SlideShare a Scribd company logo
Reading chest X-Ray
Chest X-Ray Markings
Chest X-Ray –Lateral View Markings
•check for rt and LT side
•Looks whether is well centralized or not,...check for medial end of Clavicle ...both should be at equi
level from spine..i f not then it difficult to comment about cardiomegaly, medistinal
deviation.. whichever end is more close to spine-----mediastinum is deviated on that
side... 6th ant rib level or 9th post rib level
•look for exposure....if u see four spinal process then its well exposed...if over exposed then it looks
translucent( like emphysema)
•Looks for cardio and costophrenic angle...all should be acute...if nt then its abnormal....also look for
Diaphragmatic contour...if flattened ---then probably some lung disease....Both diaohragm are at
•divide the lungs field into 3 section....Upper: above the anterior end of 2nd rib.....middle: between
2nd anf 4th rib...lower: below 4th rib...compare both lung field...
•check Apical area ...esp behind the Clavicle for TB lesion then check lower lung filed for all 4 angle,,
•check trachea...and trace it upto carina...should be patent
•Cardiac: Let side border is made by Aortic knob, pulm conus, lt atrium and Lt ventricle while rt side
border is made by SVC and rt atrium
•Vascular markings: Lower lobe vessels are more prominent compare to Upper lobe coz of Gravity...If
not then Cardiac problem.. rt side vessels look more prominent than lt side...
Points to be consider
• few other points...
• how to say number of thoracic vertebra using chest xray??:--- check
anterior end of 1st rib which is connected to 1st thoracic
vertebera...
• if engorged upper lobe vessels: probably it's puml veins...due to CCF
• Kerly A line: prominent vascular markings in upper lobe
• Kerly B lines: in Lower lobe of lungs on peripheral side ----which
suggest fluid between septa...
• Carinal Ange is around 90...any angle above 90 is abnormal
probably coz of Lt atrial enlargement----( lt atrium lies just below
carina)
• batt wing's appearance: Enlargement of hilar vessels....in Acute
pulm edema..

More Related Content

What's hot (20)

Basics of CT chest
Basics of CT chestBasics of CT chest
Basics of CT chest
Mahmoud Elhusseiny Abolmagd
 
Radiology 5th year, all lectures/chest (Dr. Abeer)
Radiology 5th year, all lectures/chest (Dr. Abeer)Radiology 5th year, all lectures/chest (Dr. Abeer)
Radiology 5th year, all lectures/chest (Dr. Abeer)
College of Medicine, Sulaymaniyah
 
CT ANATOMY OF NORMAL MEDIASTINUM MADE EASY
CT ANATOMY OF NORMAL MEDIASTINUM MADE EASYCT ANATOMY OF NORMAL MEDIASTINUM MADE EASY
CT ANATOMY OF NORMAL MEDIASTINUM MADE EASY
DrNikrish Hegde
 
basics of chest X- ray interpretation
basics of chest X- ray interpretationbasics of chest X- ray interpretation
basics of chest X- ray interpretation
Maha Yousif
 
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Abdellah Nazeer
 
Presentation1.pptx, radiological signs in thoracic radiology.
Presentation1.pptx, radiological signs in thoracic radiology.Presentation1.pptx, radiological signs in thoracic radiology.
Presentation1.pptx, radiological signs in thoracic radiology.
Abdellah Nazeer
 
Chest radiology ( pattern and differential diagnosis ) Text book , Pleural ef...
Chest radiology ( pattern and differential diagnosis ) Text book , Pleural ef...Chest radiology ( pattern and differential diagnosis ) Text book , Pleural ef...
Chest radiology ( pattern and differential diagnosis ) Text book , Pleural ef...
Double M
 
CT Procedure of Thorax (CT Chest)
CT Procedure of Thorax (CT Chest)CT Procedure of Thorax (CT Chest)
CT Procedure of Thorax (CT Chest)
Upakar Paudel
 
Signs in Chest Xray
Signs in Chest Xray Signs in Chest Xray
Signs in Chest Xray
Archana Koshy
 
Fundamentals of chest radiology
Fundamentals of chest radiologyFundamentals of chest radiology
Fundamentals of chest radiology
Dr. Sreedhar Rao
 
