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192 Cards in this Set

  • Front
  • Back
What factors affect Diagnostic Quality of Abdominal Radiography?
Patient Preparation
Technique Settings
Positioning
On Abdominal Radiography, Gastric and/or Colon Distention create what effect? How does this affect visualization of structures?
On Abdominal Radiography, Gastric and/or Colon Distention creates a MASS EFFECT that OBSCURES visualization of adjacent structures.
How does a full urinary bladder affect Abdominal Radiography?
Mimics a mass
Displaces adjacent structures
How does patient motion affect abdominal radiography?
Blurs & Obscures Margins
T or F: The abdomen is a region with low inherent subject contrast.
TRUE
What strategy should you use to overcome the abdomen's inherently low subject contrast?
Choose technical factors that will MAXIMIZE contrast resolution.
What technical factors should you use to maximize contrast resolution for abdominal radiography?
Low kVp
High mAs
Grid
How do a low kVp and high mAs technique affect abdominal radiographs?
Sharp Transition
High Contrast
When should you use a grid with abdominal radiography?
If thickness if > 10 cm
Why would a grid improve abdominal radiographic contrast resolution?
Reduces scatter
T or F: Normal Organ Location assumes true Lateral and VD positioning and a prepared abdomen.
TRUE
How do you know if a lateral abdominal radiograph is a true lateral?
Rib heads, Transverse processes, ilial wings are superimposed
What 3 main bony structures are superimposed in a true lateral radiograph of the abdomen
Rib Heads
Transverse Processes
Ilial Wings
How do you know if a VD abdominal radiograph is a true VD?
Spinous processes are centered over vertebrae
What can be used to insure true lateral positioning?
Positioning Devices (wedge sponges)
What additional views are commonly taken with abdominal radiography?
DV
Horizontal beam VD
What are the 4 borders for Abdominal Radiography to include the entire abdomen of small animals?
Cranial= Dome of he Diaphragm
Caudal= Pelvic Inlet
Ventral/Lateral= Abdominal Wall
Dorsal= Spine
How does kVp change if you need to visualize pelvic structures on an Abdominal Radiograph?
10% higher kVp
For abdominal radiography in larger animals, what kinds of images should you use to visualize the entire abdomen?
Overlapping Images
T or F: You should center on an area of interest with Abdominal Radiography.
TRUE
What are compression bands used for in Abdominal Radiography?
To minimize thickness and/or motion
What are compression paddles used for in Abdominal Radiography?
To displace overlying bowel loops
In conventional abdominal radiographs, some structures may not be visible due to what 3 things?
Overexposure
Superimposition
Silhouetting
T or F: Superimposition of normal extra-abdominal structures may mimic intra-abdominal lesions.
TRUE
What normal fat deposits often mimic intra-abdominal masses in abdominal radiographs?
Fat Deposits in the....
Retroperitoneal Space
Falciform Ligament
What mimics abdominal effusion in young animals on abdominal radiographs?
Normal lack of mesenteric fat
When are normal sublumbar muscles visible in abdominal radiographs?
In True Lateral Views if there's sufficient retroperitoneal fat
AND
In True VD Views, esp in cats and rabbits
The cranial surface of the liver silhouettes with which organ on abdominal radiographs?
Peritoneal surface of the Diaphragm
The caudal surface of the liver silhouettes with which organ on abdominal radiographs?
Stomach
And the Right Caudate Lobe silhouttes with Right Kidney
What shape is the liver on a lateral abdominal radiograph? Is it all visualized?
Triangular; NO
When is the margin of the liver well visualized on abdominal radiography? Why?
Ventrally because of the fat of the falciform ligament
What does the margin of a normal liver look like on abdominal radiography?
Smooth and sharply marginated
Caudoventral angle is distinct-- relatively acute and usually lies at the level of the costal arch
What can be used to approximate liver size on abdominal radiographs?
The stomach since it's in close apposition to caudal surface of the liver and it's usually visible because it contains a small volume of gas.
In the lateral radiograph, the _____ _____ is normally ________ to the long axis of the body or parallel to the ribs.
In the lateral radiograph, the gastric axis is normally perpendicular to the long axis of the body or parallel to the ribs.
In the dog, where is the pylorus located on a VD abdominal radiograph?
Right Cranial Quadrant, approximately half way between the midline and the right abdominal wall
In the dog, the gastric axis runs what direction to the long axis of the body on a VD abdominal radiograph?
Perpendicular
T or F: In the cat, the gastric axis is linear in the VD abdominal radiograph with the pylorus located at or near the midline.
FALSE-- In the cat, the gastric axis is J Shaped in the VD view with the pylorus located at or near the midline.
T or F: The gall bladder should be visible and about the size of 1/2 L2 on an abdominal radiograph.
