146 interpretation of the chest radio graph - part 1

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Sign up to receive ATOTW weekly - email [email protected]  ATOTW 145 Interpretation of the chest radiograph - par t 1, 10/08/09 Page 1 of 10 INTERPRETATION OF THE CHEST RADIOGRAPH – PART 1. ANAESTHESI A TUTORIAL OF THE WEEK 146 10 TH AUGUST 2009 Dr. Tim Dawes Royal D evon and E xeter Hospital, UK Dr. Gerry Lynch Rotherham General Hospital, UK Correspondence to [email protected] PART 1: TECHNICAL ASPECTS, A STANDARD INTERPRETATION. ROUTINE AND COMMON ABNORMALITIES OF THE CHEST RADIOGRAPH This is part 1 of a 3-part series of tutorials. Parts 2 and 3 will focus more specifically on the chest radiograph changes commonly seen on the intensive care unit. MULTIPLE CHOICE QUESTIONS 1. Concerning the normal chest radiograph: a. The right mediastinal border is formed by the r ight brachiocephal ic vein, SVC and right hilum  b. The right hilum lies 1-2 cm above the left c. The horizontal fissure runs from the hilum to the 6 th rib in the axillary line d. The right ventricular border is visible on the frontal film 2. Concerning the frontal chest radiograph: a. The medial heads of the clavicles should be equidistant from the tracheal midpoint in an unrotate d film  b. An adequate breath should result in 5 rib ends visible anteriorly c. Sternal fractures are readily v isible d. Obscuration of the right heart border indicates right lower lobe disease 3. Concerning the frontal chest radiograph: a. The cardiothoraci c ratio should be less than 1:2 on the PA film  b. This ratio is decreased in expiration c. The lingula is considered to form part of the left lower lobe d. The oblique fissure is visible on the frontal film

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