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How to read chest x-ray

How to read chest x-ray. Dr. Suheab A. Maghrabi MBBS, MSc. X rays: Electromagnetic R adiation. Absorption varies between tissues. Bone Soft tissue Air . Be systematic. Don’t rush to conclusions. P atient profile. Name. Date. T ype of view. Image Quality: Penetration

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How to read chest x-ray

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  1. How to read chest x-ray Dr. Suheab A. Maghrabi MBBS, MSc.

  2. X rays: Electromagnetic Radiation. • Absorption varies between tissues. • Bone • Soft tissue • Air

  3. Be systematic. • Don’t rush to conclusions.

  4. Patient profile. • Name. • Date. • Type of view. • Image Quality: • Penetration • Inspiration • Rotation • Angulation • Soft tissues / bony structures • Mediastinum • Diaphragms • Lung Fields

  5. Patient Profile • Name. • Date.

  6. Type of view.

  7. Image Quality: • Penetration. • Inspiration. • Rotation. • Angulation.

  8. Penetration (over/under penetration).

  9. Inspiration (9-10 posterior ribs).

  10. Rotation: • Distance between clavicle and spines process should be equal on both sides.

  11. Angulation: • Clavicle should lie on the 3rd rib. 3

  12. Soft tissues / bony structures • Symmetry • Deformities • Fractures • Masses • Calcifications • Lytic lesions

  13. Mediastinum • Heart • Shape. • Sharpe edges. • Enlargement. • Hilar Lymph nodes and vessels.

  14. Diaphragms • free air. • Gastric buble (left) • Margins should be sharp. • Right dome usually higher than left. • Clear Costophrenic angle.

  15. Lung Fields • Infiltrates. • Increased interstitial markings. • Masses. • Air bronchograms. • Increased vascularity. • Lobs and fissures.

  16. Thank You

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