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Different tissues in our body absorb X-rays at
different extents:
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Be systematic
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Film Quality
When X-ray beams pass through the anterior chest on to the film
Under the patient, the ribs closer to the film (posterior) are most
apparent.
A really good film will show anterior ribs too, there should
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Be 6 to qualify as a good inspiratory film.
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Quality (cont.)
• Is the film over or
under penetrated if
under penetrated you
will not be able to see
the thoracic
vertebrae.
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Quality (cont)
• Check for rotation
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Verify Right and Left sides
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Now you are ready
• Look at the diaphram:
for tenting
free air
abnormal elevation
• Margins should be
sharp
(the right hemidiaphram is
usually slightly higher than
the left)
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Check the Heart
• Size
• Shape
• Silhouette-margins should be sharp
• Diameter (>1/2 thoracic diameter is
enlarged heart)
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Cardiac Silhouette
Margins should
be sharp
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Loss of Sharp Costophrenic Angles
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Check the hilar region
• The hilar – the large
blood vessels going
to and from the lung
at the root of each
lung where it meets
the heart.
• Check for size and
shape of aorta,
nodes,enlarged
vessels
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Finally, Check the Lung Fields
• Infiltrates
• Increased interstitial markings
• Masses
• Absence of normal margins
• Air bronchograms
• Increased vascularity
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Hemothorax
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