The main regions where a chest X-ray may identify problems may be summarized as ABCDEF by their first letters:
- Airways, including hilar adenopathy or enlargement
- Breast shadows
- Bones, e.g. rib fractures and lytic bone lesions
- Cardiac silhoutte, detecting cardiac enlargement
- Costophrenic angles, including pleural effusions
- Diaphragm, e.g. evidence of free air
- Edges, e.g. apices for fibrosis, pneumothorax, pleural thickening or plaques
- Extrathoracic tissues
- Fields (lung parenchyma), being evidence of alveolar filling
- Failure, e.g. alveolar air space disease with prominent vascularity with or without pleural effusions
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