Chest X-ray Basics and Interpretation

1. Chest X-rays
S A Saleemi
ssaleemi@kfshrc.edu.sa

2. Anatomy of Chest X-ray
scapula
Oblique
fissure
Oblique
fissure
horizontal
fissure

3. Common Abnormal finding on Chest X-ray
Lucency
(lower density than surrounding tissue)
Opacity
(higher density than surrounding tissue)

4. Linear Reticular Reticulonodular
Alveolar
Interstitial
Alveolar
Opacities

5. Consolidation Collapse
Nodule MassOpacities

6. Cavity
CYST
Lucency
Pneumothorax
Bulla

7. Silhoutte Adjacent lobe/segment
Right Diaphragm RLL/Basal segments
Right Heart margin RML/Medial segment
Ascending Aorta RUL/Anterior segment
Aortic knob LUL/Posterior segemnt
Left Heart margin Lingula/Inferior segment
Descending Aorta LLL/post segment
Left Diaphragm LLL/Basal segments
SILHOUETTE SIGN

8. Normal X-ray

9. Pleural effusion
Meniscus sign

10. Pleural effusion
Fracture left clavicle

11. Pulmonary edema

12. Bronchiectasis

13. Bronchiectasis
Varicose Cystic cylindrical

14. Pulmonary infarction secondary to pulmonary embolism

15. Cavities with air fluid level

16. ILD

17. COPD

18. RUL consolidation

19. Cardiomegaly/Pericardial effusion

20. Right lung collapse Massive right pleural effusion

21. LLL pneumonia

22. Lingular lobe Pneumonia

23. Right Pneumothorax

24. Tension Pneumothorax

25. Hiatus hernia

26. Elevated right diaphragm

27. Tenting of right diaphragm due to right upper lobe collapse

28. Invasive aspergillus infection
Adenocarcinoma
Metastatic disease

29.  Organizing pneumonia

30. NG tube right lung

31. Left lower lobe posterior segment consolidation

32. Hidden areas of Chest X-ray

33. Dextro-cardia/situs inverses

34. Right hilar mass

35. Bilateral hilar lymphadenopathy

36. PH

37. Klebsiella pneumoniae
(Friedlander pneumonia)

39. allergic bronchopulmonary aspergillosis.

41. Consolidation anterior segment RUL

42. Thanks