Essence of Pediatric Pulmonary

Practice: mastering Chest X-ray

reading

Ali M. Alsuheel, MD,ABP,SBP,JBP

Department of Pediatrics,

Pediatric Pulmonologist

Division of

Respirology
Pediatrics_KKU
April 2014
 The initial assessment of the
paediatric CXR
• Technique of the exam, to include patient data,
positioning, proper exposure and the degree of
inspiration
• Position of all tubes and lines and evaluation for
pneumothorax, pneumomediastinum, and
pneumoperitoneum
• Mediastinal and cardiac silhouettes
• Airway and lungs

Pediatrics_KKU
April 2014
Centralized chest -ray

Pediatrics_KKU
April 2014
Cardiac Assessment: chest -ray

Pediatrics_KKU
April 2014
Normal chest x-ray

Pediatrics_KKU
April 2014
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 Specific Signs

Silhouette Sign
• When two structures
that are the same density
are next to each other,
the border between
them is lost
• The location of this
abnormality can help to
determine the location
anatomically
 Specific Signs

Spine sign
• More black sign
 Specific Signs
Air bronchogram

Consolidation
ARDS
Bleeding
 Chest x-ray Quiz
What is the diagnosis? What is the diagnosis?
 Chest x-ray Quiz
What is the diagnosis? What is the diagnosis?
 Chest x-ray Quiz
What is the diagnosis? What is the diagnosis?
 Chest x-ray Quiz
What is the diagnosis? What is the diagnosis?
 Chest x-ray Quiz
What is the diagnosis? What is the diagnosis?
 Chest x-ray Quiz
What is the CXR finding? What is the radiological diagnosis?
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 Chest x-ray Quiz
What is the CXR finding? What is the radiological diagnosis?
 Chest x-ray Quiz
What is the radiological differential
What is the CXR finding? diagnosis?
- Most of the hilar
proximal bilateral
opacifications are due to:
pulmonary vasculature vs
bilateral airways
 Chest x-ray Quiz
What is the radiological differential
What is the CXR finding? diagnosis?