Chest X-ray Interpretation
Chest X-ray Interpretation Chest X-ray Interpretation
Chest X-ray Interpretation
Sarfraz Saleemi
 
Radiological imaging of pleural diseases
Radiological imaging of pleural diseases Radiological imaging of pleural diseases
Radiological imaging of pleural diseases
Pankaj Kaira
 
Interpretation of chest xray ppt
Interpretation of chest xray pptInterpretation of chest xray ppt
Interpretation of chest xray ppt
Rithwik Karumuri
 
Radiological anatomy of chest including lungs,mediastinum and thoracic cage
Radiological anatomy of chest including lungs,mediastinum and thoracic cageRadiological anatomy of chest including lungs,mediastinum and thoracic cage
Radiological anatomy of chest including lungs,mediastinum and thoracic cage
Pankaj Kaira
 
Presentation1.pptx, radiological imaging of pulmonary embolism.
Presentation1.pptx, radiological imaging of pulmonary embolism.Presentation1.pptx, radiological imaging of pulmonary embolism.
Presentation1.pptx, radiological imaging of pulmonary embolism.
Abdellah Nazeer
 
Atelectais
AtelectaisAtelectais
Atelectais
Gamal Agmy
 
An approach to cardiac xray Dr. Muhammad Bin Zulfiqar
An approach to cardiac xray Dr. Muhammad Bin ZulfiqarAn approach to cardiac xray Dr. Muhammad Bin Zulfiqar
An approach to cardiac xray Dr. Muhammad Bin Zulfiqar
Dr. Muhammad Bin Zulfiqar
 
Chest imaging
Chest imagingChest imaging
Chest imaging
Shakeel Yousaf
 
Ct Imaging of Abdomen Dr. Muhammad Bin Zulfiqar
Ct Imaging of Abdomen Dr. Muhammad Bin ZulfiqarCt Imaging of Abdomen Dr. Muhammad Bin Zulfiqar
Ct Imaging of Abdomen Dr. Muhammad Bin Zulfiqar
Dr. Muhammad Bin Zulfiqar
 
Presentation1.pptx, radiological anatomy of the brain.
Presentation1.pptx, radiological anatomy of the brain.Presentation1.pptx, radiological anatomy of the brain.
Presentation1.pptx, radiological anatomy of the brain.
Abdellah Nazeer
 
CT ANATOMY OF NORMAL MEDIASTINUM MADE EASY
CT ANATOMY OF NORMAL MEDIASTINUM MADE EASYCT ANATOMY OF NORMAL MEDIASTINUM MADE EASY
CT ANATOMY OF NORMAL MEDIASTINUM MADE EASY
DrNikrish Hegde
 
basics of chest X- ray interpretation
basics of chest X- ray interpretationbasics of chest X- ray interpretation
basics of chest X- ray interpretation
Maha Yousif
 
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Abdellah Nazeer
 
Presentation1.pptx, radiological signs in thoracic radiology.
Presentation1.pptx, radiological signs in thoracic radiology.Presentation1.pptx, radiological signs in thoracic radiology.
Presentation1.pptx, radiological signs in thoracic radiology.
Abdellah Nazeer
 
Chest radiology ( pattern and differential diagnosis ) Text book , Pleural ef...
Chest radiology ( pattern and differential diagnosis ) Text book , Pleural ef...Chest radiology ( pattern and differential diagnosis ) Text book , Pleural ef...
Chest radiology ( pattern and differential diagnosis ) Text book , Pleural ef...
Double M
 
CT Procedure of Thorax (CT Chest)
CT Procedure of Thorax (CT Chest)CT Procedure of Thorax (CT Chest)
CT Procedure of Thorax (CT Chest)
Upakar Paudel
 
Signs in Chest Xray
Signs in Chest Xray Signs in Chest Xray
Signs in Chest Xray
Archana Koshy
 
Fundamentals of chest radiology
Fundamentals of chest radiologyFundamentals of chest radiology
Fundamentals of chest radiology
Dr. Sreedhar Rao
 
Chest X-ray Interpretation
Chest X-ray Interpretation Chest X-ray Interpretation
Chest X-ray Interpretation
Sarfraz Saleemi
 