FALSE-- The gall bladder should NOT be visible due to silhouetting with liver parenchyma.
T or F: The size of a spleen on an abdominal radiograph is consistent within a species.
FALSE-- spleen size is variable
How does the spleen look on an abdominal radiograph?
Triangular shape
Smooth with sharp margins
Located along ventral abdomen
How does the spleen look on a VD abdominal radiograph?
Head of the spleen is usually triangular and seen in left cranial abdomen, just caudal and left of the gastric fundus
Where are the kidneys normally located on abdominal radiographs?
Cranial portion of the retroperitoneal space
Uniform soft tissue opacity
Left kidney positioned caudal to right in the dog (more variable in cats)
How does the position of the bladder vary between cats and dogs on abdominal radiographs?
More cranial in cats
Which margins of the bladder are well visualized on abdominal radiographs?
Cranial and Ventral Margins due to adjacent fat pads
Which margins of the bladder are poorly visualized on abdominal radiographs?
Dorsal Margin silhouettes with colon
How will the Small Intestine look on an abdominal radiograph if the colon is distended or in very fat animals?
Displaced to the RIGHT
T or F: The Small Intestines does not normally contain volumes of gas AND fluid on abdominal radiographs.
FALSE-- it does contain gas and fluid normally.
What does the cecum look like and where is it positioned in an abdominal radiograph of a dog?
Gas-filled and located in the Right Mid-Abdomen
T or F: The Cecum of a cat is usually gas-filled and seen clearly in the right mid-abdomen on an abdominal radiograph.
FALSE--it's usually not seen at all.
Where are the ascending, transverse, and descending colon on an abdominal radiograph?
Ascending Colon= Right Mid-Abdomen
Transverse Colon= Cranial Abdomen
Descending Colon= Left Mid-to-Caudal Abdomen
What abdominal structures are not normally seen on abdominal radiographs?
Gall Bladder
Pancreas
Adrenal Glands
Ureters
Prostate Gland
Ovaries
Uterus
Lymph Nodes
Blood Vessels
What is Excretory Urography?
IV injection of contrast medium to sequentially opacify urinary tract over time
What is well visualized in the vascular phase of excretory urography?
Arteries
What is well visualized in the nephrogram phase of excretory urography?
Renal Parenchyma
Where is the contrast agent in the nephrogram phase of excretory urography?
Renal Tubules
When is the opacity the greatest in the nephrogram phase of excretory urography?
Early in the study
What is well visualized in the pyelogram phase of excretory urography?
The Collecting System: Renal Pelvis, Diverticula, Ureters
When is the opacity the greatest in the pyelogram phase of excretory urography? Why?
Less opaque early in the study due to osmotic diuresis
More opaque later in the study due to increased concentration of contrast agent over time
What other terms and abbreviations are used to describe excretory urography?
Intravenous Urography (IU, IVU)
Excretory Urography (EU)
Intravenous Pyelography (IVP)
What are the Indications for Excretory Urography?
1) Evaluation of Renal and Uretral Morphology: Size, shape, position, margination
2) Evaluate Renal and Ureteral Integrity: Rupture, tear
3) Evaluate relationship between kidnes and an abdominal mass
4) Evaluate Ureteral function: Patency and Motility (peristalsis)
5) Achieve filling of urinary bladder when retrograde cystography not possible
6) Evaluate renal function (limited)
How is the evaluation of renal function limited with excretory urography?
1) Contrast is passively excreted, so no qualitative information can be gained.
2) Perfusion can be evaluated to a limited extent in that visualization of contrast in kidneys implies patent renal arteries.
3) The volume and rate of excretion can be roughly compared between kidneys by viewing differences in sequential images.
What is Excretory Urography?
IV injection of contrast medium to sequentially opacify urinary tract over time
What is well visualized in the vascular phase of excretory urography?
Arteries
What is well visualized in the nephrogram phase of excretory urography?
Renal Parenchyma
Where is the contrast agent in the nephrogram phase of excretory urography?
Renal Tubules
When is the opacity the greatest in the nephrogram phase of excretory urography?
Early in the study
What is well visualized in the pyelogram phase of excretory urography?
The Collecting System: Renal Pelvis, Diverticula, Ureters
When is the opacity the greatest in the pyelogram phase of excretory urography? Why?
Less opaque early in the study due to osmotic diuresis
More opaque later in the study due to increased concentration of contrast agent over time
What other terms and abbreviations are used to describe excretory urography?
Intravenous Urography (IU, IVU)
Excretory Urography (EU)
Intravenous Pyelography (IVP)
What are the Indications for Excretory Urography?
1) Evaluation of Renal and Uretral Morphology: Size, shape, position, margination
