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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?

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.
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?

It is the smallest unit of lung and is the morphologic framework of the lung parenchyma.
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.
Lymphatics in the lung course within the bronchovascular bundle.
The region near the origin of the terminal bronchioles is termed the "terminal" region.

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


Question 5: Which structure do the arrows point to?

Right coronary artery
Left ventricle
Right atrium

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

Pericardial fat
Cardiac mass
Diaphragmatic hernia

Question 7: What is your conclusion regarding this image?

Normal chest radiograph
Viscus perforation
Pleural effusion
Vascular congestion

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

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

Question 9: What structure are the arrows pointing to?

Scratch on the film
Accessory fissure
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?

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

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