Radiological imaging of pleural diseases
Radiological imaging of pleural diseases Radiological imaging of pleural diseases
Radiological imaging of pleural diseases
Pankaj Kaira
 
Interpretation of chest xray ppt
Interpretation of chest xray pptInterpretation of chest xray ppt
Interpretation of chest xray ppt
Rithwik Karumuri
 
Radiological anatomy of chest including lungs,mediastinum and thoracic cage
Radiological anatomy of chest including lungs,mediastinum and thoracic cageRadiological anatomy of chest including lungs,mediastinum and thoracic cage
Radiological anatomy of chest including lungs,mediastinum and thoracic cage
Pankaj Kaira
 
Presentation1.pptx, radiological imaging of pulmonary embolism.
Presentation1.pptx, radiological imaging of pulmonary embolism.Presentation1.pptx, radiological imaging of pulmonary embolism.
Presentation1.pptx, radiological imaging of pulmonary embolism.
Abdellah Nazeer
 
An approach to cardiac xray Dr. Muhammad Bin Zulfiqar
An approach to cardiac xray Dr. Muhammad Bin ZulfiqarAn approach to cardiac xray Dr. Muhammad Bin Zulfiqar
An approach to cardiac xray Dr. Muhammad Bin Zulfiqar
Dr. Muhammad Bin Zulfiqar
 
Ct Imaging of Abdomen Dr. Muhammad Bin Zulfiqar
Ct Imaging of Abdomen Dr. Muhammad Bin ZulfiqarCt Imaging of Abdomen Dr. Muhammad Bin Zulfiqar
Ct Imaging of Abdomen Dr. Muhammad Bin Zulfiqar
Dr. Muhammad Bin Zulfiqar
 
Presentation1.pptx, radiological anatomy of the brain.
Presentation1.pptx, radiological anatomy of the brain.Presentation1.pptx, radiological anatomy of the brain.
Presentation1.pptx, radiological anatomy of the brain.
Abdellah Nazeer
 

Similar to Reading chest x ray (20)

Interpreting a chest x ray film
Interpreting a chest x ray filmInterpreting a chest x ray film
Interpreting a chest x ray film
Pritom Das
 
Normal chest x ray
Normal chest x rayNormal chest x ray
Normal chest x ray
KaustubhMohite4
 
Chest X-Ray Anatomy.
Chest X-Ray Anatomy.Chest X-Ray Anatomy.
Chest X-Ray Anatomy.
subhashbhukya3
 
Cxr revised 24 11-91
Cxr revised 24 11-91Cxr revised 24 11-91
Cxr revised 24 11-91
aalmasi1970
 
Chest radiology
Chest radiologyChest radiology
Chest radiology
Dr Vaziri
 
Chest imaging
Chest imagingChest imaging
Chest imaging
JANARDANCNMC
 
CXR Interpretation for Med Students
CXR Interpretation for Med StudentsCXR Interpretation for Med Students
CXR Interpretation for Med Students
ejheffernan
 
X Ray Reading for UGs
X Ray Reading for UGsX Ray Reading for UGs
X Ray Reading for UGs
CSN Vittal
 
Chest x ray and other imaging investigations of chest by dr bishnu
Chest x ray and other imaging investigations of chest by dr bishnuChest x ray and other imaging investigations of chest by dr bishnu
Chest x ray and other imaging investigations of chest by dr bishnu
Milan Silwal
 
Chest XRay and other imaging investigations of chest, CT chest, HRCT Chest
Chest XRay and other imaging investigations of chest, CT chest, HRCT ChestChest XRay and other imaging investigations of chest, CT chest, HRCT Chest
Chest XRay and other imaging investigations of chest, CT chest, HRCT Chest
Bishnu Khatiwada
 
NORMAL CHEST RADIOGRAPH 23-0 7-2019.pptx
NORMAL CHEST RADIOGRAPH 23-0 7-2019.pptxNORMAL CHEST RADIOGRAPH 23-0 7-2019.pptx
NORMAL CHEST RADIOGRAPH 23-0 7-2019.pptx
ladygaladriel3339
 
