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INTERPRETATION
CHEST X- RAY
It is the Most Common X-Ray Used in Medicine Field.
It Can Help Us to Diagnose Many Respiratory and Cardiovascular Problems.
3- Lateral View:
It Means Source of Radiation From Side of Patient, and the Film From Other Side.
Means Distance From Vertebral Spine to Medial Also Called Rotated Chest X Ray.
End of Right Clavicle is Equal to Distance From Means Distance From Vertebral Spine to Medial
Vertebral Spine to Medial End of Left Clavicle. End of Right Clavicle is Not Equal to Distance
From Vertebral Spine to Medial End of Left
Clavicle.
Poor Exposure: Vertebral Spines Behind the Heart Can NOT Be Seen.
Good Exposure: Vertebral Spines Behind the Heart Slightly Seen.
Over Exposure: Vertebral Spines Behind the Heart Clear and Visible.
Full Inspiration.
Usually Chest X Ray Taken During
Number of Anterior Ribs in X-Ray During Full Inspiration are 6 Ribs.
& Number of Posterior Ribs in X-Ray During Full Inspiration are 10 Ribs
So;
If You Count 6 Anterior Ribs; That Means Chest X-Ray Taken In Full Inspiration.
If You Less than 6 Anterior Ribs; That Means X-Ray Not Take In Full Inspiration.
If You More than 6 Anterior Ribs; That Means Hyper-Inflated Chest X-Ray.
Note:
Chest X-Ray Can Be Taken During Expiration in Case of:
1. Small Pneumonia.
2. Foreign Body Aspiration.
Abnormalities of Pleura:
1. Pleural Effusion:Pathological Accumulation of Fluid in Pleural Space (>50ml)
In Chest X Ray Characterized By:-
1. Obliteration of Costo-Phrenic Angle.
2. Homogenous Opacity.
3. Crescent Shape of Lower Border (Meniscus Sign).
Differential Diagnosis of Complete Black Cavity: Differential Diagnosis of Air Fluid Level Cavity:
1. Pulmonary TB. 1. Lung Abscess (Regular Wall).
2. Broncogenic Carcinoma (Squamous Cell Type). 2. Rupture Hydatid Cyst.
3. Chronic Abscess. 3. Cavitatory Carcinoma.
4. Wegener’s Granulomatosis (Multiple Cavitation). 4. Aspergilloma.
5. Emphysematous Bullae (Multiple Cavitation
Small & Surrounded By Thin Wall).
Differential Diagnosis of Single Lung Mass: Differential Diagnosis of Multiple Lung Masses:
1. Bronchogenic Carcinoma (Irregular Border). 1. Secondary Lung Metastasis OR Cannon Ball
2. Single Lung Metastasis. (From Renal Cell Carcinoma, Testicular Carcinoma,
3. Hydatid Cyst (Regular Border). Choriocarcinoma).
4. Lymphoma. 2. Septic Emboli.
5. Aspergilloma. 3. Wegener’s Granulomatosis.
6. Others: Hamartoma, Lipoma. 4. Caplan’s Syndrome of Rheumatoid Arthritis.
Causes:
1. Massive Pleural Effusion.
2. Tension Pneumothorax.
Causes:
1. Lung Collapse.
2. Post Pneumonectomy.
Differential Diagnosis of Differential Diagnosis of
Homogenous Opacity of the Lung: Hometrogenous Opacity of the Lung:
Pleural
Effusion
Pneumothorax
Hydro-
Pneumothorax
Hyper-Inflated Chest:
Note:
Normally the Hilum Lies Between 2nd & 4th Rib,
It Contains: Lymph Nodes, Bronchus, and Blood Vessels.