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Week 7 Thoracic Contents RADIOLOGY
UC MED 2015 Week 7 1010-1013 Ch 5 Thoracic Contents RADIOLOGY
15
Medical
Graduate
10/13/2011

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Term
Why is heart larger in AP projection rather than PA projection?
Definition
Because heart's anterior position puts it farther from the imaging surface, making it more magnified
Term
What is the snow ball sign
Definition
Ball before impact means mass is in the lung; ball after impact means mass is not in the lung (could be in pleura, chest wall, or mediastinum)
Term
Signs of lung collapse, and how to distinguish from effusion or mass
Definition
Mediastinum shifts to the side of collapse and opacification of that lung occurs. In effusion or a mass, the mediastinum would remain in center or shift in opposite direction
Term
Unique characteristic of upper lobe collapse
Definition
has pancake like opacity from lateral view
Term
Pneumothorax
Definition
collapse of a lung due to air in the pleural space. It can be spontaneous or traumatic. to find it, look for a lung edge.
Term
Tension pneumothorax
Definition
When air enters pleural space during inspiration but cannot leave during expiration. The mediastinum and trachea shift away from the collapsed lung, and the ipsilateral hemidiaphragm is depressed. Also, the black lung is usually very large
Term
Cardiomegaly
Definition
when the heart is enlarger
Term
Previous asbestos exposure
Definition
Causes bilateral pleural plaques
Term
Diffuse pulmonary metastasis
Definition
CT shows innumerable small nodules in both lungs
Term
Pneumonia
Definition
causes "silhouette sign", where the normal margin of lung is obscured due to an area of increased density
Term
Emphysema
Definition
shows black spaces on CT instead of dark gray. Frontal x-ray shows flattening of the diaphragm and hyperinflation of the lungs.
Term
Pleural effusion
Definition
Fluid in the lungs. Blunts the costophrenic angle, causing hemidiaphragm to be smooth all the way across.
Term
Pectus carinatum
Definition
protrusion of the chest wall
Term
Pectus excavatum
Definition
"caved-in" appearance of the anterior chest wall
Term
Situs inversus
Definition
when a person's organs are reversed from their normal positions
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