleural Effusion Signup and view all the answers

What is the term for the sharp angle formed by the costal and phrenic surfaces?

Costophrenic angle Signup and view all the answers

What is the condition where the heart is larger than normal?

Cardiomegaly Signup and view all the answers

In what view should the cardio-thoracic ratio not exceed 0.6?

ANTEROPOSTERIOR view Signup and view all the answers

What is the term for the reversal of the entire anatomical arrangement?

Situs Inversus Totalis Signup and view all the answers

What is the term for the angle formed by the costal and phrenic surfaces on a lateral view?

Costophrenic sulcus Signup and view all the answers

What is the feature of pleural effusion on a lateral view?

Obscuring the anterior and posterior costophrenic sulcus Signup and view all the answers