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Chest X-ray

Chest X-ray. PA vs AP. Lateral Decubitus. Turn off stray lights, optimize room lighting, view images in order Patient Data (name history #, age, sex, old films) Routine Technique: AP/PA, exposure, rotation, supine or erect Trachea: midline or deviated, caliber, mass

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Chest X-ray

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  1. Chest X-ray

  2. PA vs AP

  3. Lateral Decubitus

  4. Turn off stray lights, optimize room lighting, view images in order • Patient Data (name history #, age, sex, old films) • Routine Technique: AP/PA, exposure, rotation, supine or erect • Trachea: midline or deviated, caliber, mass • Lungs: abnormal shadowing or lucency • Pulmonary vessels: artery or vein enlargement • Hila: masses, lymphadenopathy • Heart: thorax: heart width > 2:1 ? Cardiac configuration? • Mediastinal contour: width? mass? • Pleura: effusion, thickening, calcification • Bones: lesions or fractures • Soft tissues: don’t miss a mastectomy • ICU Films: identify tubes first and look for pneumothorax

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