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Abnormal chest xrays……………….
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Basic Chest X-Ray Interpretation
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X-rays- describe radiation which is part of the
spectrum which includes visible light, gamma rays and cosmic radiation. Unlike visible light, radiation passes through stuff. When you shine a beam of X-Ray at a person and put a film on the other side of them a shadow is produced of the inside of their body.
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Different tissues in our body absorb X-rays at different extents:
Bone- high absorption (white) Tissue- somewhere in the middle absorption (grey) Air- low absorption (black)
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General Principles Read X-Rays yourself Be systematic Be aware of common artifacts Serially compare Observe symmetry Believe you missed a finding
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CXR Interpretation Format
Check info on CXR Evaluate technique(rotation, penetration, lung expansion) Examine soft tissues and bones Find Alien equiptment Evaluate structures(diaphragms, trachea, hilum, heart shadows) Evaluate lung pathology last
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Air bronchogram Lobar No loss of volume Consolidation
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Hole Wall Lumen Content Cavity
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Loss of lung volume Atelectasis
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Homogenous Costophrenic angle Meniscus Pleural effusion
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Pneumothorax
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Bilateral Diffuse Alveolar Pulmonary edema
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Bullous emphysema
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Emphysema
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Emphysema Flat diaphragm
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Mediastinal nodes
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Metastases
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Case 2
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Case 3
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Case 4
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