MODEL

For interpretation of a standard chest radiograph

Anatomical Description/analysis
structure (s) If your discover any modification, fix it (ex. Fracture of the
__rib etc.)
Soft tissues Shadows of the sternocleidomastoid and pectoral muscles are
symmetrical, the position is usual
Bones Both parts of the chest are symmetrical. The ribs and
intercostal spaces are symmetrical. The contours of the ribs are
clear.
Diaphragm Dome-shaped, the contours are well-defined. The position of
the both hemidiaphragms is not changed.
Sinuses Usual configuration, with clear contours
Pulmonary hila Are not modificated, with well-defined borders (to indicate the
width of the hila, if there are modifications or if the patient is
known or suspected to have a cardiovascular disease)
Lung fields Are transparent. If your discover a pathological sign (opacity
or hyperlucency, analyze it according to the models, starting
with localisation)
Pulmonary Is not modificated. If there are pathological changes, interprеt
vascular them, starting from the state of peripheral pulmonary vessels.
pattern
Interlobar Are not differentiated
fissures
Mediastinum Not enlarged, not displaced, well-defined borders. To indicate,
if there are modifications, and which ones.
The cardiac convexities are differentiated, right atrio-vasal angle is not
displaced. To indicate the cardio-thoracic ratio, especially if the patient
is known or suspected to have a cardiovascular disease.
CONCLUSION 1. The underlying disease (answer to the question,
formulated by the physician who addressed the patient
for radiographic examination).
2. Complications of the underlying disease.
3. Concomitant pathology.
 If You did not detect the pathology, suspected by the
addressing physician, indicate: the signs of ----- are not
detected
 Indicate the pathology, which You can diagnose in a
radiograph (ex., hydrothorax, under clinical condition is
possible to be a haemothorax; but not to affirm
“haemothorax” if You didn’t perform a pleural punction
and analysis of the content)