DR. NIDHI AHYA
Assistant Professor
Cardio-Vascular & Respiratory PTDVVPF
College of Physiotherapy,
Ahmednagar 414111
 Discovery Of X-rays
 Basics Concepts
 Radiographic Views
 Comparison- AP and PA
 Viewing a PA film
Wilhelm Conrad Roentgen
German Physicist
 Ability to penetrate matter depends on
density of matter
density - radiolucent
density - radiopaque
 Distance from source of X-ray - FFD
Closure source - magnification
 Position of the patient relative to the film
cassette
 Direction of projection of X-ray-
 Standard Views
 Special Views
PA VIEW
AP VIEW
LATERAL VIEW
LATERAL DECUBITUS VIEW
APICAL LORDOTIC VIEW
PA AP
 Demographic Data
 Technical Details
 ABCD Approach
 Airway
 Bones
 Cardiac Silhoutte
 Diaphram
 Edges of the Heart
 Fields of Lung
 Great Vessels
 Hila
 Instruments
R
 X-ray View
 Centering/Rotation
 Side Markers
 Exposure
 Degree of Inspiration
Silhouette Sign
Air Bronchogram
Ground Glass Appearance
Honey Comb Appearance
• Shift of fissures
• Crowding of vessels and airways
• Increased opacity
• Elevation of diaphragm
• Mediastinal shift
• Compensatory radiolucency on C/L side
• Ribs are close to each other
• Silhouette sign
R Upper Lobe Collapse
R Lower Lobe Collapse
L Upper Lobe +
Lingula Collapse
L Lower Lobe
Collapse
Discovery Of X-rays
 Basics Concepts
 Radiographic Views
 AP and PA
Abnormal radiological signs
Interpretation of chest x-rays

Interpretation of chest x-rays