CXR.pptx
CXR.pptxCXR.pptx
CXR.pptx
KoushaHeydarpour
 
Chest X-Ray (CXR) Interpretation Made Easy: A Comprehensive Guide to Common C...
Chest X-Ray (CXR) Interpretation Made Easy: A Comprehensive Guide to Common C...Chest X-Ray (CXR) Interpretation Made Easy: A Comprehensive Guide to Common C...
Chest X-Ray (CXR) Interpretation Made Easy: A Comprehensive Guide to Common C...
Muhammad Anas Shamsi
 
Medicine- Xrays
Medicine- XraysMedicine- Xrays
Medicine- Xrays
Pratik Kumar
 
Xrays
XraysXrays
Xrays
Pratik Kumar
 
Chest imaging
Chest imagingChest imaging
Chest imaging
Jamiyat Samimi
 
Cross sectional anatomy of chest by Dr. Milan Silwal, Resident, NAMS, Kathman...
Cross sectional anatomy of chest by Dr. Milan Silwal, Resident, NAMS, Kathman...Cross sectional anatomy of chest by Dr. Milan Silwal, Resident, NAMS, Kathman...
Cross sectional anatomy of chest by Dr. Milan Silwal, Resident, NAMS, Kathman...
Milan Silwal
 
theaorta-180612135504.pdf
theaorta-180612135504.pdftheaorta-180612135504.pdf
theaorta-180612135504.pdf
ssuserf59e1a
 
2-Assessment Cardiovascular system .pptx
2-Assessment Cardiovascular system .pptx2-Assessment Cardiovascular system .pptx
2-Assessment Cardiovascular system .pptx
Desta773102
 
Basic chest x ray interpretation
Basic chest x ray interpretationBasic chest x ray interpretation
Basic chest x ray interpretation
Hiba Ashibany
 
Interpreting a chest x ray film
Interpreting a chest x ray filmInterpreting a chest x ray film
Interpreting a chest x ray film
Pritom Das
 
Cxr revised 24 11-91
Cxr revised 24 11-91Cxr revised 24 11-91
Cxr revised 24 11-91
aalmasi1970
 
Chest radiology
Chest radiologyChest radiology
Chest radiology
Dr Vaziri
 
CXR Interpretation for Med Students
CXR Interpretation for Med StudentsCXR Interpretation for Med Students
CXR Interpretation for Med Students
ejheffernan
 
X Ray Reading for UGs
X Ray Reading for UGsX Ray Reading for UGs
X Ray Reading for UGs
CSN Vittal
 
Chest x ray and other imaging investigations of chest by dr bishnu
Chest x ray and other imaging investigations of chest by dr bishnuChest x ray and other imaging investigations of chest by dr bishnu
Chest x ray and other imaging investigations of chest by dr bishnu
Milan Silwal
 
Chest XRay and other imaging investigations of chest, CT chest, HRCT Chest
Chest XRay and other imaging investigations of chest, CT chest, HRCT ChestChest XRay and other imaging investigations of chest, CT chest, HRCT Chest
Chest XRay and other imaging investigations of chest, CT chest, HRCT Chest
Bishnu Khatiwada
 
NORMAL CHEST RADIOGRAPH 23-0 7-2019.pptx
NORMAL CHEST RADIOGRAPH 23-0 7-2019.pptxNORMAL CHEST RADIOGRAPH 23-0 7-2019.pptx
NORMAL CHEST RADIOGRAPH 23-0 7-2019.pptx
ladygaladriel3339
 
Chest X-Ray (CXR) Interpretation Made Easy: A Comprehensive Guide to Common C...
Chest X-Ray (CXR) Interpretation Made Easy: A Comprehensive Guide to Common C...Chest X-Ray (CXR) Interpretation Made Easy: A Comprehensive Guide to Common C...
Chest X-Ray (CXR) Interpretation Made Easy: A Comprehensive Guide to Common C...
Muhammad Anas Shamsi
 
Cross sectional anatomy of chest by Dr. Milan Silwal, Resident, NAMS, Kathman...
Cross sectional anatomy of chest by Dr. Milan Silwal, Resident, NAMS, Kathman...Cross sectional anatomy of chest by Dr. Milan Silwal, Resident, NAMS, Kathman...
Cross sectional anatomy of chest by Dr. Milan Silwal, Resident, NAMS, Kathman...
Milan Silwal
 
theaorta-180612135504.pdf
theaorta-180612135504.pdftheaorta-180612135504.pdf
theaorta-180612135504.pdf
ssuserf59e1a
 
