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1. When assessing CXR film quality, what does RIP stand for?
Answer: Rotation, Inspiration, Penetration
2. How is rotation assessed on a chest X-ray?
Answer: By confirming that the clavicular heads are equidistant from the
spinous processes
3. How many ribs should be visible to confirm adequate inspiration on a
CXR?
Answer:
• At least 6 anterior ribs, or
• At least 10 posterior ribs
4. What finding indicates adequate penetration on a chest X-ray?
Answer: Vertebral bodies are visible through the cardiac shadow
5. What is the first step in reviewing a chest X-ray?
Answer: Verify the patient’s name (patient identification)
6. What does the ABCDEFGH system for reading a chest X-ray stand for?
Answer:
• A – Airway
• B – Bones
, • C – Cardiac
• D – Diaphragm
• E – Edges
• F – Fields (lung fields)
• G – Gastric bubble
• H – Hardware
7. What are the three “C’s” used to evaluate the heart on CXR?
Answer: Cardiac size, cardiac borders, cardiac contour
8. How is cardiac size assessed on a chest X-ray?
Answer: The cardiac silhouette should be less than 50% of the thoracic
width
9. What does evaluation of cardiac borders involve?
Answer: Determining whether the right and left heart borders are clearly
visible or obscured by lung pathology
10.What does cardiac (aortic) contour assessment involve?
Answer: Evaluating whether the aortic knob is well visualized and normal in
appearance
11.What is the air bronchogram sign?
Answer: A dark, branching, air-filled bronchus surrounded by solid (fluid-
filled) alveoli
12.What does the air bronchogram sign indicate?
Answer: A process that fills the alveoli but spares the bronchial airways
13.Which diseases commonly demonstrate an air bronchogram sign?
Answer: Alveolar pneumonia, lymphoma, bronchoalveolar carcinoma