Introduction to Chest Radiography

Jodie Huffstetler

AET/545

February 27, 2012

Sarah Celmer

Notes: This slide introduces the learner to the proper way to navigate through the web-based tutorial. Text and images of the navigation buttons are included on the slide. The color scheme is blue, black, and white. The font is Calibri size 44 and Arial size 28 and 20.

To advance to the next slide, the learner will click the “Arrow” button located on the lower right side of screen.

To navigate through the web-based tutorial, please use the navigation buttons provided at the bottom right of the page.

This button takes you to the beginning of the tutorial.

This button takes you to the previous page.

This button takes you to the next page.

This button takes you back to the original slide.

Instructional Goal:

•The Introduction to Chest Radiography web-based tutorial will enable the student to apply knowledge and skill to identify and label the anatomy and possible pathologies of the thorax.

Performance-Based Goals:

1.At the end of the web-based tutorial, the students will be able to identify thorax anatomy with 95% accuracy on a written examination.2.At the end of the web-based tutorial, the students will be able to identify the location of the anatomy of the thorax on a diagram with 95% accuracy on a written examination.3.At the end of the web-based tutorial, the students will be able to identify pathology of the thorax with 90% accuracy on a written examination.

Introduction to Chest Radiography

Thorax Anatomy Click HERE

Label the Thorax Click HERE

PathologyClick HERE

Identification of thorax anatomy is essential for the successful learning of the elements associated with chest radiography. This lesson will identify anatomy of the thorax and provide a definition of each anatomical term.

Labeling the correct location of thorax anatomy on a radiograph is required to demonstrate full knowledge of the anatomical parts associated with chest radiography. This lesson will identify the proper location of essential anatomy within the chest.

Understanding and identifying pathological conditions within the thorax is very important. This lesson will define and identify three pathologies associated with the thorax.

To navigate through the tutorial, click on the icons you wish to explore.

PracticeClick HERE

This lesson allows you to practice your knowledge and skill of chest radiography.

NEXT

CLAVICLE

SCAPULA

4TH RIB

8TH RIB

COSTOPHRENIC ANGLE

LUNGBASE

AORTICARCH

LUNGAPEX

HEART

HILUM

TRACHEA

Collarbone; Long bone between the scapula and the sternum.

CLAVICLEClavicle

NEXT

CLAVICLE

SCAPULA

4TH RIB

8TH RIB

COSTOPHRENIC ANGLE

LUNGBASE

AORTICARCH

LUNGAPEX

HEART

HILUM

TRACHEA

Scapula

Shoulder blade; connects humerus with the clavicle.

SCAPULA

NEXT

CLAVICLE

SCAPULA

4TH RIB

8TH RIB

COSTOPHRENIC ANGLE

LUNGBASE

AORTICARCH

LUNGAPEX

HEART

HILUM

TRACHEA

4th Rib

True rib

4TH RIB

NEXT

CLAVICLE

SCAPULA

4TH RIB

8TH RIB

COSTOPHRENIC ANGLE

LUNGBASE

AORTICARCH

LUNGAPEX

HEART

HILUM

TRACHEA

8th Rib

False rib

8TH RIB

NEXT

CLAVICLE

SCAPULA

4TH RIB

8TH RIB

COSTOPHRENIC ANGLE

LUNGBASE

AORTICARCH

LUNGAPEX

HEART

HILUM

TRACHEA

Costophrenic Angle

Where the diaphragm meets the ribs.

COSTOPHRENIC ANGLE

NEXT

CLAVICLE

SCAPULA

4TH RIB

8TH RIB

COSTOPHRENIC ANGLE

LUNGBASE

AORTICARCH

LUNGAPEX

HEART

HILUM

TRACHEA

Lung Apex

Rounded upper part of human lung.

LUNGAPEX

NEXT

CLAVICLE

SCAPULA

4TH RIB

8TH RIB

COSTOPHRENIC ANGLE

LUNGBASE

AORTICARCH

LUNGAPEX

HEART

HILUM

TRACHEA

Trachea

Windpipe; Allows for the passage of air.

TRACHEA

NEXT

CLAVICLE

SCAPULA

4TH RIB

8TH RIB

COSTOPHRENIC ANGLE

LUNGBASE

AORTICARCH

LUNGAPEX

HEART

HILUM

TRACHEA

Largest artery in the body and extends upward from the heart.

AORTICARCH

Aortic Arch

NEXT

CLAVICLE

SCAPULA

4TH RIB

8TH RIB

COSTOPHRENIC ANGLE

LUNGBASE

AORTICARCH

LUNGAPEX

HEART

HILUM

TRACHEA

Hilum

Part of the heart where blood vessels and arteries enter and exit the viscus.

HILUM

NEXT

CLAVICLE

SCAPULA

4TH RIB

8TH RIB

COSTOPHRENIC ANGLE

LUNGBASE

AORTICARCH

LUNGAPEX

HEART

HILUM

TRACHEA

Heart

Cardiac muscle; Vital organ

that pumps blood through the cardiovascular system.

HEART

NEXT

CLAVICLE

SCAPULA

4TH RIB

8TH RIB

COSTOPHRENIC ANGLE

LUNGBASE

AORTICARCH

LUNGAPEX

HEART

HILUM

TRACHEA

Lung Base

Inferior part of the human lung.

