Radiology Secrets Plus

Abdominal Radiography

1 What is a “flat plate” of the abdomen? Flat plate is a historical term that refers to a past method of radiography when radiographs were recorded on flat plates of glass coated with an emulsion sensitive to x-rays. This…

Imaging of Pleural Disease

1 Describe the normal pleural anatomy and physiologic features. The pleural space is a potential space that contains 2 to 10 mL of pleural fluid between the visceral and parietal pleural layers that essentially represents interstitial fluid from the parietal pleura…

Imaging of Mediastinal Disease

1 Describe the anatomy of the mediastinum. The mediastinum is located centrally within the thorax between the pleural cavities laterally, the sternum anteriorly, the spine posteriorly, the thoracic inlet superiorly, and the diaphragm inferiorly. It is usually divided into anterior,…

Radiography of Interstitial Lung Disease

1 What radiographic features distinguish interstitial diseases from airspace diseases? Two primary characteristics radiographically distinguish interstitial diseases from airspace diseases. First, interstitial diseases displace little of the air within the lung, whereas airspace diseases displace large amounts of air. Interstitial…

Imaging of Airspace Lung Disease

1 What is the difference between a pulmonary acinus and a secondary pulmonary lobule? The acinus (Latin for “berry”) is a structural unit of the lung distal to a terminal bronchiole, supplied by first-order respiratory bronchioles, which contains alveolar ducts…

Pulmonary Vascular Imaging

1 What is the normal appearance of the pulmonary vessels on computed tomography (CT) and magnetic resonance imaging (MRI)? The main pulmonary artery originates from the right ventricular outflow tract, anterior and to the left of the aortic root, and…