![]() ![]() congenital tracheobronchomegaly (a.k.a.allergic bronchopulmonary aspergillosis.obliteration of the retrosternal airspace.deviation of the azygo-esophageal recess. ![]() posterior tracheal stripe/tracheo-esophageal stripe.normal chest x-ray appearance of the diaphragm.neonatal chest x-ray in the exam setting.pediatric chest x-ray in the exam setting.osteophyte induced adjacent pulmonary atelectasis and fibrosis.chronic bilateral airspace opacification (differential).chronic unilateral airspace opacification (differential).acute airspace opacification with lymphadenopathy (differential).acute bilateral airspace opacification (differential).acute unilateral airspace opacification (differential).differential diagnoses of airspace opacification.differential of left paramediastinal catheter positions.peripherally inserted central catheters.evaluation of endotracheal tube position.In most instances, it is the only communication with referrers. evaluation of nasogastric tube position Introduction The radiology report represents the sum of a radiologist’s highest level of synthesis and insight into a patient’s condition and is the most important way that radiologists contribute to patient care.ETT, NGT, pacemaker leads, central venous lines etc. Vessels should taper and should be almost invisible at the lung periphery.Įvaluate the major and minor fissures for thickening, fluid or change in position.Ĭheck the position of foreign bodies e.g. alveolar), masses, consolidation (+/- air bronchograms), pneumothoraces, and vascular markings. Fields, fissures and foreign bodiesĬheck lungs for infiltrates (interstitial vs. Check the lateral film for small posterior effusions (more sensitive for small effusions). Always check the costophrenic angles for sharpness ( blunted angles may indicate small effusions). Pleural effusions may be large and obvious or small and subtle. Check for the heart shape, calcifications, and prosthetic valves.Ĭheck the hemidiaphragms for position (the right is commonly slightly higher than the left due to the liver) and shape (may be flattened bilaterally in chronic asthma or emphysema, or unilaterally in case of tension pneumothorax or foreign body aspiration). CardiacĮvaluate the heart size: the heart should be <50% of the chest diameter on PA films and <60% on AP films. Evaluate the soft tissues for foreign bodies, swelling, and subcutaneous air. Scan the bones for symmetry, fractures, osteoporosis, and lesions. rotation: the space between the medial clavicle and the margin of the adjacent vertebrae should be roughly equal to each other look for indwelling lines or objects.exposure: well-exposed films have good lung detail and an outline of the spinal column.You should see 10 to 11 ribs with a good inspiratory effect inspiration: count the posterior ribs.position: is this a supine AP file? PA? Lateral?.The quality of the image can be assessed using the mnemonic PIER: ![]()
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