2-Assessment Cardiovascular system .pptx
2-Assessment Cardiovascular system .pptx2-Assessment Cardiovascular system .pptx
2-Assessment Cardiovascular system .pptx
Desta773102
 
Basic chest x ray interpretation
Basic chest x ray interpretationBasic chest x ray interpretation
Basic chest x ray interpretation
Hiba Ashibany
 

Recently uploaded (20)

New Microsoft PowerPoint Presentation.pptx
New Microsoft PowerPoint Presentation.pptxNew Microsoft PowerPoint Presentation.pptx
New Microsoft PowerPoint Presentation.pptx
milanasargsyan5
 
How to Subscribe Newsletter From Odoo 18 Website
How to Subscribe Newsletter From Odoo 18 WebsiteHow to Subscribe Newsletter From Odoo 18 Website
How to Subscribe Newsletter From Odoo 18 Website
Celine George
 
Stein, Hunt, Green letter to Congress April 2025
Stein, Hunt, Green letter to Congress April 2025Stein, Hunt, Green letter to Congress April 2025
Stein, Hunt, Green letter to Congress April 2025
Mebane Rash
 
Unit 5: Dividend Decisions and its theories
Unit 5: Dividend Decisions and its theoriesUnit 5: Dividend Decisions and its theories
Unit 5: Dividend Decisions and its theories
bharath321164
 
Multi-currency in odoo accounting and Update exchange rates automatically in ...
Multi-currency in odoo accounting and Update exchange rates automatically in ...Multi-currency in odoo accounting and Update exchange rates automatically in ...
Multi-currency in odoo accounting and Update exchange rates automatically in ...
Celine George
 
World war-1(Causes & impacts at a glance) PPT by Simanchala Sarab(BABed,sem-4...
World war-1(Causes & impacts at a glance) PPT by Simanchala Sarab(BABed,sem-4...World war-1(Causes & impacts at a glance) PPT by Simanchala Sarab(BABed,sem-4...
World war-1(Causes & impacts at a glance) PPT by Simanchala Sarab(BABed,sem-4...
larencebapu132
 
Chapter 8. Strategy Evaluation, Control, and Strategic Leadership.pdf
Chapter 8. Strategy Evaluation, Control, and Strategic Leadership.pdfChapter 8. Strategy Evaluation, Control, and Strategic Leadership.pdf
Chapter 8. Strategy Evaluation, Control, and Strategic Leadership.pdf
Rommel Regala
 
Conrad "Accessibility Essentials: A 2025 NISO Training Series, Session 4, Int...
Conrad "Accessibility Essentials: A 2025 NISO Training Series, Session 4, Int...Conrad "Accessibility Essentials: A 2025 NISO Training Series, Session 4, Int...
Conrad "Accessibility Essentials: A 2025 NISO Training Series, Session 4, Int...
National Information Standards Organization (NISO)
 
Operations Management (Dr. Abdulfatah Salem).pdf
Operations Management (Dr. Abdulfatah Salem).pdfOperations Management (Dr. Abdulfatah Salem).pdf
Operations Management (Dr. Abdulfatah Salem).pdf
Arab Academy for Science, Technology and Maritime Transport
 
Metamorphosis: Life's Transformative Journey
Metamorphosis: Life's Transformative JourneyMetamorphosis: Life's Transformative Journey
Metamorphosis: Life's Transformative Journey
Arshad Shaikh
 
Exploring-Substances-Acidic-Basic-and-Neutral.pdf
Exploring-Substances-Acidic-Basic-and-Neutral.pdfExploring-Substances-Acidic-Basic-and-Neutral.pdf
Exploring-Substances-Acidic-Basic-and-Neutral.pdf
Sandeep Swamy
 
p1.pdf فن الخدمة الجزء الاول د هاني عاطف و د عايده فايز
p1.pdf فن الخدمة الجزء الاول د هاني عاطف و د عايده فايزp1.pdf فن الخدمة الجزء الاول د هاني عاطف و د عايده فايز
p1.pdf فن الخدمة الجزء الاول د هاني عاطف و د عايده فايز
HanyAtef10
 
