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Chest X-ray Interpretation Dr.Angharad James Consultant Acute Physician

Chest X-ray Interpretation Dr.Angharad James Consultant Acute Physician. Systematic approach. Patient ID Side marker L / R Projection PA / AP Posture Supine / Semi-erect Rotation Penetration – over / under Breast shadows Full Inspiration (diaphragm at 6 th rib ant) one exception!.

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Chest X-ray Interpretation Dr.Angharad James Consultant Acute Physician

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  1. Chest X-ray InterpretationDr.Angharad JamesConsultant Acute Physician

  2. Systematic approach • Patient ID • Side marker L / R • Projection PA / AP • Posture Supine / Semi-erect • Rotation • Penetration – over / under • Breast shadows • Full Inspiration (diaphragm at 6th rib ant) one exception!

  3. Search for Pathology • Iatrogenic – drains, pacemakers, sternotomy wires, ?artefact • Mediastinal contours • CTR • Lung fields • Hemidiaphragms • Costo- and cardio-phrenic angles • Free air • Soft tissue • Bone

  4. A=right clavicle • B=right scapula • C=right 4th anterior rib • D=right 8th rib • E=right costophrenic angle • F=left lung apex • G=aortic arch • H=hilum • I=heart • J=left lung base • K=gastric bubble • White arrow=right hemidiaphragm • Yellow arrow=trachea

  5. A=oesophagus • B=trachea • C=lung hila • D=heart silhouette • E=lung apices • F=scapulae • G=thoracic vertebra • H=thoracic intervertebral foramen • I=superimposed posterior ribs • J=costophrenic angles • Yellow arrows=diaphragm

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