How read chest xr 9
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This document provides a guide for reading chest x-rays. It outlines key areas to examine including position, quality, lesions, masses, consolidation, and other findings. Specific features to evaluate for solitary pulmonary nodules and cavitary lesions are described such as appearance, size, location, and associated abnormalities. Causes of common chest x-ray findings are listed for conditions like pneumonia, lymphoma, and sarcoidosis.
How read chest xr 9
- 1. HOW READ CHEST XR -9 ANAS SAHLE ,MD
- 2. Brief review
- 3. POSITION PA AP QUALITY ROTATION PENETRATION INSPIRATION LESION OPACI OPACITY Homo Heterogenous Wellill defined Zone Centralperiph Silhouet eral sign TY Necrotic PATCHY MEDIASTINAL NODULE Central deviasionwided MASS COSTO-PHRENIC ANGEL Freeoblitern CAVITARY OTHER INFILTIRATION Bone soft tissuediaphragm
- 4. Consolidation Infection causes Non-infection causes Broncho- WEGNER Cardiac Pneumonia Lymphoma alveolar COP Sarcoid disease failure carcinoma
- 5. Solitary Pulmonary Nodule(SPN) Appearance Margin Calcification cavitation Comparison with a Size previous x-ray to >8mm <8mm Assess growth over time. Location Upperhillar zone Lowerbasesup-pleural Associated abnormalities Lymph node enlargement Rib destruction/erosion
- 6. Cavitary lesion Air + Air-fluid level Air only tissue Wall thickness Straight Wavy Thick Thin 1. Fungal ball. 2. Rupture hydatid cyct site 3. Necrotic tumor ruptured 4. Blood glot Hydatid Abscess Irregular Regular Peripheral Central inner wall inner wall cyst Emphesemato Cavitating Chronic us pneumatoc neoplasm abscess ele bulla