One Hot encoding a revolution in Machine learning
One Hot encoding a revolution in Machine learningOne Hot encoding a revolution in Machine learning
One Hot encoding a revolution in Machine learning
momer9505
 
SPRING FESTIVITIES - UK AND USA -
SPRING FESTIVITIES - UK AND USA            -SPRING FESTIVITIES - UK AND USA            -
SPRING FESTIVITIES - UK AND USA -
Colégio Santa Teresinha
 
How to Open a Wizard When Clicking on the Kanban Tile in Odoo 18
How to Open a Wizard When Clicking on the Kanban Tile in Odoo 18How to Open a Wizard When Clicking on the Kanban Tile in Odoo 18
How to Open a Wizard When Clicking on the Kanban Tile in Odoo 18
Celine George
 
North West Network - May 2025 Adam Boddison.pdf
North West Network - May 2025 Adam Boddison.pdfNorth West Network - May 2025 Adam Boddison.pdf
North West Network - May 2025 Adam Boddison.pdf
Association for Project Management
 
Open Access: Revamping Library Learning Resources.
Open Access: Revamping Library Learning Resources.Open Access: Revamping Library Learning Resources.
Open Access: Revamping Library Learning Resources.
Rishi Bankim Chandra Evening College, Naihati, North 24 Parganas, West Bengal, India
 
Understanding P–N Junction Semiconductors: A Beginner’s Guide
Understanding P–N Junction Semiconductors: A Beginner’s GuideUnderstanding P–N Junction Semiconductors: A Beginner’s Guide
Understanding P–N Junction Semiconductors: A Beginner’s Guide
GS Virdi
 
Investigating inequalities in health (Medical Journalists' Association Sympos...
Investigating inequalities in health (Medical Journalists' Association Sympos...Investigating inequalities in health (Medical Journalists' Association Sympos...
Investigating inequalities in health (Medical Journalists' Association Sympos...
Paul Bradshaw
 
YSPH VMOC Special Report - Measles Outbreak Southwest US 4-30-2025.pptx
YSPH VMOC Special Report - Measles Outbreak  Southwest US 4-30-2025.pptxYSPH VMOC Special Report - Measles Outbreak  Southwest US 4-30-2025.pptx
YSPH VMOC Special Report - Measles Outbreak Southwest US 4-30-2025.pptx
Yale School of Public Health - The Virtual Medical Operations Center (VMOC)
 
New Microsoft PowerPoint Presentation.pptx
New Microsoft PowerPoint Presentation.pptxNew Microsoft PowerPoint Presentation.pptx
New Microsoft PowerPoint Presentation.pptx
milanasargsyan5
 
How to Subscribe Newsletter From Odoo 18 Website
How to Subscribe Newsletter From Odoo 18 WebsiteHow to Subscribe Newsletter From Odoo 18 Website
How to Subscribe Newsletter From Odoo 18 Website
Celine George
 
Stein, Hunt, Green letter to Congress April 2025
Stein, Hunt, Green letter to Congress April 2025Stein, Hunt, Green letter to Congress April 2025
Stein, Hunt, Green letter to Congress April 2025
Mebane Rash
 
Unit 5: Dividend Decisions and its theories
Unit 5: Dividend Decisions and its theoriesUnit 5: Dividend Decisions and its theories
Unit 5: Dividend Decisions and its theories
bharath321164
 
Multi-currency in odoo accounting and Update exchange rates automatically in ...
Multi-currency in odoo accounting and Update exchange rates automatically in ...Multi-currency in odoo accounting and Update exchange rates automatically in ...
Multi-currency in odoo accounting and Update exchange rates automatically in ...
Celine George
 
World war-1(Causes & impacts at a glance) PPT by Simanchala Sarab(BABed,sem-4...
World war-1(Causes & impacts at a glance) PPT by Simanchala Sarab(BABed,sem-4...World war-1(Causes & impacts at a glance) PPT by Simanchala Sarab(BABed,sem-4...
World war-1(Causes & impacts at a glance) PPT by Simanchala Sarab(BABed,sem-4...
larencebapu132
 