LUNGBASE

ClavicleScapula4th Rib8th RibCostophrenic AngleLung ApexAortic ArchHilumHeartLung BaseTrachea

T

Identify the location of specific anatomy in the thorax. To view the location of the anatomy, click on the blue box next to the word to properly label the thorax.

Scapula4th Rib8th RibCostophrenic AngleLung ApexAortic ArchHilumHeartLung BaseTrachea

T

Clavicle

Click the box next to “scapula”.

4th Rib8th RibCostophrenic AngleLung ApexAortic ArchHilumHeartLung BaseTrachea

T

Scapula

Click on the box next to “4th rib”.

8th RibCostophrenic AngleLung ApexAortic ArchHilumHeartLung BaseTrachea

T 4th Rib

To illustrate the proper placement of the 8th rib, click the box next to “8th rib”.

Costophrenic AngleLung ApexAortic ArchHilumHeartLung BaseTrachea

T8th Rib

Click the box next to “costophrenic angle”.

Lung ApexAortic ArchHilumHeartLung BaseTrachea T

Costophrenic Angle

Next, click on the box next to “lung apex”.

Aortic ArchHilumHeartLung BaseTrachea

T

Lung Apex

To demonstrate the aortic arch, you will click on the box next to “Aortic Arch”.

HilumHeartLung BaseTrachea

T

Aortic Arch

Now, you will click on the box next to “hilum”.

HeartLung BaseTrachea T

Hilum

Now, click on the box next to “heart”.

Lung BaseTrachea T Heart

Click on the box next to the words “lung base”.

Trachea

T

Lung Base

Finally, click on the box next to the word “trachea”.

T

Trachea

Great job! You have completed the labeling portion of the thorax!

Pneumonia PneumothoraxPleural Effusion

Common pathologies of the thorax pertinent to radiography are pleural effusion, pneumonia, and pneumothorax. Click on the links below to learn more about each pathological condition and how each are presented on a chest radiograph.

A pleural effusion is a buildup of fluid between the layers of tissue that line the lungs and chest cavity.

To visualize a pleural effusion on a radiograph, click here.

The circled area on the chest radiograph illustrates the buildup of fluid in the left lobe of the lung. To adequately view this on a chest radiograph, the image must be taken with the patient in an erect position.

Pneumonia is a breathing (respiratory) condition in which there is an infection of the lung.

To visualize pneumonia on a radiograph, click here.

The area within the square shows lower right lobe pneumonia. If a patient has pneumonia, the technologist must increase the radiographic technique to efficiently penetrate this area and produce a quality image.

A collapsed lung, or pneumothorax, is the collection of air in the space around the lungs. This buildup of air puts pressure on the lung, so it cannot expand as much as it normally does when you take a breath.

To visualize a pneumothorax on a radiograph, click here.

This radiograph shows a complete pneumothorax of the left lung. You will notice there are no lung markings on the left side of the patient’s chest. The black area with no lung marking is indicative of a collapsed lung. The best way to view a pneumothorax is by taking the x-ray on expiration.

Anatomy review and labeling the thorax are combined in this interactive exercise.

Click HERE to begin!

Review pathology of the thorax in this interactive exercise.

Click HERE to begin!

Click on the square that represents the clavicle.

Practice Exercise

Next, you will click on the square that represents the scapula.

Practice Exercise

Now, click on the square that represents the location of the lung apex.

Practice Exercise

Please click on the square that represents the heart.

Practice Exercise

You will now click on the square that represents the location of the costophrenic angle.

Practice Exercise

You are half way done! Click on the square that represents the lung base.

Practice Exercise

Next, you will click on the square that represents the hilum.

Practice Exercise

Now, click on the square that represents the trachea.

Practice Exercise

You will now click the square that represents the aortic arch.

Practice Exercise

Next, click on the square that represents the 4th rib.

Practice Exercise

Congratulations! You have made it to the last question! Click on the square that represents the 8th rib.

Practice Exercise

Identify the correct film that illustrates a pneumothorax.

A BChoose the correct answer by clicking on the box next to the correct letter.

This film illustrates a pleural effusion in the left lung. The fluid is the white area on the left side of the lung and is filling the base of the lung causing it to be round instead of having a sharp angle.

Please Try Again

This film illustrates a pneumothorax of the entire right lung. Notice the right lung is completely black with no lung markings present.

Identify the correct film that illustrates pneumonia.

A BChoose the correct answer by clicking on the box next to the correct letter.

IncorrectIncorrect

Please Try Again

This film illustrates a pleural effusion in the left lung. The fluid is the white area on the left side of the lung and is filling the base of the lung causing it to be round instead of having a sharp angle.

CORRECT!CORRECT!

This film illustrates a right lower lobe pneumonia. Notice the white area in the right lower lobe. This is indicative of pneumonia.

Identify the correct film that illustrates a pleural effusion.

A BChoose the correct answer by clicking on the box next to the correct letter.

IncorrectIncorrect

This film illustrates a right middle lobe pneumonia. Notice the white area in the right middle lobe. This is indicative of pneumonia.

Please Try Again

CORRECT!CORRECT!This film illustrates a pleural effusion in the left lung. The fluid is the white area on the left side of the lung and is filling the base of the lung causing it to be round instead of having a sharp angle.

QUIZ #1 QUIZ #2 QUIZ #3

Thorax Anatomy Location of Anatomy Pathology