How to read a CXR Dr muna A

How to read a CXR … Dr. muna A Gh. Z

• Initial checks 1. Check the patients name 2. Look up the patients history 3. Read the date of the radiograph. 4. Look for markers 5. Position the postro -anterior and lateral view 6. Antro -posterior views taken in certain circumstances. 7. Check for any instrument insertions • film quality 1. Is it taken under full inspiration ? U should be able to see 10 posterior ribs and 6 anterior ribs. 2. Check for rotation

Check patients name

Look up the patients h. ISTORY

LOOK FOR MARKERS

Indication of AP view 1. Severe illness 2. Pediatric s • diminish distance of x-ray beam result in more magnification of the heart

Normal chest pa and Lat. view

Lung zone

Inspiratory vs. expiratory films

• Check if there any instrument

2. Air space • opacification fillingby) fluid or other materials …it has Replacement of(air space in the alveoli an ill-defined border with a fissure. except when it comes in contact • Exudate …consolidation • Transudate …. pulmonary odema • Air bronchogram… air filling the normal bronchi , being made visible by the opacification of the near by alveoli. • Pulmonary collapse. (atelectasis) • Nodular , spherical opacities • Linear opacities. • Wide spread opacites • Cavitation

Consolidation( pneumonia ) • Replacement of air in one or more acini by fluid or solid material vol. of the lung is normal un like collapse

Middle lobe consolidation