Chest X-ray interpretation

ABC Method
  • Airways - ex. FB, trachea deviation
  • Bones and soft tissue - ex. Rib fractures, clavicle fracture
  • Cardiac - ex. Cardiomegaly
  • Diaphragm - ex. Free air
  • Effusions - ex. Pleural effusion
  • Fields and Fissures - ex. Congestion, consolidations
  • Great vessels - ex. Apical cap
  • Hila and mediastinum - Widened mediastinum
  • Impression

DRSABCDE Method
  • Details
    • Info of patient
    • PA/AP, Lateral
  • RIPE - Image quality
    • Rotation
    • Inspiration
    • Picture
    • Exposure
  • Soft tissues and bones
  • Airway & mediastinum
  • Breathing
    • Lung fields
  • Circulation
    • Heart position and size
  • Diaphragm
  • Extras
    • Lines, tubes, catheters

Examples
  • ARDS
  • Pneumoperitoneum
  • Prominent wedge-shape area of airspace consolidation in the right lung, characteristic of bacterial pneumonia
  • Esophageal foreign body (penny in 12 mo male)
  • Right sided pneumothorax
  • Pulmonary edema with small pleural effusions on both sides.
  • Left sided tension pneumothorax with mediastinal shift
  • Lung abscess
  • Hyperinflated lungs consistent with asthma/COPD

Special Findings

Elevated Hemidiaphram
Elevated hemidiaphragm algorithm

See Also
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