Interpretation of chest x-rays

Position of the patient relative to the film cassette Direction of projection of X-ray-
Standard Views Special Views

1. INTERPRETATION OF CHEST X-RAYS DR. NIDHI AHYA Assistant Professor Cardio-Vascular & Respiratory PT DVVPF College of Physiotherapy, Ahmednagar 414111

2. CONTENTS Discovery Of X-rays Basics Concepts Radiographic Views Comparison- AP and PA Viewing a PA film

3. Wilhelm Conrad Roentgen German Physicist

4. Basic Concepts Ability to penetrate matter depends on density of matter density - radiolucent density - radiopaque Distance from source of X-ray - FFD Closure source - magnification

5. Radiograhic Views Position of the patient relative to the film cassette Direction of projection of X-ray- Standard Views Special Views

6. PA VIEW

7. AP VIEW

8. LATERAL VIEW

9. LATERAL DECUBITUS VIEW

10. APICAL LORDOTIC VIEW

11. PA AP

12. VIEWING STANDARD PA FILM Demographic Data Technical Details ABCD Approach Airway Bones Cardiac Silhoutte Diaphram Edges of the Heart Fields of Lung Great Vessels Hila Instruments

13. R Technical Details X-ray View Centering/Rotation Side Markers Exposure Degree of Inspiration

14. ABNORMAL RADIOLOGICAL SIGNS

15. Silhouette Sign

16. Air Bronchogram

17. Ground Glass Appearance

18. Honey Comb Appearance

19. Pleural Abnormality Effusion & Pneumothorax

20. Lung Collapse

21. Signs Of Collapse Shift of fissures Crowding of vessels and airways Increased opacity Elevation of diaphragm Mediastinal shift Compensatory radiolucency on C/L side Ribs are close to each other Silhouette sign

22. R Upper Lobe Collapse

23. R Lower Lobe Collapse

24. L Upper Lobe + Lingula Collapse

25. L Lower Lobe Collapse

26. Summary Discovery Of X-rays Basics Concepts Radiographic Views AP and PA Abnormal radiological signs

27. T H A N K Y O U !!!!!