X-ray - Mini Quiz

What are some of the findings in the chest X-ray of patients with pulmonary edema?

• Butterfly/Batwing pattern

• Fluffy infiltrates

• Patchy infiltrates

• Platelike infiltrates

Answer explanation

What are some of the findings in the chest X-ray of patients with atelectasis?

• Platelike infiltrates

• Patchy infiltrates

• Crowded pulmonary vessels

• Crowded airbronchograms

• Batwing pattern

Answer explanation

What are some of the findings in the chest X-ray of patients with ARDS (Acute respiratory distress syndrome) or IRDS (Idiopathic respiratory distress syndrome)?

• Ground glass appearance

• Honeycomb pattern

• Diffuse bilateral radiopacity

• Peripheral wedge-shaped infiltrate

• Patchy infiltrates

What are the findings in the chest X-ray of patients with Pleural Effusion?

• Basilar infiltrates with menicus

• Blunting/obliteration of costophrenic angle

• Concave superior interface border

• Cavity formation

• Fluffy infiltrates

Answer explanation

What is a sign of pneumonia on the chest X-ray?

• Air bronchogram

• Patchy infiltrate

• Fluffy infiltrate

• Ground glass appearance

Answer explanation

What is a finding in the chest X-ray of a patient with Pulmonary Embolus?

• Peripheral wedge-shaped infiltrate

• Air bronchogram

• Cavity formation

• May be normal

What are some of the findings in the chest X-ray of a patient with Tuberculosis?

• Cavity formation (often in the upper lobe)

• Ground glass appearance

• Blunting of the costophrenic angle

• Air bronchogram

If you identify Kerley A or B lines on the chest X-ray, what is the suspected pulmonary condition?

• (Interstitial) Pulmonary edema

• Pulmonary hemorrhage

• Atelectasis

• ARDS

Answer explanation

Look carefully and you will spot the short, thin, whitish, horizontal lines in the lung periphery that extended to the pleural surfaces --> that's the Kerley B lines

Kerley A lines are the long, diagonal lines extending from the hila to the peripheral regions of the lungs (not common, & not seen without Kerley B or C)

In a young patient's neck X-ray, you identify the steeple sign/pencil point sign, what do you suspect the patient might have?

• Croup

• Epiglottitis

• Pneumonia

• Asthma

Answer explanation

If you suspect a child of having epiglottitis, what is the finding on his/her lateral neck X-ray?

• Thumb sign

• Hourglass sign

• Steeple sign

• Picket fence sign

Answer explanation