2) Evaluate Renal and Ureteral Integrity: Rupture, tear
3) Evaluate relationship between kidnes and an abdominal mass
4) Evaluate Ureteral function: Patency and Motility (peristalsis)
5) Achieve filling of urinary bladder when retrograde cystography not possible
6) Evaluate renal function (limited)
How is the evaluation of renal function limited with excretory urography?
1) Contrast is passively excreted, so no qualitative information can be gained.
2) Perfusion can be evaluated to a limited extent in that visualization of contrast in kidneys implies patent renal arteries.
3) The volume and rate of excretion can be roughly compared between kidneys by viewing differences in sequential images.
What are Contraindications for Excretory Urography?
1) Dehydration (acute tubular necrosis)
2) Previous adverse reaction to iodinated contrast media
3) Renal Failure is not contraindicated but will degrade the study quality
T or F: All contrast agents used for excretory urography contain water-soluble organic iodine.
TRUE
T or F: All contrast agents used for excretory urography are slowly cleared from circulation by renal excretion.
FALSE-- they are rapidly cleared
T or F: The most commonly used contrast agents for excretory urography have low molecular weight to decrease the amount of adverse reactions they may cause.
FALSE-- they have HIGH molecular weights so are more likely to cause adverse effects, but they are super duper cheap and work well in most cases, which is why we use them
What are the indications for a cystography?
Clinical Suspicion of Bladder Dz
Suspect Bladder involved secondarily by adjacent dz
Size, shape, location, integrity of Bladder Wall
What are the possible complications of Cystography?
Iatrogenic Bladder Rupture
Subserosal Accumulation of Contrast (esp cats)
Air Embolism
What are the advantages of Antegrade positive contrast cystography?
Avoid having to pass urethral catheter
Less likely to iatrogenically rupture bladder
What are the disadvantages of Antegrade positive contrast cystography?
Incomplete Bladder Distention
Urine Mixes with Contrast
What are the advantages of
Retrograde positive contrast cystography?
Best for suspected Bladder Rupture or Herniation
Good for identifying communication between bladder and adjacent structures
What is it called when contrast goes from the bladder to the ureter during a cystogram?
Vesicoureteral Reflux
What are the advantages of Negative Cystography?
Inexpensive
What are the disadvantages of Negative Cystography?
Not good for Bladder Rupture as air leakage is hard to see relative to bowel gas
What are the advantages of Retrograde double contrast cystography?
Best for evaluating mural or intraluminal diseases
What are the indications for Urethrography?
Clinical suspicion of urethral obstruction
Localization of urethra relative to adjacent structures (ex: prostate)
Determination of hematuria
What is a true lateral dental radiographs good for evaluating?
Secondary changes in overall geometry
What are VD or DV dental radiographs good for evaluating?
Alignment of the Mandibles
What are the Open Mouth Oblique dental radiographs good for evaluating?
Arcades of primary interest
What are Intraoral dentral radiographs good for evaluating?
Incisor Teeth
What is the deciduous dental formula for dogs?
3/3, 1/1, 3/3
What is the permanent dental formula for dogs?
3/3, 1/1, 4/4, 2/3
When does the crown of deciduous teeth calcify?
10-20 days postnatal
When does the root of deciduous teeth calcify?
40-50 days postnatal
What are aging changes seen in teeth?
Pulp cavity becomes smaller
Alveolar crest regression
Trabecular patter of alveolar bone becomes more coarse and sclerotic
Lamina dura becomes less distinct
What is Anodontia?
Congenital absence of teeth
Especially in smaller and branchycephalic breeds
What teeth are most likely to be missing in Brachycephalic dogs?
P1 and M3
What is Polydontia?
Supernumary Teeth
Esp P and I involved
May cause crowding, displacement, rotation, malocclusion
What is the deciduous dental formula for the equine?
3/3, 0/0, 3/3
What is the permanent dental formula for the equine?
3/3, 1/1, 3 or 4/3, 3/3
What are the advantages to using Barium Paste for an Esophogram?
Excellent Mucosal Coating
What are the disadvantages to using Barium Paste for an Esophogram?
Does not fill a distended, hypomotile esophagus
What are the advantages to using Barium Food Bolus for an Esophogram?
Esophageal filling and distention
Less likely to pass a stricture
What are the disadvantages to using Barium Food Bolus for an Esophogram?
Poor Mucosal Coating
Obscures Luminal Content
What are the advantages to using Aqueous Organic Iodide for an Esophogram?
Reveal Perforations
What are the disadvantages to using Aqueous Organic Iodide for an Esophogram?
Coat the Mucosa poorly
Doesn't distend lumen
Readily passes strictures
What are the complications of an Esophagram?
Aspiration
Ba inflammation
Organic Iodide in Airways
Which structures are best seen on a Rt Lt, Le Lt, VD, and DV views for an Upper GI Series?
Rt Lt: Pylorus

