C H E S T X - R A Y I N T E R P R E TA T I O N

Lecturer: M.K. SASTRY

acupaincare.india@gmail.com

Cell no: 8473814247

**online seminar/classes will start in November
AIMS

1. To have a system to interpret chest x-rays (CXR)

2. To understand a normal CXR
3. To identify common abnormalities on a CXR
THE NORMAL CHEST
X-RAY
INITIAL GUIDANCE

1. Check it’s the right patient

2. Look for rotation
3. Look for penetration
4. AP vs PA
A SYSTEMATIC
APPROACH
A - Airway
B – Breathing (lungs)
C – Circulation (heart and great vessels)
D - Diaphragm
E – Everything else (bones and soft tissue)
COMMON
CONDITIONS
Right middle lobe
pneumonia
Large simple pneumothorax Tension pneumothorax
Right middle lobe effusion Large left pleural effusion
Cardiomegaly

Heart is greater than 50% of

the thorax ( remember need a
PA film)
Pulmonary oedema/heart failure/acute cardiogenic pulmonary oedema/LVF
Lung carcinoma
1. Dual chamber
pacemaker

2. Air beneath right

diaphragm
(perforation)
Surgical emphysema
(underlying
pneumothorax until
proven otherwise)
Old right rib fractures
Large hiatus hernia
Diaphragmatic hernias
Fractured right humerus – remember to stick to the system
ODDITIES

Dextrocardia
Breast implants
SUMMARY

1. You should now have a system to interpret CXR’s

2. You should begin to recognise common conditions on x-ray

It’s all about practice and pattern recognition

However,
Never forget the patient and they come before the x-ray. (Never fit the
patient to the x-ray in front of you
 THANK YOU

**online seminar will be staring in November.

OUR CLINIC:
2ND FLOOR, JKON BUILDING
Opp. Sonaram Field, Sonaram High School
Bharalamukh, Guwahati-781009

Copy right: M K SASTRY