Chest x-ray interpretation: Difference between revisions
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==ABC Method== | ==ABC Method== | ||
* | *Airways - ex. FB, trachea deviation | ||
* | *Bones and soft tissue - ex. [[Rib fractures]], [[clavicle fracture]] | ||
* | *Cardiac - ex. [[Cardiomyopathy|Cardiomegaly]] | ||
* | *Diaphragm - ex. Free air | ||
* | *Effusions - ex. [[Pleural effusion]] | ||
* | *Fields and Fissures - ex. Congestion, consolidations | ||
* | *Great vessels - ex. Apical cap | ||
* | *Hila and mediastinum - [[Widened mediastinum]] | ||
* | *Impression | ||
==DRSABCDE Method== | ==DRSABCDE Method== | ||
* | *Details | ||
**Info of patient | **Info of patient | ||
**PA/AP, Lateral | **PA/AP, Lateral | ||
* | *RIPE - Image quality | ||
**Rotation | **Rotation | ||
**Inspiration | **Inspiration | ||
**Picture | **Picture | ||
**Exposure | **Exposure | ||
* | *Soft tissues and bones | ||
* | *Airway & mediastinum | ||
* | *Breathing | ||
**Lung fields | **Lung fields | ||
* | *Circulation | ||
**Heart position and size | **Heart position and size | ||
* | *Diaphragm | ||
* | *Extras | ||
**Lines, tubes, catheters | **Lines, tubes, catheters | ||
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File:PneumonisWedge09.jpg|Prominent wedge-shape area of airspace consolidation in the right lung, characteristic of bacterial [[pneumonia]] | File:PneumonisWedge09.jpg|Prominent wedge-shape area of airspace consolidation in the right lung, characteristic of bacterial [[pneumonia]] | ||
File: Esophageal_fb.JPG |[[Esophageal foreign body]] (penny in 12 mo male) | File: Esophageal_fb.JPG |[[Esophageal foreign body]] (penny in 12 mo male) | ||
File:Pneumothorax. | File:Pneumothorax.png|Right sided [[pneumothorax]] | ||
File:PulmEdema.png|[[Pulmonary edema]] with small [[pleural effusions]] on both sides. | File:PulmEdema.png|[[Pulmonary edema]] with small [[pleural effusions]] on both sides. | ||
File:PMC2892654 CRM2010-213818.004.png|Left sided [[tension pneumothorax]] with mediastinal shift | File:PMC2892654 CRM2010-213818.004.png|Left sided [[tension pneumothorax]] with mediastinal shift | ||
File:PulmonaryabsCXR.png|[[Lung abscess]] | File:PulmonaryabsCXR.png|[[Lung abscess]] | ||
File:CXR3354 IM-1609-1001.png|Hyperinflated lungs consistent with [[asthma]]/[[COPD]] | File:CXR3354 IM-1609-1001.png|Hyperinflated lungs consistent with [[asthma]]/[[COPD]] | ||
File:ETTubeandNGtubeMarked.png|[[Endotracheal tube]] and [[nasogastric tube]] in correct position. | |||
</gallery> | </gallery> | ||
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==See Also== | ==See Also== | ||
*[[X-ray interpretation (main)]] | *[[X-ray interpretation (main)]] | ||
==References== | |||
<references/> | |||
[[Category:Radiology]] | [[Category:Radiology]] | ||
[[Category:Pulmonary]] | [[Category:Pulmonary]] | ||
Latest revision as of 09:28, 22 March 2026
ABC Method
- Airways - ex. FB, trachea deviation
- Bones and soft tissue - ex. Rib fractures, clavicle fracture
- Cardiac - ex. Cardiomegaly
- Diaphragm - ex. Free air
- Effusions - ex. Pleural effusion
- Fields and Fissures - ex. Congestion, consolidations
- Great vessels - ex. Apical cap
- Hila and mediastinum - Widened mediastinum
- Impression
DRSABCDE Method
- Details
- Info of patient
- PA/AP, Lateral
- RIPE - Image quality
- Rotation
- Inspiration
- Picture
- Exposure
- Soft tissues and bones
- Airway & mediastinum
- Breathing
- Lung fields
- Circulation
- Heart position and size
- Diaphragm
- Extras
- Lines, tubes, catheters
Examples
Pneumoperitoneum
Prominent wedge-shape area of airspace consolidation in the right lung, characteristic of bacterial pneumonia
Esophageal foreign body (penny in 12 mo male)
Right sided pneumothorax
Pulmonary edema with small pleural effusions on both sides.
Left sided tension pneumothorax with mediastinal shift
Endotracheal tube and nasogastric tube in correct position.