Le Lt: Fundus

VD: Fundus

DV: Pylorus
What are some technique variations for Upper GI Contrast Series?
Low Volume Gastrogram

Aqueous Organic Iodide CM

Pneumogastrogram

Double Contrast Gastrogram
What are the Complications of Upper GI Contrast Series?
Aspiration
Ba Induced Peritonitis
Where does the air rise in the stomach in the following positions:
Sternal Recumb
Dorsal Recumb
Right Recumb
Left Recumb
Sternal Recumb: Fundus

Dorsal Recumb: Body

Right Recumb: Fundus and Body

Left Recumb: Pylorus
Delay in gastric emptying in Upper GI Series may be due to what iatrogenic factors?
Insufficient Gastric Distention
Feces in colon
Drugs
Psychic Factors
Where is the Duodenum located?
Fixed position
Extends cranially then turns sharply caudally along the Right Abdominal Wall in the VD view
Where is the Jejunum seen?
Freely mobile
Extensive winding and superimposition
Where is the Ileum seen?
Freely mobile
Terminally at the ileocolic junction
What is Fimbriation in relation to the Upper GI Series?
Slightly irregular, feathery appearing mucosa
Normal variant
Due to spatial arrangement of villi
T or F: Mucosal folds may create linear filing defects in non-distended segments analogous to esophageal folds.
TRUE
T or F: Psuedoulcers are normal in the descending duodenum.
TRUE
T or F: Wall thickness can be evaluated well on an Upper GI Series
TRUE
T or F: Upper GI transit times are variable.
TRUE
How long are the Duodenum, Ileo-colic, and Stomach Empty Times in the dog?
Duodenum: 15-30 min
Ileo-colic: 2-4 hr
Stomach Empty: 2-3 hr
How long are the Ileo-colic and Stomach Empty Times in the cat?
Ileo-colic: 15-60 min
Stomach Empty: 1 hr
What are variations on the Lower GI Series?
Pneumocolon
Double Contrast L GI Series
Aqueous Organic Iodide
False Results in Lower GI Series can be due to what?
Feces
Air Bubbles
Peristalsis
Spasms
T or F: Deviation in the Descending Colon location is abnormal.
FALSE
What GI Structure is poorly evaluated on Ultrasound?
Esophagus
How does the Stomach and Intestine look on Ultrasound?
Striped Appearance

