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Intro to Chest Intro to Chest RadiologyRadiology
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Develop a SystemDevelop a System
Helps you remember things to checkHelps you remember things to check Mneumonic vs anatomicMneumonic vs anatomic
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BasicsBasics
TechniqueTechnique– PA & LateralPA & Lateral– AP or PortableAP or Portable
IndicationIndication IdentificationIdentification RotationRotation PenetrationPenetration InspirationInspiration ComparisonComparison
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TechniquesTechniques
PA & LateralPA & Lateral– More informationMore information– Two viewsTwo views– StandardizedStandardized
DistanceDistance
– Pt needs to be Pt needs to be stablestable
PortablePortable– QuickQuick– AnywhereAnywhere– One shotOne shot– No standardizationNo standardization
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BasicsBasics
IndicationIndication– The more information, better readThe more information, better read
Identification of patientIdentification of patient PenetrationPenetration
– See vertebral bodies through the heart?See vertebral bodies through the heart? RotationRotation
– Clavicular heads in relation to vertebral spineClavicular heads in relation to vertebral spine InspirationInspiration
– Count 8-9 posterior ribsCount 8-9 posterior ribs
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Things to seeThings to see
ABCDE…ABCDE… AirwaysAirways
– Trachea, endotracheal tube, etcTrachea, endotracheal tube, etc BonesBones
– Clavicles, ribs, etc…Clavicles, ribs, etc… CardiacCardiac Diaphragm (Right hemidiaphragm slightly Diaphragm (Right hemidiaphragm slightly
higher higher (~1.5 cm)(~1.5 cm)
Everything else (tubes), effusionsEverything else (tubes), effusions
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AbnormalsAbnormals
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Lung findingsLung findings
Darker areasDarker areas– radiolucentradiolucent– PneumothoraxPneumothorax– Cysts/bullaCysts/bulla– Air bronchogramsAir bronchograms
Lighter areasLighter areas– OpacitiesOpacities– ““infiltrates”infiltrates”
BloodBlood PusPus WaterWater
– Nodules or massNodules or mass
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OpacitiesOpacities
Lobar or not….Lobar or not…. PneumoniaPneumonia Pulmonary EdemaPulmonary Edema
– ““fluffy,” diffuse, “bat wing” distributionfluffy,” diffuse, “bat wing” distribution HemorrhageHemorrhage
– Cant tell by xray, need bronchCant tell by xray, need bronch
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Next Step…Next Step…
COMPARE, COMPARE, COMPARE…COMPARE, COMPARE, COMPARE… New or oldNew or old Any growthAny growth Pattern of calcificationPattern of calcification Next Imaging step vs. other testNext Imaging step vs. other test
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SummarySummary
ABCDE…ABCDE… Point out abnormalitiesPoint out abnormalities Compare to old filmsCompare to old films Give your impressionGive your impression