Pre requisite evaluations

CXR Is this film centered? How do you determine it? Why is that important? Answer
CXR Is this film centered    Answer
    Why is it important to know that the film is centered? Answer
CXR Is it PA or AP view? How can you tell?  Answer
CXR Is it PA or AP view? How can you tell? Answer
CXR Is it PA or AP view? Why is it important to know whether it is PA or AP view?  Answer
    What are the consideration to be given in interpreting AP view? Answer
CXR Is this film exposed properly?  How do you evaluate exposure?   Answer
CXR Is the exposure appropriate? Whys is it important to assess exposure? Answer
CXR Has this patient taken full inspiration? How do you decide that it is good inspiration film? Answer
    What are the problems if the patient has not taken full inspiration?  Answer

PA view

CXR  Identify the anterior and posterior ribs   Answer
CXR  How do you number the posterior ribs?   Answer
CXR How do you identify the first thoracic vertebra?   Answer
CXR   Number the anterior ribs?   Answer  Answer
    What is the purpose of numbering ribs? Answer
CXR Identify Vertebra, scapula, ribs, clavicle   Answer
CXR Draw the outline of Mediastinum. Answer
CXR    What are the Ievels at which you measure mediastinal width? Answer
CXR Outline mediastinum What are the levels at which you measure mediastinal width? Answer
CXR Outline mediastinum What is the normal width of mediastinum at tracheal level? Answer
CXR Outline mediastinum What is the normal width of mediastinum at supra cardiac vessel area? Answer
CXR Identify Trachea, carina, right and left main stem bronchi.  Why are they visible, while rest of the bronchial tree is not? Answer
  What is the carinal angle in this film? What is the significance of widened carinal angle? Answer
CXR 8 Identify costo diaphragmatic (costo phrenic) angles What does blunting of costo diaphragmatic angle imply? Answer
CXR Identify costophrenic angles What does blunting of costophrenic angle imply? Answer
CXR Identify diaphragm positions  Which diaphragm is higher and why? Answer
CXR Identify Trachea, carina, right and left main stem bronchi. Why are they visible, while rest of the bronchial tree is not? Answer
CXR Identify right transverse fissure What is the normal location?  Answer
    How does location of transverse fissure help you? Answer
CXR Identify left and right hilum. What is the normal relationship?  Answer
    How is altered relationship between left and right hilum helpful in diagnostic interpretation? Answer
CXR Compare and contrast vascular markings in upper vs. lower lung fields in PA view. Why is there a difference? Answer
    List conditions, where vascular markings are prominent in upper lung fields  Answer
CXR What is the difference in vascular markings between outer third and inner two thirds of lungs.    Answer
    What is the significance of increased markings in outer third of lung fields? Answer
CXR Identify Aortic knob, Aortopulmonary window  (AP window) and the main Pulmonary artery  What is the significance of full AP window? Answer
CXR Identify breast shadow What is its significance of breast shadow in evaluating lower lung fields? Answer
    What is the significance of one missing breast? Answer
CXR Identify shoulder joint Why is it important to look at shoulder? Answer
CXR Identify right para vertebral line . What are the conditions that can give  prominent right para vertebral line? Answer
CXR   Hpw do you judge position of mediastinum? Answer

Lobar Projections

CXR  RUL projection in PA view Answer
CXR RUL projection in PA view Answer
CXR RML projection in PA view Answer
CXR  RLL projection in PA view Answer
CXR LLL projection in PA view Answer
CXR LUL projection in PA view Answer
CXR Lingula projection in PA view Answer
CXR RUL projection in lateral view Answer
ICXR RLL projection in lateral view Answer
CXR RML projection in lateral view Answer
CXR LLL projection in lateral view Answer
CXR LUL with lingula projection in lateral view Answer
CXR LUL with lingula projection in PA view Answer
 

