Chest X Ray

dr. Sulastri C. Panjaitan, SpRad

Normal Chest X ray

Orientasi Penetrasi

Inspirasi Rotasi
 Orientasi

PA AP
 Orientasi
• Posterior anterior
• Scapula diluar lapangan paru
PA •
•
Iga oblik
Spine dan posterior end iga jelas

• Anterior posterior
• Jantung  Magnifikasi
AP
 Inspirasi
Adekuat  Iga 6 -7
anterior dan 9-10 posterior

Kurang magnifikasi
jantung

Kurang Vaskuler
prominent
 Penetrasi

Pada radiografi berkualitas tinggi ,

korpus vertebra terlihat samar
melalui jantung

Penetrasi kurang  lebih putih

Vaskuler terlihat 2/3 lapangan

paru
 Rotasi
Ideal  jarak medial
clavicula kanan kiri
dengan prosesus
spinosus sama

Rotasi  mediastinum ,
jantung, hilus sulit dinilai

Rotasi  Densitas ↑
 Mediastinum (ant, medium, post)
Evaluation of mediastinal
compartments
It is useful to consider the
contents of the mediastinum as
belonging to
three compartments:

-Anterior mediastinum:
mammaria interna, limfatic gland,
thymus
-Middle mediastinum: heart,
lower half SVC, bifurcatio
trachea, ascending aorta,
Pulmonary artery, right/lefr PV
-Posterior mediastinum: aorta
descenden, oesophagus.
Infiltrat
Kalsifikasi
Kavitas
Fibrosis
Tuberculoma
• Nodul paru atau
massa
• Diameter 0,5-4 cm
• Batas licin dan
predileksi pada
zona atas
 PLAIN
ABDOMINAL
RADIOGRAPH
Technique :
AP - erect
AP - Supine

LLD

Semi recumbent PA - CXR

AP-supine; vertical
ray

AP-supine; horizontal ray

 What to Examine
Plain abdominal photo

1. Supine position :
– abdominal wall
(preperitoneal fat
line)
– psoas line
– opaque stone /
calcification /
foreign body
– renal contour
– bowel gas
– ascites
– soft tissue mass
plain abdomen x-ray

2. Erect /
semirecumbent
position.

– air-fluid level
plain abdomen x-ray

2. Erect /
semirecumbent.

– Subdiaphragmatic
free air
(perforation)
plain abdomen x-ray

3. LLD (left lateral decubitus, horizontal ray)

– Free air (between liver and abdominal wall)
plain abdomen x-ray

radioopaque stone soft tissue mass

 Mechanical
small bowel
obstruction

-small bowel
dilatation
-colon gas (-)
Mechanical small bowel obstruction

String of beads sign :

Trap air in valvulae conniventes
 Mechanical large
bowel obstruction

Colon dilatation

obstruction.

Barium enema
volvulus of descending colon