(Subserosa serosa, Muscle, Submucosa, Mucosa, Mucosal Surface)
How thick should the Stomach and Intestinal Walls be?
Stomach= 3-5 mm
Intestine= 2-4 mm
What are the 3 main Radiographic Signs?
Density
Geometry
Function
How is Density evaluated?
Increased
Decreased
How is Geometry evaluated?
Shape
Size
Position
Number
Margination
How is Function evaluated?
Integrity
Patency
Motility
Excretion
T or F: Abnormalities in the alimentary tract may be due to Primary OR Secondary disease.
TRUE
What are the principles of radiographic interpretation for the alimentary tract based on?
Filing Defects
How are mass lesions of Tubular and Hollow Organs Classified?
Itraluminal (includes obstruction)
Mural-Mucosal (includes annular)
Extrinsic-Extraluminal
Which view is best for obtaining an unobstructed view of the nasal cavities?
Open Mouth VD View
Which view is excellent for evaluating more rostral portions of the nasal cavity?
Intra-Oral View
(Frontal View too)
Which view gives a skyline view of the frontal sinuses?
Rostral-Caudal View (aka Frontal View)
What do oblique views of the maxilla show?
Maxillary Teeth
Turbinates
Maxillary Bone
What are examples of abnormal Upper Airway Radiographic findings?
Increased ST opacity in nasal cavity
Turbinate destruction
Destruction or Deviation of Septum
Lysis of overlying bone
Involvement of Frontal Sinuses
What is the proper technique for a lateral Upper Airway Radiograph?
Head and Neck Slightly extended
Minus 10% of kVp for Lateral Thorax Technique
What is the proper technique for a VD Upper Airway Radiograph?
Use the VD/DV Thoracic Technique kVp
What is the normal diameter of the Trachea on an Upper Airway film?
Thoracic Inlet ratio for non-brachycephalic= 0.2+/- 0.03

Thoracic Inlet for brachycephalic= 0.13 +/- 0.38
What technique do you use for Thoracic Radiology? Why?
High kVp
Low mAs

Because Low Contrast (long grey scale) is best for the thorax
How does a RIGHT Lateral Thoracic Radiograph Appear?
Right Crus more cranial-- Caudal Vena Cava seen entering cranial right crus

Heart: More oval and upright

More overlap of R and L Cranial Lobar Pulmonary Vessels
How does a LEFT Lateral Thoracic Radiograph Appear?
Left Crus more cranial-- Fundus of Stomach associated with Left Crus

Heart: More Rounded and Dorsally displaced apex; Gap between apex and sternum

Left and Right Crus intersect at level of Caudal Vena Cava
T or F: There is a significant difference between Left and Right Lateral Thoracic Radiographs in cats and small dogs.
FALSE
How does a VD Thoracic Radiograph Appear?
3 humps of diaphragm visible
Lungs appear larger
Heart appears longer and narrower
What is a VD Thoracic Radiograph best for visualizing?
Early Pleural Effusion
Cranial Mediastinal Masses
What is a DV Thoracic Radiograph best for visualizing?
Pneumothorax
Hilar Lymph Node Enlargement
How does a DV Thoracic Radiograph appear?
Diaphragm= sing hump

Caudal lung lobes appear narrower and taper caudally

Lung field appears smaller

Caudal Pulmonary Vessels better visualized

Heart appears shorter in length (more accurate)
Which views are preferred for Thoracic Radiographs?
R and L Lateral
AND
VD or DV

**3 View Thorax**
What are signs of inspiration on lateral Thoracic Radiographs?
flatter diaphragm
Lungs appear larger and more radiolucent
Increased distance between the heart and diaphragm
Caudal Vena Cava more parallel to spine, more elongated, and thinner
What are signs of inspiration on VD/DV Thoracic Radiographs?
Cardiac silhouette is smaller
Increased Thoracic Cavity width and length
What are general signs of expiration on Thoracic Radiographs?
Heart appears larger
Lungs are more radiopaque and smaller
More overlap between the heart and diaphragm
What do skin folds mimic on normal thoracic radiographs?
pneumothorax
T or F: Mineralization of Costal Cartilages is a normal variant with age.
TRUE
T or F: The appearance of extrapleural sings or pleural effusion in the Dachshund and Basset Hound is due to extra curve to the ribs.
TRUE

