detail chest xray . these slide contain interpretation of different xrays . commonly enounter xrays in pns shifa opd and also how to interpret in detail. mnemonic from A - G . answer question secssion in last.testing skills.

1. CHEST XRAYS

2. Before reading x-ray
Find following answers
Who?
What?
Where?
When?
Why?

3. Then see the quality of x-ray (appetizers)
• ROTATION = Medial aspect of clavicle are at equidistance .
• You can see
Unequal distance in this
Xray so it is rotated

4. Cont.
• Adequate inspiration : 8-10 ribs can be seen
• In tis xray you can see 9 ribs

5. Cont.
exposure

6. Cont.
• AP VIEW OR PA VIEW . If not written then guess it

7. Now see the main details (main course)

8. Airway
B
C
D
E
F
G
Look for tracheal
deviation
Also look for abnormal air
i.E
pnemothrox
pnemoperitoneum,
subcutaneous
emphysema,

9. A
Bones /body walls
C
D
E
F
G
Look for borders of
chest and any bone
fracture

10. A
B
Cardiac
D
E
F
G
Look for atrial knuckle
and cardiothoracic
ratio ehich should be
less then 50

11. A
B
C
Diaphragm
E
F
G
Ideally access flatness by
costopheranic angle
posteriorly and
sternopheranic angle
anteriorly and any
effussion

12. A
B
C
D
Equipments
F
G
typical lines and tubes encountered in the ICU.
Endotracheal tube (ETT), nasogastric tube (NG),
Swan-Ganz catheter (SG), mediastinal drain (M),
and left pleural drain (P) are present in their
correct position.

13. A
B
C
D
E
Field
G
Look for lung field .
Pulmornary soft
tissue for
haziness,whte dots or
blotches

14. A
B
C
D
E
F
Great vessels
aortic arch (AA)
descending aorta (DA)
proximal left pulmonary artery (PLPA)
Rt interlobar pulmonary artery (RIPA)
aorto-pulmonary window
left mainstem bronchus (LMB)
left atrium
left ventricle
superior vena cava (SVC)
right paratracheal stripe (RPS)
right diaphragm (RD) and left diaphragm (LD)

15. Chest xrays
by mohammad shahzeb

16. Pleural effusion

17. Lung consolidation

18. pnemothorax

19. Congestive cardiac failure

20. Miliary tb

21. pnemoperitoneum

22. Cardopulmonary ratio >50

23. pnumonia

24. bronchiectasis

25. bronchiectasis

26. Upper lobe TB

27. QUESTION / ANSWERS
by mohammad shahzeb

28. Q 1

29. Ans 1

30. Q 2

31. ANS 2

32. Q 3

33. ANS 3

34. Q 4

35. ANS 4

36. Q 5

37. ANS 5

38. Q 6

39. ANS 6

40. Q 7

41. ANS 7 (kerly b lines)

42. Q 8

43. ANS 8

44. Q 9

45. ANS 9

46. Q 10

47. ANS 10

48. Q 11

49. ANS 11