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  • CXR Not111

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    ธิติวุฒิ แสงคล้อย
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    This document provides an overview of how to read a chest x-ray. It lists the key components to examine, including the lungs, heart, bones, mediastinum, and pleura. Specific findings that should be identified and their potential causes are outlined, such as atelectasis, pulmonary edema, pneumonia, pneumothorax, pleural effusion, and masses. Images are also included to demonstrate various normal and abnormal findings.

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    CXR NOT111

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    CXR NOT111

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    This document provides an overview of how to read a chest x-ray. It lists the key components to examine, including the lungs, heart, bones, mediastinum, and pleura. Specific findings that should be identified and their potential causes are outlined, such as atelectasis, pulmonary edema, pneumonia, pneumothorax, pleural effusion, and masses. Images are also included to demonstrate various normal and abnormal findings.

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    Download as PPTX, PDF, TXT or read online from Scribd
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    31 views38 pages

    CXR Not111

    Uploaded by

    ธิติวุฒิ แสงคล้อย
    This document provides an overview of how to read a chest x-ray. It lists the key components to examine, including the lungs, heart, bones, mediastinum, and pleura. Specific findings that should be identified and their potential causes are outlined, such as atelectasis, pulmonary edema, pneumonia, pneumothorax, pleural effusion, and masses. Images are also included to demonstrate various normal and abnormal findings.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 38

    CXR

    NOT111

    Lobes and Fissures

    pleural effusion extending into the


    fissure

    Mediastinum and Lungs

    Pulmonary Vasculature

    How to Read a Chest XRay

    Patient Data (name history #, age, sex, old films)


    Routine Technique: AP/PA, exposure, rotation, supine or erect
    Trachea: midline or deviated, caliber, mass
    Lungs: abnormal shadowing or lucency
    Pulmonary vessels: artery or vein enlargement
    Hila: masses, lymphadenopathy
    Heart: thorax: heart width > 2:1 ? Cardiac configuration?
    Mediastinal contour: width? mass?
    Pleura: effusion, thickening, calcification
    Bones: lesions or fractures
    Soft tissues: dont miss a mastectomy
    ICU Films: identify tubes first and look for pneumothorax
    http://www.med-

    Silhouette sign

    air bronchogram

    6 causes : lung consolidation, pulmonary edema, nonobstructive


    atelectasis,

    severe interstitial disease, neoplasm, and normal expiration.

    Solitary Pulmonary
    Nodule

    Atelectasis

    LUL atelectasis
    Luftsichel
    Sign=air crescent at aortic
    knob

    LLL atelectasis

    RUL atelectasis

    RML atelectasis

    RLL atelectasis

    Pul. Edema :cardiogenic ,


    noncardiogenic

    cephalization of pulmonary vessels, Kerley B lines or


    septal lines, peribronchial cuffing, "bat wing" pattern,
    patchy shadowing with air bronchograms,fluid in
    fissure , pleural effusion and increased cardiac size.

    Kerley B lines

    Pneumonia

    Pneumonia

    ???

    TB

    ??

    left pleural effusion

    rrhage
    RUL hemo

    Pleural Effusion : 200ml


    vs 75ml

    Pneumothorax

    hydropneumothorax

    Emphysema

    Flail chest

    Anterior Mediastinal Mass :


    3T1L

    Middle Mediastinal Mass :


    Arch,Eso.

    Posterior Mediastinal
    Mass

    ddx : neoplasm, lymphadenopathy,aneurysm, lung mass,


    neurenteric cyst,meningocele, and extramedullary hematopoiesis

    Pneumomediastinum

    Diaphragmatic hernia
    :hiatal,Boch.,Morg.

    Hilar Adenopathy

    Normal

    Abnormal

    CA
    cavitation,
    which is found
    more
    characteristica
    lly in
    squamous cell
    CA

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