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BASIC
INTERPRETATION
OF CHEST X RAY
INTRODUCTION
GENERAL PRINCIPLES
RELATIVE DENSITIES
BEFORE INTEREPTING CHEST
RADIOGRAPH
VIEWS OF CHEST RADIOGRAPH
PA VIEW
AP VIEW
LATERAL VIEW
LATERAL DECUBITUS POSITION
ERECT
“BETTER” THAN SUPINE
PLEURAL FLUID
“MOVES” TO BASES
GASTRIC AIR -
FLUID LEVEL
PLEURAL AIR “RISES” TO APEX
ERECT
NORMAL PULMONARY BLOOD DISTRIBUTION
PLEURAL AIR GRAVITATES SUPERIORLY
PLEURAL FLUID GRAVITATES INFERIORLY
SUPINEMAY DISPERSE FLUID (EFFUSIONS) / HIDE AIR (PNEUMOTHORAX)
SUPINE
PULMONARY VESSELS MAY
FALSELY APPEAR CONGESTED
3 MAIN FACTORS DETERMINE THE
TECHNICAL QUALITY OF RADIOGRAPH
• Inspiration
• Peneration
• Rotation
INSPIRATION
GOOD INSPIRATION
PENETRATION
UNDEREXPOSURE
OVEREXPOSURE
PENETRATION
ROTATION
ROTATION
NO ROTATION
CLAVICLES
CLAVICLE ENDS ARE EQUI-
DISTANT FROM
VERTEBRAE
ANGULATION
ANGULATION
AIRWAY
BONES AND SOFT TISSUE
SOFT TISSUE
CARDIA
CARDIA
CARDIA
MACH EFFECT
DIAPHRAGM
DIAPHRAGMATIC HUMPS
EFFUSION (PLEURA)
PNEUMOTHORAX
LUNG FIELDS
LUNGS
PULMONARY VENOUS HYPERTENSION
HIDDEN AREAS
GASTRIC BUBBLE
HILA AND MEDIASTINUM
PULMONARY ARTERY HYPERTENSION
MEDIASTINUM
• THANK YOU
THANK YOU…

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