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Test your skills!

Question 1: Which of the following regarding the right bronchial anatomy is false?

The right upper lobe bronchus is visible directly below the level of the Carina and above the level of the right pulmonary artery.
Right and left B3 are situated the most caudal of all upper lobe bronchi.
The right 2. segmental bronchus (B2) originates from the upper lobe bronchus at nearly the same level as B3.
The 1. segmental bronchus runs straight upwards.
The 3. segmental bronchus (B3) originates cranial of level of the Carina.

Question 2: Which of the following regarding the left bronchial anatomy is false?

The lower lobe bronchi B8-10 leave the lower lobe bronchus at the level of the left atrium.
Because the bronchus of the lingula runs obliquely and ventrally, it is visualized longitudinally."
The bronchus of the lingula originates near the lower lobe bronchus.
For a short way apical lower lobe bronchus (B6) runs upward and dorsal of the descending lower lobe artery.
Mostly the medial and anterior lower lobe bronchi originate from a common segmental bronchus.

Question 3: Which is true in regard of the secondary pulmonary lobule?

A central bronchovascular bundle, consisting of the lobular bronchiole and accompanying pulmonary vein and lymphatics, enters the center of the secondary pulmonary lobule.
The borders of the secondary pulmonary lobule measure 5-10 cm in length and consist of interlobular septa and visceral pleura.
It is the smallest unit of lung and is the morphologic framework of the lung parenchyma.
The region near the origin of the terminal bronchioles is termed the "terminal" region.
Lymphatics in the lung course within the bronchovascular bundle.

Question 4: Where is the retrosternal space on this image?


Question 5: Which structure do the arrows point to?

Right atrium
Left ventricle
Right coronary artery

Question 6: What is the reason of the widening of the cardiac borders?

Cardiac mass
Diaphragmatic hernia
Pericardial fat

Question 7: What is your conclusion regarding this image?

Viscus perforation
Pleural effusion
Vascular congestion
Normal chest radiograph

Question 8: Where is the right diaphragm on this image?

White arrow
Can't say for sure - need additional views.
Label "M"
Black arrow
Between the white and black arrows

Question 9: What structure are the arrows pointing to?

Accessory fissure
Scratch on the film
Thin atelectasis
Needle shaped foreign body
Peripheral vessel

Question 10: This patient has fever and wheezing on the rigt side. What do you need to do next?

Send the patient home
Admit the patient
Get a second view
Get a second opinion
Do a CT

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