chest radiology quiz

31
Normal Chest Radiology Normal Chest Radiology A Quiz Based Review A Quiz Based Review Ver. 1.0 Ver. 1.0 For Undergraduate Medical For Undergraduate Medical Students Students Click Here to Start

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Page 1: Chest radiology quiz

Normal Chest Radiology Normal Chest Radiology A Quiz Based ReviewA Quiz Based Review

Ver. 1.0Ver. 1.0

For Undergraduate Medical For Undergraduate Medical StudentsStudents

Click Here to Start

Page 2: Chest radiology quiz

Radiological Anatomy Review

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Page 3: Chest radiology quiz

Mention The name of the Structure pointed out by the arrow

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Page 4: Chest radiology quiz

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Mention The name of the Structure pointed out by the arrow

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Mention The name of the Structure pointed out by the arrow

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Page 6: Chest radiology quiz

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Mention The name of the Structure pointed out by the arrow

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Page 7: Chest radiology quiz

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Mention The name of the Structure pointed out by the arrow

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Page 8: Chest radiology quiz

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Mention The name of the Structure pointed out by the arrow

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Page 9: Chest radiology quiz

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Mention The name of the Structure pointed out by the arrow

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Page 10: Chest radiology quiz

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Mention The name of the Structure pointed out by the arrow

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Page 11: Chest radiology quiz

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Mention The name of the Structure pointed out by the arrow

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Page 12: Chest radiology quiz

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Mention The name of the Structure pointed out by the arrow

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Page 13: Chest radiology quiz

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Mention The name of the Structure pointed out by the arrow

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Page 14: Chest radiology quiz

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Mention The name of the Structure pointed out by the arrow

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Page 15: Chest radiology quiz
Page 16: Chest radiology quiz

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• The TracheaThe Trachea

• Normally the upper part is Central in position then it becomes slightly deviated to the right.

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Check for:Check for:-Displacement (Mediastinal shift)-Narrowing-Intraluminal Lesions

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• The Heart & MediastinumThe Heart & Mediastinum

• Normal heart (refer to cardiac imaging section)

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Check for:Check for:- Cardiac size- Any abnormal densities- Fluid levels- Calcifications- Spinal Abnormalities

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• The Diaphragm:The Diaphragm:• Usually the right hemidiaphragm

is higher than the left.• On inspiration the level of the

diaphragm is at (6th Rib anteriorly or below the 10th posteriorly)

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Check for:Check for:-Loss of outline (adjacent pathology)-Look under the diaphragm (Intraperitoneal air)-Level of the diaphragm (Abnormal elevation or depression)

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Page 19: Chest radiology quiz

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• The Costophernic Angles:The Costophernic Angles:• Normally they are acute

and well defined.

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Check for:Check for:-Obliteration (Fluid accumulation)

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• The Lung Fields:The Lung Fields:• Both lung fields must be

examined and compared to each other.

• On PA views the lung fields could be divided in to 3 zones

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-Upper (Apex - 2nd rib) - Middle (2nd rib – 4th Rib)– Lower (4th Rib down) *(Mistake to define a lung lobes on basis of PA view only you must have a Lateral film)

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Page 21: Chest radiology quiz

• The Lung Fields:The Lung Fields:• Check for:

– Abnormal Shadows or opacities.– Abnormal Areas of translucency.– Abnormal distribution of lung markings

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Upper Zone

Middle Zone

Lower Zone

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Page 22: Chest radiology quiz

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Diagram illustrating the approximate positions of the pulmonary segments as seen on the PA & Lateral radiographs

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Page 23: Chest radiology quiz

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• The Lung Apices:The Lung Apices:• The lung apices are

partially obscured on PA views by the ribs, costal cartilages, clavicles and soft tissues. (Considered one of the hidden areas in chest)

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Check for:Check for:-Apical Shadowing (Normal in 7% of patients due to pleural thickening)

-More Important: It’s the site for certain pathology:-T.B. -Fungal Infections-PANCOAST TUMOUR

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• The Lung Hila:The Lung Hila:• Normally the left is higher

than the right by 2.5 cm.• Both must be equal in

density and similar in size with clearly defined concave lateral borders.

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•(Considered one of the hidden areas in chest)

Check for:Check for:-Hilar position, Size and density

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• The Gastric Air bubble: The Gastric Air bubble: Checking the below the Checking the below the diaphragm areadiaphragm area

• (Considered one of the hidden areas in chest)

• Normally seen under the left hemidiaphragm

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Check for:Check for:-Any other abnormal gas shadow (Free intrperitoneal air – abcess – dilated bowel).-Displaced gastric bubble.-Calcified lesions.

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• The Breast Shadows: The Breast Shadows: Checking the soft tissue Checking the soft tissue shadows of the chestshadows of the chest

• Breast shadows may obscure the costophernic angles.

• Nipple shadows may be seen and resemble a pulmonary lesion.

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• Skin folds may overly the lung fields and resemble pathology.

Check for:Check for:-Absent breast shadow (Mastectomy)-Any normal skin shadow which may give impression of a pathology.

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• The Ribs: The Ribs: Bony ChestBony Chest

• Check for:Check for:-Extra Number

(Cervical rib)-Destruction.-Rib notching.

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Page 28: Chest radiology quiz

How to count Ribs

1

2

3

4

5

6

7

Now you Now you try try

counting counting the rest of the rest of

them!!!them!!!

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Page 29: Chest radiology quiz

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• The Clavicles: The Clavicles: Bony Bony ChestChest

• Check for:Check for:-Destruction.-Erosion.

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• The Scapula and The Scapula and Humeral Heads:Humeral Heads:

• Both scapula must be projected away from the chest during taking the chest X-ray (Technical consideration)

• Check for:Check for:-Destruction.-Osteolytic lesions

(metastasis).

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Page 31: Chest radiology quiz

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