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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 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.
The right upper lobe bronchus is visible directly below the level of the Carina and above the level of the right pulmonary artery.

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.
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."
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?

It is the smallest unit of lung and is the morphologic framework of the lung parenchyma.
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.
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.

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

Question 9: What structure are the arrows pointing to?

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

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

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

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