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Test your skills!

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

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

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

Mostly the medial and anterior lower lobe bronchi originate from a common segmental bronchus.
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.
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."

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

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

Right atrium
Right coronary artery
Left ventricle

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

Pericardial fat
Diaphragmatic hernia
Cardiac mass

Question 7: What is your conclusion regarding this image?

Viscus perforation
Normal chest radiograph
Vascular congestion
Pleural effusion

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

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

Question 9: What structure are the arrows pointing to?

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

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

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

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