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C X R Interpretation


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CXR Interpretation

Published in: Education, Health & Medicine

C X R Interpretation

  1. 1. CXR Interpretation Sherry L. Knowles, RN, CCRN, CRNI In CCU
  2. 2. <ul><li>Posterior-Anterior (PA): </li></ul><ul><ul><ul><li>Standard view & most reliable technique </li></ul></ul></ul><ul><ul><ul><li>Erect films detect air under the diaphragm </li></ul></ul></ul><ul><li>Lateral view: </li></ul><ul><ul><ul><li>Done at the same time as the PA film </li></ul></ul></ul><ul><ul><ul><li>Helps localize infiltrates </li></ul></ul></ul><ul><ul><ul><li>Also helps with CM, effusions & LAD </li></ul></ul></ul><ul><li>Anterior-posterior (AP): </li></ul><ul><ul><ul><li>Portable- patient is too ill to go to X-ray, usually patient is sitting upright in bed </li></ul></ul></ul><ul><ul><ul><li>Poor quality but may be the best you can do </li></ul></ul></ul><ul><ul><ul><li>Remember- AP films may cause the mediastinum & heart to appear larger than they are </li></ul></ul></ul>CXR Views
  3. 3. Basic Rules Make sure you have the right patient Look for symmetry Have a system Look for the marker (R/L) Check Exposure Check for inspiration (need 8-9 ribs) Check for Rotation Search the pattern
  4. 4. Have a System <ul><li>Inspect the bony framework </li></ul><ul><li>Inspect the soft tissues that overlies the thoracic cage </li></ul><ul><li>Examine the lung fields </li></ul><ul><li>Examine the diaphragm and pleural surfaces </li></ul><ul><li>Examine the heart and mediastinum </li></ul>
  5. 5. Rules <ul><li>Read the label on the chest film </li></ul><ul><li>Assess the quality of the film </li></ul><ul><li>Check the Structures </li></ul><ul><li>Look at the heart and major vessels </li></ul><ul><li>Assess the boundaries </li></ul><ul><li>Assess the Airways </li></ul><ul><li>Assess the Lung Tissues </li></ul><ul><li>Look for Line & Tube Placement </li></ul>
  6. 8. Normal Thoracic Anatomy
  7. 9. Normal CXR
  8. 10. Normal CXR
  9. 16. Right Upper Lobe Pneumonia
  10. 17. Right Middle Lobe Pneumonia
  11. 18. Left Lower Lobe Pneumonia
  12. 19. Enlarged Heart
  13. 20. Pulmonary Edema
  14. 21. CHF
  15. 22. CHF
  16. 23. CHF
  17. 24. Pleural Effusion
  18. 25. Pneumothorax
  19. 26. Pneumothorax
  20. 27. Pneumothorax
  21. 28. Spontaneous Pneumothorax
  22. 29. Dissecting Aneurysm
  23. 30. ARDS
  24. 31. Honeycombing
  25. 32. Honeycombing
  26. 33. Honeycombing
  27. 34. Pulmonary Fibrosis
  28. 35. Subcutaneous Air
  29. 36. Tuberculosis
  30. 37. Lung Cancer
  31. 38. PA Catheter
  32. 39. Lines & Tubes on CXR