Chest X-ray interpretation

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

ARDS
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
Lung abscess

Special Findings

Elevated Hemidiaphram

Elevated hemidiaphragm algorithm

See Also

X-ray interpretation (main)

This article is issued from Wikem. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.