Tracheo Bronchial Tree

 
Drawing Identify the major divisions of the Tracheobronchial tree.
Bronchogram
Bronchogram Locate the Carina
Bronchogram Identify the divisions of left main bronchus
CT Identify the bronchus
CT Identify the labeled bronchi
CT Identify the bronchus
CT Identify the labeled bronchi
CT Identify the labeled bronchi
CT Identify the labeled bronchi
CT Identify the labeled bronchi
CT Identify the labeled bronchi
CT Identify the labeled bronchi

Heart

CXR How do you measure heart size? What is the normal range for heart size? Answer
CXR Identify chambers of heart in PA view   Answer

Anatomy

CXR Identify ascending aorta, aortic knob and descending aorta   Answer
CXR Identify structures along the edge of mediastinum   Answer

Anatomy

CXR Identify Aortic knob, AP window and Pulmonary artery What is the significance of full AP window? Answer

Lateral view

CXR Identify Sternum and angle. of Louis. What are the important landmarks at Sternal angle (Angle of Louis)? Answer
CXR Identify axillary fold and  Scapula   Answer
CXR IIdentify Vertebra.  Is there a difference in radio density along the Spine. Answer
CXR Identify aortic, pulmonary arches  and AP window   Answer
CXR Identify chambers of heart in lateral view   Answer

Anatomy

CXR Identify retro sternal air space.  What is normal retro sternal space? Answer
CXR Identify costophrenic angle How do we use this information? Answer
CXR Identify oblique and transverse fissure  What is the normal position of these fissures?  Answer
CXR Identify diaphragms left and right How did you arrive at your answer? Answer
CXR Identify trachea  and LUL orifice.   Answer
CXR Identify the position of esophagus.    Answer
CXR Identify Trcheo esophageal stripe How do we use this information? Answer
CXR Identify left and right pulmonary artery   Answer

CT

Image 1 Identify Trachea and Esophagus Answer
Image 2 Identify vascular structures Answer
Image 3 Identify vascular structures Answer
Image 4 Identify vascular structures Answer
Image 5 Identify vascular structures Answer
Image 6 Identify vascular structures Answer
Image 7 Identify vascular structures Answer
Image 8 Identify vascular structures Answer
Image 9 Identify vascular structures Answer
Image 10 Identify vascular structures Answer
Image 11 Identify vascular structures Answer
Image 12 Identify vascular structures Answer
Image 13 Identify vascular structures Answer
Image 14 Identify vascular structures Answer
Image 15 Identify vascular structures Answer
Image 16 Identify vascular structures Answer

CT 

Major veins

 

Sequence1   Sequence2    Sequence3    Sequence4   Sequence5  Sequence6   Sequence7   

Follow the major veins draining into superior vena cava.

SVC

Sequence 1     Sequence 2     Sequence 3   Sequence 4  Sequence 5 

Right and left brachiocephalic veins join to form superior vena cava.  Follow the superior vena cava entering right atrium
Right atrium Sequence 1  Sequence 2  Sequence 3  Sequence 4  

Follow SVC entering right atrium. Note the relationship of right atrium to other chambers of heart.

Right ventricle

Sequence 1  Sequence 2  Sequence 3  Sequence 4

Note the relationship of right ventricle to Sternum.

Pulmonary artery

Sequence 1  Sequence 2  

Follow pulmonary artery. Identify right and left branches.

Pulmonary veins

Sequence 1  Sequence 2  Sequence 3

Note Pulmonary veins entering left atrium.

Left atrium

Sequence 1  Sequence 2  Sequence 3

Note mitral valve leaflet. Note its location..

Left ventricle

Sequence 1   Sequence 2

Note left ventricular wall thickness and Inter ventricular septum

Aorta

Sequence 1  Sequence 2  Sequence 3  Sequence 4    Sequence 5   Sequence 6  Sequence 7  Sequence 8

Follow Aorta from head end to foot. Note major branches, ascending, arch and descending portions of Aorta.

Major branches Sequence 1  Sequence 2  Sequence 3 Sequence 4     

Follow the major branches of Aortic arch to neck.