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Test your skills!

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

Right and left B3 are situated the most caudal of all upper lobe bronchi.
The 3. segmental bronchus (B3) originates cranial of level of the Carina.
The right upper lobe bronchus is visible directly below the level of the Carina and above the level of the right pulmonary artery.
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.

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

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

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

The region near the origin of the terminal bronchioles is termed the "terminal" region.
A central bronchovascular bundle, consisting of the lobular bronchiole and accompanying pulmonary vein and lymphatics, enters the center of the secondary pulmonary lobule.
Lymphatics in the lung course within the bronchovascular bundle.
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.

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


Question 5: Which structure do the arrows point to?

Left ventricle
Right atrium
Right coronary artery

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

Diaphragmatic hernia
Pericardial fat
Cardiac mass

Question 7: What is your conclusion regarding this image?

Pleural effusion
Normal chest radiograph
Viscus perforation
Vascular congestion

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

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

Question 9: What structure are the arrows pointing to?

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

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

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

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