the chest

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chest x-ray the chest chest x-ray is one of the most frequently requested hospital investigations. it is readily available and inexpensive in comparison to other imaging studies. the basic interpretation is of utmost importance in answering several clinical questions at hand. it is an important tool to complement both history and initial clinical examination. introduction a. patient details  name of the patient  age  date basic chest x-ray interpretation b. quality • image quality influences interpretation • quality is influenced by radiographic technique and patient factors. • first determine if the clinical question can be answered. • check the image for – projection, rotation, inspiration, penetration and artefacts. 1. projection  look to see if the film is antero-posterior (ap) or postero- anterior (pa) view  with an ap view the x-ray beam is in front the patient and the x-ray placed at the back, and the other …

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end of the 10th rib.  if more ribs are visible the patient is hyperinflated  if fewer it indicates inadequate inspiration  poor inspiration will make the heart look larger, give appearance of basal shadowing and cause the trachea to appear deviated to the right 5. penetration • to check the penetration, look at the lower part of the cardiac shadow • the vertebral bodies should be barely visible through the cardiac shadow at this point. • if they are clearly visible then the film is over penetrated and you may miss low density lesion. • if you cannot see them at all then the film is under penetrated and the lung fields will appear falsely opaque (white). • the left hemidiaphragm should be visible to the edge of the spine • when comparing x-rays first determine if the level of penetration is similar. chest x-ray anatomy 1. trachea …

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accumulating in the pleural spaces. • lung markings should reach the thoracic wall 5. costophrenic angle and recess • the costophrenic recesses are formed by hemidiaphragms and chest wall. • they contain the rim of the lung bases which lie over the dome of each hemidiaphragm. • these angles are known as the costophrenic angles. • costophrenic angles should form acute angles that are sharp to the point. the chest introduction basic chest x-ray interpretation slide 4 slide 5 slide 6 slide 7 slide 8 slide 9 slide 10 slide 11 slide 12 slide 13 slide 14 slide 15 slide 16 slide 17 chest x-ray anatomy slide 19 slide 20 slide 21 slide 22 slide 23 slide 24 slide 25

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chest x-ray the chest chest x-ray is one of the most frequently requested hospital investigations. it is readily available and inexpensive in comparison to other imaging studies. the basic interpretation is of utmost importance in answering several clinical questions at hand. it is an important tool to complement both history and initial clinical examination. introduction a. patient details  name of the patient  age  date basic chest x-ray interpretation b. quality • image quality influences interpretation • quality is influenced by radiographic technique and patient factors. • first determine if the clinical question can be answered. • check the image for – projection, rotation, inspiration, penetration and artefacts. 1. projection  look to see if the film is …

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