Chest x-ray: everything else (summary)
This is a basic article for medical students and other non-radiologists
Chest x-ray review is a key competency for medical students, junior doctors and other allied health professionals. Using A, B, C, D, E is a helpful and systematic method for chest x-ray review where E refers to "everything else".
Reference article
This is a summary article; we do not have a more in-depth reference article.
Summary
- introduction
- look at things that do not fit into the A-D categories and review areas
- apices
- behind the heart
- below the diaphragm
- soft tissues abnormalities (e.g. absent breast shadow)
- look at things that do not fit into the A-D categories and review areas
- procedure
- apices
- many people forget to look above the clavicles
- look again at the lung above the clavicles
- behind the heart
- altered density in the retrocardiac region can be difficult
- check for basal consolidation or a mass in this region
- fluid-level of hiatus hernia
- below the diaphragm
- diaphragmatic contour is the dome of the diaphragm
- the lungs extend posteriorly below the diaphragm
- look out for mass lesions below the diaphragm
- soft-tissue abnormalities
- gas in the soft-tissues (surgical emphysema)
- look for both breast shadows in female patients
- apices
- checklist
- apical lung tumor
- left lower lobe collapse
- hiatus hernia
- breast shadows
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