CXR Small group Activity

Views:
 
Category: Education
     
 

Presentation Description

No description available.

Comments

Presentation Transcript

Chest Radiograph Review: PCM Small Group Session : 

Chest Radiograph Review: PCM Small Group Session

Review Objectives : 

Review Objectives Develop an approach to the chest radiograph Identify normal anatomy of the cardiopulmonary structures on the radiograph Describe common pathological findings on the radiograph

Initial Evaluation: Technical Considerations : 

Initial Evaluation: Technical Considerations

PA versus AP ExaminationScapula Position Can Help AP View: 7-10% magnification : 

PA versus AP ExaminationScapula Position Can Help AP View: 7-10% magnification

Rotation: Medial Clavicles With Reference To The Spinous Process (Arrows)Rotated to Right Rotated to Left : 

Rotation: Medial Clavicles With Reference To The Spinous Process (Arrows)Rotated to Right Rotated to Left

Radiographic ExposureUnderexposed Overexposed : 

Radiographic ExposureUnderexposed Overexposed

Case 1:Normal PA Chest Radiograph : 

Case 1:Normal PA Chest Radiograph

Case 2:Normal Lateral Projection : 

Case 2:Normal Lateral Projection

Case 3: Enlarged Lymph Nodes on Lateral Projection : 

Case 3: Enlarged Lymph Nodes on Lateral Projection

Hilar Lymph node Enlargement:Doughnut Sign”Black arrow – Left distal main bronchus (center part)White arrows – Enlarged nodes (doughnut part) Sarcoid : 

Hilar Lymph node Enlargement:Doughnut Sign”Black arrow – Left distal main bronchus (center part)White arrows – Enlarged nodes (doughnut part) Sarcoid

Case 4:Normal Variant – What is it? : 

Case 4:Normal Variant – What is it?

Case 5:Serious Problem: Where Is It Located?(What density is it?) : 

Case 5:Serious Problem: Where Is It Located?(What density is it?)

Case 6:19 year old male with acute shortness of breathHow do you describe this? : 

Case 6:19 year old male with acute shortness of breathHow do you describe this?

Case 7:Respiratory Failure : 

Case 7:Respiratory Failure

Case 8:No History – What is the abnormality? : 

Case 8:No History – What is the abnormality?

Case 9:40 year old male with HIVCough, fever and shortness of breath. : 

Case 9:40 year old male with HIVCough, fever and shortness of breath.

Case 10:Increased hypoxia in a young patient who has just been “extubated”. : 

Case 10:Increased hypoxia in a young patient who has just been “extubated”.

Case 11:67 year old with shortness of breath “while lying down” and pitting edema in his feet.What are the abnormalities on the radiograph? : 

Case 11:67 year old with shortness of breath “while lying down” and pitting edema in his feet.What are the abnormalities on the radiograph?

Case 12:78 year old male with chronic shortness of breath.What is the abnormality on the chest radiograph? : 

Case 12:78 year old male with chronic shortness of breath.What is the abnormality on the chest radiograph?

Hint: Heavy Smoking History : 

Hint: Heavy Smoking History

Case 13:17 year old male with a chronic productive cough, fever and weight loss.What are the 2 major abnormalities present? : 

Case 13:17 year old male with a chronic productive cough, fever and weight loss.What are the 2 major abnormalities present?

Follow-up Case:Chronic abnormality on this chest radiograph…What is its distribution and possible cause? : 

Follow-up Case:Chronic abnormality on this chest radiograph…What is its distribution and possible cause?

Case 14:Chest pain after line placement(Both sides were attempted). : 

Case 14:Chest pain after line placement(Both sides were attempted).

Case 15:Fever, cough over 5 days. : 

Case 15:Fever, cough over 5 days.

Case 16: Shortness of breath and ovarian cancer.There are no breath sounds on the right side…why? : 

Case 16: Shortness of breath and ovarian cancer.There are no breath sounds on the right side…why?

PCM Small Group Review Session: Chest RadiographsFeedback? : 

PCM Small Group Review Session: Chest RadiographsFeedback?