IMPROVING CHEST X-RAY INTERPRETATION John Fieselmann, MD

SKILLS WORKSHOP

Objectives
1. Develop a consistent approach to chest x-ray interpretation that is systematic, logical, and thorough. 2. Recognize abnormal chest x -ray patterns, signs, and common problems.

Step 1
Analyze the technique
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Rotation
Exposure Full Inspiration

Step 2
Approach chest x-ray interpretation in a systematic and logical fashion. CONSIDER: ABC DEF GH
A-Airway

Step 2

B - Bones and soft tissue C - Cardiac D - Diaphragm E - Everything else F - Fissures G - Gastric bubble H - Hilum Lung parenctyma

Alveolar Pattern
1. Cloud-like or white infiltrates 2. Lobar/segmental or bilateral 3. Air bronchograms 4. Fast moving
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talc) S . Net-like or reticular 2. Peripheral a nd basilar distribution 4. coal. ARDS Pattern Interstitial Pattern 1. Honeycombing 3.Sarcoidosis 2 . Amyloid Drugs Allergic . beryllium.Hypersensitivity Pneumonitis Malignancy Collagen Vascular Disease Histiocytosis X or Langerhans' cell histiocylosis Infection Radiation Pneurnoccniosis (Asbestos.Alveolar or Consolidation • Water Blood Pus Lipid • Tumor CHF. Slow moving Pulmonary hemorrhage Pneumonia Pulmonary Alveolar Proteinosis (PAP) Broncho-alveolar carcinoma Known Causes of Pu Imonary Fibrosis ADAMCHIRPAspiration. silica.

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