the structured interpretation of chest x rays

19
ABC INTERPRETATION OF CHEST X RAYS.

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The structured interpretation of the chest X-ray

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Page 1: The structured interpretation of chest x rays

ABC INTERPRETATION OF CHEST X RAYS.

Page 2: The structured interpretation of chest x rays

TECHNICALS

AIRWAY

BONES

cARDIAC

DIAPHRAGM

GASTRIC BUBBLE

EQUAL LUNG FIELDS

Page 3: The structured interpretation of chest x rays

TECHNICALS

Rotation?

Penetration?

PA or AP?

Page 4: The structured interpretation of chest x rays

AP PA

Page 5: The structured interpretation of chest x rays

AIRWAY

Is the trachea central? AIRWAY

Has the trachea been pushed across?

Pneumothorax

Has the trachea been pulled across?

Consolidation

AIRWAY

Page 6: The structured interpretation of chest x rays

BONES

Posterior ribs

Anterior ribs

Clavicles

Verterbral bodies

Evidence of fractures?

BONES

6 Anterior or 10 Posterior ribs.

Page 7: The structured interpretation of chest x rays

CARDIAC

Edges of the heart and mediastinum should be clear.

Silhouette sign.

Right middle lobe opacity

Right upper lobe opacity

CARDIAC

CARDIAC

Page 8: The structured interpretation of chest x rays

CARDIAC

Edges of the heart and mediastinum should be clear.

Silhouette sign.

Left lower lobe opacity

Left upper lobe opacity

CARDIAC

CARDIAC

Page 9: The structured interpretation of chest x rays

CARDIAC

Edges of the heart and mediastinum should be clear.

Silhouette sign.

Is width of Heart less than half of thorax?

CARDIAC

Page 10: The structured interpretation of chest x rays

DIAPHRAGM

Edges of the diaphragm should be clear.Silhouette sign.

Right lower lobe opacity

Left lower lobe opacity

DIAPHRAGM

DIAPHRAGM

Page 11: The structured interpretation of chest x rays

DIAPHRAGM

Edges of the diaphragm should be clear.Silhouette sign.

Air under diaphragm

Gastric bubble.

DIAPHRAGM

DIAPHRAGM

Page 12: The structured interpretation of chest x rays

EQUAL LUNG FIELDS

Equal translucency

Air Bronchograms

EQUAL LUNG FIELDS

EQUAL LUNG FIELDS

Page 13: The structured interpretation of chest x rays

Right middle lobe opacity

EQUAL LUNG FIELDS

EQUAL LUNG FIELDS

EQUAL LUNG FIELDS

Page 14: The structured interpretation of chest x rays

GASTRIC BUBBLE

Page 15: The structured interpretation of chest x rays

ABCDEFG

Page 16: The structured interpretation of chest x rays

ABCDEFG

Page 17: The structured interpretation of chest x rays

ABCDEFG

Page 18: The structured interpretation of chest x rays

ABCDEFG

Page 19: The structured interpretation of chest x rays

ABCDEFG