Exam 6: Radiographic Assessment

A therapist is examining an AP chest radiograph of a neonate and notices a structure projecting away from the mediastinum toward the right upper lung. This structure looks like a sail with a sharp inferior margin and lateral margins with wavy contours. Which of the following structures is the therapist observing?

While viewing an anteroposterior view of a chest radiograph of a 24-month-old intubated child, a therapist notices that the endotracheal tube has now migrated right above the inferior clavicular border. What could explain this new location of the endotracheal tube?

The lateral decubitus view is a frontal radiographic projection whereby the downside can be evaluated for the presence of ____________________.

While viewing the chest X-ray of an 18-month-old boy, a therapist notices that the trachea is truncated and that the right lung is collapsed. Which of the following situations or conditions may have caused this situation?

A pediatric patient with pneumonia has an infiltrate in the lower half of the right lung. The right heart border is obliterated. In which lobe(s) of the right lung is the infiltrate located?

Which of the following radiographic views would be the best suited for evaluating fractured ribs in a pediatric patient?

A mother has just given birth to a 42-week infant who is small for his gestational age. A chest radiograph of this neonate reveals coarse, patchy opacities secondary to atelectasis from bronchial obstruction alternating with areas of hyperinflation. Which of the following clinical disorders does this infant likely have?

How will well-expanded, air-filled lungs appear on a chest radiograph?

A therapist is viewing a chest X-ray of a pediatric patient who recently emerged from general anesthesia after upper abdominal surgery. The right hemidiaphragm is elevated, and atelectasis is seen as a long, thick horizontal line within the right lower lobe. Which of the following terms describes this type of atelectasis?

While viewing a lateral view of a neck radiograph of an 18-month-old child, a therapist notices that the epiglottis is enlarged, the aryepiglottic folds are thickened, and the hypopharynx is overdistended. Which of the following conditions does this child likely have?

A respiratory therapist is evaluating a chest radiograph of a patient taken 2 days after being admitted for significant respiratory distress and right middle lobe pneumonia. Although the therapist notices a dramatic clinical improvement in the patient, the chest X-ray appears to be more radiopaque than the one on admission. What could explain this situation?

A therapist is viewing frontal chest X-ray of a 12-year-old child and notices mediastinal shift toward the right hemithorax along with elevated hemidiaphragm and vascular crowding. Which of the following conditions does this child likely have?

Which of the following are criteria to order a chest radiograph in a pediatric patient who does not have chest symptoms? I. Fever II. Oxygen saturation < 95% III. White blood cell count > 20,000/mm³ IV. Creatinine > 2 mg/dL

Which of the following is the type of X-ray projection obtained when the radiographic plate is placed behind the patient's back with the X-ray tube placed in front of the patient's chest?

Sonographic imaging is valuable in the evaluation of which of the following? I. Superficial masses II. Pleural effusions III. Diaphragmatic motion IV. Bony structures

A therapist is viewing a frontal chest radiograph of a neonate who has just been endotracheally intubated. The tip of the endotracheal tube is located between the inferior clavicular border and the carina. What should the therapist do at this time?

A therapist is viewing frontal and lateral neck X-rays of a 12-month-old child and notices what is described as the "steeple" or "church steeple" sign: subglottic narrowing below the vocal cords and an overdistended hypopharynx. Which of the following conditions does this child likely have?

The respiratory therapist is evaluating a child with suspected foreign body aspiration. The radiographer gently adds pressure to the abdomen during expiration to take the chest radiograph. If an obstruction is confirmed, what changes should the RT expect to see?

Which of the following radiographic views provides the best perspective for ascertaining the position of an endotracheal tube in the patient's esophagus?

Which of the following structures on a chest radiograph projects to the left, causes a prominent bulge of the superior mediastinum, and creates a mild indentation on the trachea?