normal chest x-ray
DESCRIPTION
Normal chest X-ray. Dr.Ahmed Refaey. MBBCh, MS, FRCR. How do you look at chest x ray?. Avoid tunnel vision. * bones ; lesions or fractures * soft tissue ; mastectomy or soft tissue tumors. * trachea ; position & caliber * hila : lymphadenopathy * mediastinum contour : ? mass - PowerPoint PPT PresentationTRANSCRIPT
How do you look at chest x ray?
Avoid tunnel vision
* bones; lesions or fractures
* soft tissue ; mastectomy or soft tissue tumors
Mediastinum, heart and hila
* trachea ; position & caliber
* hila : lymphadenopathy
* mediastinum contour : ? mass
* heart : cardiac configuration
lungs
opacity
or lucency
How to read a chest x ray ?• 1- chest wall, bones and abdomen * bones; lesions or fractures * soft tissue ; mastectomy or soft tissue tumors
• 2- heart and mediastinum * trachea ; position & caliber * hila : lymphadenopathy * mediastinum contour : ? mass * heart : cardiac configuration
• 3- lungs opacity or lucency
Body habitus
Right ventricular enlargement
Left atrial enlargement in mitral stenosis
Left atrial enlargement
Lobes and Fissures
This patient has a pleural effusion
extending into the fissure.
A AB
lateral view
? !
can detect otherwise hidden masses
Beware of tunnel vision
The lateral chest filmour best friend
• Find abnormalities on the frontal film
• Confirm abnormalities suspected from frontal film
• Don’t be afraid to look at it