Chest X-ray

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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