How do you look at chest x ray
- Slides: 82
How do you look at chest x ray? Avoid tunnel vision
* bones; lesions or fractures * soft tissue ; mastectomy or soft tissue tumors
* trachea ; position & caliber * hila : lymphadenopathy * mediastinum contour : ? mass * heart : cardiac configuration Mediastinum, heart and hila
opacity or lucency lungs
How to read a chest x ray ? • 1 - chest wall, bones and abdomen * bones; lesions or fractures * soft tissue ; mastectomy or soft tissue tumors • 2 - heart and mediastinum * trachea ; position & caliber * hila : lymphadenopathy * mediastinum contour : ? mass * heart : cardiac configuration • 3 - lungs opacity or lucency
Body habitus
Right ventricular enlargement
Left atrial enlargement in mitral stenosis
Left atrial enlargement
Lobes and Fissures
A A This patient has a pleural effusion extending into the fissure. B
lateral view ? ! can detect otherwise hidden masses
Beware of tunnel vision
The lateral chest film our best friend • Find abnormalities on the frontal film • Confirm abnormalities suspected from frontal film • Don’t be afraid to look at it