Boards and Beyond: CXR
Normal Anatomy:
- Trachea: midline
- Heart size : less than half dis to chest wall
- SVC
- RA
- iVC
- LV
- LA
- Pulm artery
- aortic knob
Pulmonary edema:
- puffy white stuff bilaterally
- Large heart ❤
Kerly B Lines: Classic finding (septal lines)
- fluid filling space btw alveoli and bronchi
- usually present
Pleural Effusion:
- Costophrenic angle Blunted
- fluid filled the space
- Gravity dependent
Pneumothorax:
- Area of lung is too black between ribs
- can see deflated lung
Lobar Pneumonia:
- hazy area
Interstitial Fibrosis:
- diffuse white stuff, (not fluffy)
- "Honeycombing"
Hilar Lymphadenopathy
- sarcoid, TB
- large and white
Pulmonary Nodule:
- subtle areas of whiteness
- coin lesion
Pulm School
Penetration 😛
Rotation
ABCDF
Sounds
Fluffy
Silhouette Sign
Air Bronchogram
Alveolar Consolidation v. Intersitial Opacity
Lucency
Pneumothorax
Cavity
Interstitial : Linear: Kerly B
- Fields: Consolidation or fibrosis
Outline of airway made by fluid or exudate:
- pulm edema
- atelectasis
- neoplasm
Pulmonary edema everywhere?
- bat wing sign
- CHF cause