Chapter 8. Strategy Evaluation, Control, and Strategic Leadership.pdf
Chapter 8. Strategy Evaluation, Control, and Strategic Leadership.pdfChapter 8. Strategy Evaluation, Control, and Strategic Leadership.pdf
Chapter 8. Strategy Evaluation, Control, and Strategic Leadership.pdf
Rommel Regala
 
Metamorphosis: Life's Transformative Journey
Metamorphosis: Life's Transformative JourneyMetamorphosis: Life's Transformative Journey
Metamorphosis: Life's Transformative Journey
Arshad Shaikh
 
Exploring-Substances-Acidic-Basic-and-Neutral.pdf
Exploring-Substances-Acidic-Basic-and-Neutral.pdfExploring-Substances-Acidic-Basic-and-Neutral.pdf
Exploring-Substances-Acidic-Basic-and-Neutral.pdf
Sandeep Swamy
 
p1.pdf فن الخدمة الجزء الاول د هاني عاطف و د عايده فايز
p1.pdf فن الخدمة الجزء الاول د هاني عاطف و د عايده فايزp1.pdf فن الخدمة الجزء الاول د هاني عاطف و د عايده فايز
p1.pdf فن الخدمة الجزء الاول د هاني عاطف و د عايده فايز
HanyAtef10
 
One Hot encoding a revolution in Machine learning
One Hot encoding a revolution in Machine learningOne Hot encoding a revolution in Machine learning
One Hot encoding a revolution in Machine learning
momer9505
 
How to Open a Wizard When Clicking on the Kanban Tile in Odoo 18
How to Open a Wizard When Clicking on the Kanban Tile in Odoo 18How to Open a Wizard When Clicking on the Kanban Tile in Odoo 18
How to Open a Wizard When Clicking on the Kanban Tile in Odoo 18
Celine George
 
Understanding P–N Junction Semiconductors: A Beginner’s Guide
Understanding P–N Junction Semiconductors: A Beginner’s GuideUnderstanding P–N Junction Semiconductors: A Beginner’s Guide
Understanding P–N Junction Semiconductors: A Beginner’s Guide
GS Virdi
 
Investigating inequalities in health (Medical Journalists' Association Sympos...
Investigating inequalities in health (Medical Journalists' Association Sympos...Investigating inequalities in health (Medical Journalists' Association Sympos...
Investigating inequalities in health (Medical Journalists' Association Sympos...
Paul Bradshaw
 

Reading chest x ray

  • 3. Chest X-Ray –Lateral View Markings
  • 4. •check for rt and LT side •Looks whether is well centralized or not,...check for medial end of Clavicle ...both should be at equi level from spine..i f not then it difficult to comment about cardiomegaly, medistinal deviation.. whichever end is more close to spine-----mediastinum is deviated on that side... 6th ant rib level or 9th post rib level •look for exposure....if u see four spinal process then its well exposed...if over exposed then it looks translucent( like emphysema) •Looks for cardio and costophrenic angle...all should be acute...if nt then its abnormal....also look for Diaphragmatic contour...if flattened ---then probably some lung disease....Both diaohragm are at •divide the lungs field into 3 section....Upper: above the anterior end of 2nd rib.....middle: between 2nd anf 4th rib...lower: below 4th rib...compare both lung field... •check Apical area ...esp behind the Clavicle for TB lesion then check lower lung filed for all 4 angle,, •check trachea...and trace it upto carina...should be patent •Cardiac: Let side border is made by Aortic knob, pulm conus, lt atrium and Lt ventricle while rt side border is made by SVC and rt atrium •Vascular markings: Lower lobe vessels are more prominent compare to Upper lobe coz of Gravity...If not then Cardiac problem.. rt side vessels look more prominent than lt side... Points to be consider
  • 5. • few other points... • how to say number of thoracic vertebra using chest xray??:--- check anterior end of 1st rib which is connected to 1st thoracic vertebera... • if engorged upper lobe vessels: probably it's puml veins...due to CCF • Kerly A line: prominent vascular markings in upper lobe • Kerly B lines: in Lower lobe of lungs on peripheral side ----which suggest fluid between septa... • Carinal Ange is around 90...any angle above 90 is abnormal probably coz of Lt atrial enlargement----( lt atrium lies just below carina) • batt wing's appearance: Enlargement of hilar vessels....in Acute pulm edema..