- Wikipedia on Chest Xrays - Really good information article on chest xrays.
- Introduction to Chest Imaging - This many great image examples from the University of Virginia Med Program.
- Chest Xray Atlas - This has older images but also good explanation on what your looking at with many different items with xrays.
Now for the ABC's of the technique to read a chest xray:
A - Airway: are the trachea and mainstem bronchi patent; is the trachea midline?
B - Bones: are the clavicles, ribs, and sternum present and are there fractures?
C - Cardiac silhouette: is the diameter of the heart > ½ thoracic diameter enlarged)?
D - Diaphragm: are the costophrenic and costocardiac margins sharp? Is one hemidiaphragm enlarged over another? Is free air present beneath the diaphragm?
E - Effusion/empty space: is either present?
F - Fields (lungs): are there infiltrates, increased interstitial markings, masses, air
bronchograms, increased vascularity, or silhouette signs?
G - Gastric bubble: is it present and on the correct (left) side?
H - Hilar region: is there increased hilar lymphadenopathy?
I - Inspiration: did the patient inspire well enough for 10 ribs to be counted, or was the patient rotated?
Well I hope this bit of information has helped someone look at a xray and see it better, I know doing this has helped me and will help me in the future with my patients.
34 comments:
This would be a good thing for us RTs to freshen up on. It's not essential, but it would sure be nice to "know" what we are seeing instead of always having to ask. Maybe we could even impress someone with our wisdom.
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