AP-anterior to posterior-ANSWER A. Most common in hospitals
B. Good for in-bed X-rays
C. Use when determining proper position of an endotracheal tube
D. Done at maximal inhalation
E. May help detect small pneumothorax when done at maximal inhalation
Types of Chest X-rays:
PA-posterior to anterior-ANSWER A. Most often done standing
Types of Chest X-rays:
Lateral - ANSWER A. Helpful to visualize the lungs as a 3D body
B. Detect cancerous masses, not helpful in detecting pneumonia
Types of Chest X-rays:
Lateral decubitus - ANSWER A. Helpful in detecting pleural effusions
B. Described as having a concave superior border or interface
Types of Chest X-rays:
Oblique - ANSWER A. Any diagonal or non-ttraditional angle
B. Enhances the 3D of the lung, useful in the detection of internal pathology, including
but not limited to masses, blebs, or lesions
, EX:
The radiologists interprets an A-P chest radiograph and identifies what appears to be a
mass in the right upper lung field. Which of the following supplemental tests should the
respiratory therapist suggest to the physician to clarify the finding more specifically?
A. Series of oblique chest radiographs
B. PA chest radiographs
C. Diagnostic chest percussion
D. Pulmonary angiogram - ANSWER Answer:
Series of oblique chest radiographs
Neck X-rays:
Lateral Neck - ANSWER A. Helpful in differentiating between Croup (subglottic
inflammation) and Acute epiglottis (supraglottic swelling)
B. Laryngotracheobronchitis (croup)
1) Radiology description of "steeple sign"
2) Not immediately life-threatening
C. Acute
Placement X-rays:
Artificial airway placement and function - ANSWER A. Use an AP chest radiograph
B. Determine by radiopaque line on the ET tube
C. Distal tip should be 2-5 cm above the carina
D. Appropriately positioned when it is at the same level as the aortic arch or knob
E. At the same level as the 4th rib or T-4
F. Helpful in the diagnosis of a herniated cuff
Placement X-rays:
Chest tube placement - ANSWER Should be in the pleural space
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