Extra curve causes the superimposition of the body wall over the lung and periphery.
What structures are found in the Mediastinum?
Trachea, Esophagus, Heart, Aorta, Great Vessels, Thoracic LN, Cran & Caud VC, Azygous Vein, Lymphatic Ducts, Thymus
T or F: The Mediastinum communicates with the Pleural space.
FALSE
What causes the Cranioventral Mediastinal Reflection?
Left Sided extension of Right Cranial Lung Lobe
What causes the Caudoventral Mediastinal Reflection?
Left sided extension of Accessory Lung Lobe
Enlargement of what lymph nodes results in soft tissue masses cranial to the heart?
Sternal Lymph Nodes
Cranial Mediastinal Lymph Nodes
What does enlargement of Tracheobronchial (Hilar) LN cause?
Ventral Deviation of Carina and Principle Bronchi
What causes a mediastinal shift?
uilateral increase (overexpansion) or decrease (atelectasis or lobe removal) in lung volume

mediastinum (heart) shifts away from overexpanded lung and towards collapsed or absent lung
What can cause pneumomediastinum?
Ruptured esophagus
Neck lacerations with S/Q emphysema
Lung Trauma
How would a thoracic radiograph of a dog with pneumomediastinum appear?
Free air acts as Negative Contrast
Enhanced visualization of structures not normally seen: subclavian and brachiocephalic arteries, outer wall of trachea, esophagus, cranial VC, azygous vein
Lung Lobe Anatomy:
Left: Cranial and Caudal lobes
Right: Cranial, Middle, Caudal, and Accessory
What views are the cranial peripheral vessels best seen in thoracic radiographs?
Left Lateral
What views are the caudal peripheral vessels best seen in thoracic radiographs?
DV
What comprises the cardiac silhouette?
Heart
Pericardium
Pericardial and Mediastinal Fat
LN
Structures at hilus of lung
T or F: Cardiac size varies with age and young dogs have larger hearts relative to thoracic size.
TRUE
T or F: Apparent cardiac size is not affected by Pericardial and Mediastinal Fat
FALSE
How does the heart appear on a lateral thoracic view of a Doberman?
Elongated, Narrow
Upright
Almost Perpendicular with little sternal contact
Relatively small
How does the heart appear on a VD thoracic view of a Doberman?
Circular
Apex on the midline
How does the heart appear on a lateral thoracic view of a German Shepherd?
Wider
Cranially
More Sternal Contact
How does the heart appear on a DV thoracic view of a German Shepherd?
Reverse D Shape
Straight left border
Slightly rounded right border
Apex is slightly to the left
How does the heart appear on a lateral thoracic view of a Bulldog?
Shorter and Rounder
Cranial inclination
Exaggerated sternal contact
How does the heart appear on a DV thoracic view of a Bulldog?
Apical shift to the Left
Apex is rounded
Enlarged
What views are best for radiography of the heart?
Right Lateral
DV
How does the heart appear on a RIGHT lateral view?
Oval
Upright
How does the heart appear on a LEFT lateral view?
Rounded
Slight dorsal displacement of Apex
How does the heart appear on a VD view?
Longer
Narrower
Apex to left of midline
How does the heart appear on a DV view?
Shorter
Apex more to midline
On a LATERAL view, name what structures are found at the following borders:
Cranial
Cranioventral
Craniodorsal
Caudal
Caudodorsal
Cranial Waist
Cranial: Right Ventricular Outflow (conus arteriosus)

Cranioventral: RV

Craniodorsal: RAu, AA, PT

Caudal: LV

Caudodorsal: LA

Cranial Waist: Junction of Cranial VC and Right Ventricle

** RA and LAu don't form borders on Lateral View**
Complete the following clock-face analogy for the VD/DV view of the heart:
11 to 1
1 to 2
2 to 3
2 to 5:30
5:30 to 9
9 to 11
11 to 1: AA

1 to 2: PT

2 to 3: LAu

3 to 5:30: LV

5:30 to 9: RV

9 to 11-- RA
On the Thoracic Lateral views, how big should the arteries and veins be?
3/4ths the size of width of 3rd or 4th rib
On the VD views, how big should the arteries and veins be?
less than or equal to the 9th rib
What are normal Cardiac Variations in the geriatric cat?
Exaggerated Sternal Contact
Tortuous, redundant AA
How wide should the cat heart be on a lateral view?
2 to 2.5 ICS
How do you measure the heart using the Vertebral Heart Scale?
Start at T4, extend caudally and estimate to the nearest 0.1 vertebra
How long is a normal heart using the Vertebral Heart Scale?
5.8 VB
What size is a normal heart using the Vertebral Heart Scale?
Canine: 9.7 +/- 0.5
Feline: 7.5 +/- 0.3