Interpreting A CXR PDF

Interpreting a CXR C. Heffernan Feb 2021  Objectives  Demonstrate a systematic approach to reading a CXR  Interpret common CXR  Life-threatening conditions  Common acute conditions  ABCDEGHI method  ALWAYS start Name/DOB/Film  Start with obvious then go sy...

Interpreting a CXR C. Heffernan Feb 2021  Objectives  Demonstrate a systematic approach to reading a CXR  Interpret common CXR  Life-threatening conditions  Common acute conditions  ABCDEGHI method  ALWAYS start Name/DOB/Film  Start with obvious then go systematic  Assessment/Airway  Bones  Cardiac  Diaphragm  Effusion  Fissures  Great vessel and Gastric bubble  Hila mediastinum  Impression  Assessment/Airway  THINK ‘RIPE’  Rotation  Clavicle and margin of vertebra should be equal  Check trachea: is it central, Carina  Look for indwelling devices  Inspiration  Should see anterior 5-7 ribs. Hyper-inflated if 8+  Projection  PA (Posterior to anterior (Normal if not stated) or AP  Exposure  Good detail. If over-exposed: more white, under-exposed: more black  Should barely see vertebrae behind heart Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 33225  BONES  Check for fractures  Disolactions  Lesions  Osteopenia  Soft tissues  Subcutaneous air  Pneumothorax etc  Case courtesy of Dr Usman Bashir, Radiopaedia.org, rID: 18394  Cardiac  Cardiac size  From midline to apex