Intro to Chest Intro to Chest RadiologyRadiology

Develop a SystemDevelop a System

Helps you remember things to checkHelps you remember things to check Mneumonic vs anatomicMneumonic vs anatomic

BasicsBasics

TechniqueTechnique– PA & LateralPA & Lateral– AP or PortableAP or Portable

IndicationIndication IdentificationIdentification RotationRotation PenetrationPenetration InspirationInspiration ComparisonComparison

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

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

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

AbnormalsAbnormals

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

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

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

SummarySummary

ABCDE…ABCDE… Point out abnormalitiesPoint out abnormalities Compare to old filmsCompare to old films Give your impressionGive your impression