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Chest X-ray interpretation
From WikEM
(Redirected from CXR)
Contents
ABC Method
- Airways - ex. FB, trach deviation
- Bones and soft tissue - ex. Rib fractures, clavicle fracture
- Cardiac - ex. Cardiomegdaly
- Diaphragm - ex. Free air
- Effusions - ex. Pleural effusion
- Fields and Fissures - ex. Congestion, consolidations
- Great vessels - ex. Apical cap
- Hila and mediastinum - Widened mediastinum
- Impression
DRSABCDE Method
- Details
- Info of patient
- PA/AP, Lateral
- RIPE - Image quality
- Rotation
- Inspiration
- Picture
- Exposure
- Soft tissues and bones
- Airway & mediastinum
- Breathing
- Lung fields
- Circulation
- Heart position and size
- Diaphragm
- Extras
- Lines, tubes, catheters
Examples
Prominent wedge-shape area of airspace consolidation in the right lung, characteristic of bacterial pneumonia
Esophageal foreign body (penny in 12 mo male)
Right sided pneumothorax
Pulmonary edema with small pleural effusions on both sides.
Left sided tension pneumothorax with mediastinal shift
