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How To Read A Chest Xray

Discussion in 'Radiology' started by Egyptian Doctor, Nov 3, 2012.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Check the available data about the patient and take a note about his history then start to follow these few easy steps to read his chest X-ray:

    Step 1


    Find the airway. This involves looking for the trachea and the main bronchi and also checking to make sure that the trachea is centered.

    Step 2

    Locate the clavicle, ribs and sternum. Check for fractures.

    Step 3

    Look at the diaphragm and make sure the margins and edge of it are sharp. A fuzzy margin may indicate that there is fluid at the bottom of the lungs or around the diaphragm.

    Step 4

    Look for the gastric air bubble. It should be on the right hand side of the X-ray and indicates that the stomach is located properly.

    Step 5

    Look for areas of heightened contrast in the lungs. A localized area can indicate a tumor or localized infection.

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  2. shabirullah

    shabirullah Well-Known Member

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    What mean by horizontal fissure,oblique fissure & left costo phrenic angle?
     

    thekneelaw13 and osamawj like this.
  3. Thomas

    Thomas Well-Known Member

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    These are the fissures that divide the lobes of the lungs from each other. The Costo-phrenic angle is the base or lower most corner of the left lung, and gets it's name from costal (pertaining to the ribs) and phrenum (to divide) and is where the diaphragm divides the lungs from the gastric area. More info here: en.wikipedia.org/wiki/Costophrenic_angle
     

  4. Thobias

    Thobias Active member

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    exactly i get your say
     

  5. José Villasmil

    José Villasmil Active member

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    I´m pneumonologyst and i learned to read a chest x ray in that way. My teachers were Felson´s disciples. Thanks a lot
     

  6. mohamad mouhib tabbara

    mohamad mouhib tabbara Famous Member

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  7. Masoud

    Masoud Young Member

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  8. chetan bharti

    chetan bharti Young Member

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  9. Dr Ashutosh Gupta

    Dr Ashutosh Gupta Young Member

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    A diffuse dark area doesn't signify fluid ! Fluid on an xray is opaque dear! What is happening ?
     

  10. Dr Ashutosh Gupta

    Dr Ashutosh Gupta Young Member

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    Now there is a young member who enlightens us by telling that in costophrenic the part 'phrenic' is derived from phrenum that means 'to divide', while in all of the world it means diaphragm and costophrenic angle is the angle between the ribs and diaphragm!
     

  11. Diego Armando Abastoflor

    Diego Armando Abastoflor Young Member

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  12. Shahid Dar

    Shahid Dar Famous Member

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    Informative
     

  13. Keyvant

    Keyvant Young Member

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  14. dr.deepak

    dr.deepak Active member

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    centring of the x-ray......this is most important......as due to improper centering will lead to wrond diagnosis...
     

  15. Luna_yousef

    Luna_yousef Famous Member

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  16. Dr rupinder josan

    Dr rupinder josan Young Member

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  17. keivanradbod

    keivanradbod Famous Member

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    So useful.
     

  18. bashir978

    bashir978 Young Member

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    Thanks a million
     

  19. Dr Mohammed Usman

    Dr Mohammed Usman Young Member

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    Chest radiographs are the most requested radiogrsphic investigation, simple, cheap and easy to interpret. so learning to report them will surely helpnin clinical practice.
     

  20. Dr.AKA

    Dr.AKA Young Member

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