RT Book, Section A1 Shindler, Daniel M. A1 Shindler, Olga I. A1 Wright, Alicia SR Print(0) ID 1175627703 T1 Radiology T2 Practical Echocardiography for Cardiac Sonographers YR 2020 FD 2020 PB McGraw Hill PP New York, NY SN 9781260457797 LK accesscardiology.mhmedical.com/content.aspx?aid=1175627703 RD 2024/04/19 AB A phone call may come to the lab asking for an echo because of a finding on a chest x-ray. The following is a very simple but practical guide.Lungs: The vascular markings of the lungs may become more prominent. Echo looks for cardiac shunts or causes of left heart failure.Cardiac size: The cardiac silhouette may change in size and contour. Echo looks for cardiac chamber size, wall thickness, and function.An echocardiographer should be familiar with the rules for normal lung markings on the chest x-ray: The pulmonary vessels branch out in symmetric fashion. They are sharply defined. As they branch out to the periphery, each successive set of branches is slightly smaller—just like in a tree. Normal pulmonary vessels are larger in the lower lobes than in the upper lobes.Pericardial calcifications can be found on the chest x-ray of patients with pericardial constriction. The calcifications may be easier to spot in the lateral films. The calcifications may appear as a hoop, as a band, or as a sheet of calcium.Cardiac fluoroscopy can be used to study the function of mechanical prosthetic valves.