Chest x-ray interpretation: Difference between revisions
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==ABC Method== | ==ABC Method== | ||
*'''A'''irways - ex. FB, | *'''A'''irways - ex. FB, trachea deviation | ||
*'''B'''ones and soft tissue - ex. Rib fractures, clavicle fracture | *'''B'''ones and soft tissue - ex. [[Rib fractures]], [[clavicle fracture]] | ||
*'''C'''ardiac - ex. Cardiomegaly | *'''C'''ardiac - ex. [[Cardiomyopathy|Cardiomegaly]] | ||
*'''D'''iaphragm - ex. Free air | *'''D'''iaphragm - ex. Free air | ||
*'''E'''ffusions - ex. Pleural | *'''E'''ffusions - ex. [[Pleural effusion]] | ||
*'''F'''ields and '''F'''issures - ex. Congestion, consolidations | *'''F'''ields and '''F'''issures - ex. Congestion, consolidations | ||
*'''G'''reat vessels - ex. Apical cap | *'''G'''reat vessels - ex. Apical cap | ||
*'''H'''ila and mediastinum - Widened mediastinum | *'''H'''ila and mediastinum - [[Widened mediastinum]] | ||
*'''I'''mpression | *'''I'''mpression | ||
| Line 28: | Line 28: | ||
*'''E'''xtras | *'''E'''xtras | ||
**Lines, tubes, catheters | **Lines, tubes, catheters | ||
==Examples== | |||
<gallery mode="packed"> | |||
File:ARDS.png|[[ARDS]] | |||
File:Pneumoperitoneum X-ray.jpg|Pneumoperitoneum | |||
File:PneumonisWedge09.jpg|Prominent wedge-shape area of airspace consolidation in the right lung, characteristic of bacterial [[pneumonia]] | |||
File: Esophageal_fb.JPG |[[Esophageal foreign body]] (penny in 12 mo male) | |||
File:Pneumothorax.png|Right sided [[pneumothorax]] | |||
File:PulmEdema.png|[[Pulmonary edema]] with small [[pleural effusions]] on both sides. | |||
File:PMC2892654 CRM2010-213818.004.png|Left sided [[tension pneumothorax]] with mediastinal shift | |||
File:PulmonaryabsCXR.png|[[Lung abscess]] | |||
File:CXR3354 IM-1609-1001.png|Hyperinflated lungs consistent with [[asthma]]/[[COPD]] | |||
File:ETTubeandNGtubeMarked.png|[[Endotracheal tube]] and [[nasogastric tube]] in correct position. | |||
</gallery> | |||
==Special Findings== | ==Special Findings== | ||
===Elevated Hemidiaphram=== | ===Elevated Hemidiaphram=== | ||
[[File:Elevated hemidiaphragm.png|thumbnail|Elevated hemidiaphragm algorithm]] | |||
[[ | ==See Also== | ||
*[[X-ray interpretation (main)]] | |||
[[Category: | [[Category:Radiology]] | ||
[[Category:Pulmonary]] | |||
Latest revision as of 21:08, 1 May 2024
ABC Method
- Airways - ex. FB, trachea deviation
- Bones and soft tissue - ex. Rib fractures, clavicle fracture
- Cardiac - ex. Cardiomegaly
- Diaphragm - ex. Free air
- Effusions - ex. Pleural effusion
- Fields and Fissures - ex. Congestion, consolidations
- Great vessels - ex. Apical cap
- Hila and mediastinum - Widened mediastinum
- Impression
DRSABCDE Method
- Details
- Info of patient
- PA/AP, Lateral
- RIPE - Image quality
- Rotation
- Inspiration
- Picture
- Exposure
- Soft tissues and bones
- Airway & mediastinum
- Breathing
- Lung fields
- Circulation
- Heart position and size
- Diaphragm
- Extras
- Lines, tubes, catheters
Examples
Pneumoperitoneum
Prominent wedge-shape area of airspace consolidation in the right lung, characteristic of bacterial pneumonia
Esophageal foreign body (penny in 12 mo male)
Right sided pneumothorax
Pulmonary edema with small pleural effusions on both sides.
Left sided tension pneumothorax with mediastinal shift
Endotracheal tube and nasogastric tube in correct position.
