check this link to read Chest Xray ....
Follow the steps below..
- check for rt and lt side
- well centralized or not...check both medial end of clavicle...both should be at equi distance from spine...if not then its difficult to say abt cardiomegaly, medistinal shift..comparative radiloucency
- check abt level of exposure...if u can see 3 spinal process then well exposed...if more------then over exposed and lungs appeas translucent( black like in emphysema)...if less--less exposed...
- divide lungs into 3 zones.. upper: above the anterior end of 2nd rib......middle: above the anterior end of 4th rib....lower: above the anterior end of 6th rib....compare both side of lungs...
- check the apical region..esp behind the clavicle to look for TB lesions
- check costphrenic angle and cardiophrenic angle...all should be acute angle..any obliteration is ablnormal
- Diaphragm: rt is .5 to1.5 cm higher than lt...and both shoud be smoothly curved
- Hilum: bi hiller vessels....lt is slightly higher then the rt....
- trace the trachia upto carina
- Cardiac : Lt heart border: by from above Aorta, Pulm conus, lt atrium and Lt ventricle............Rt heart border: SVC and rt atrium
- study the bones: ribs = for crowding , spreading lesion....clavicle...spacula..shulder jt
- Study soft tissue - muscle, breast tissue in female..
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