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Chest x rays are ordered for a wide variety of diagnostic purposes :. Pulmonary disorders Cardiac disorders Pre-operative assessment Pre-employment evaluation Systemic disorders including malignancy Verification of correct placement of catheters and tubes . INITIAL SURVEY. - PowerPoint PPT Presentation
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Chest x rays are ordered for a wide variety of diagnostic purposes:
• Pulmonary disorders• Cardiac disorders • Pre-operative assessment• Pre-employment evaluation• Systemic disorders including malignancy• Verification of correct placement of catheters
and tubes
INITIAL SURVEY
• Patient's name, age, sex • Date exam done (very important if comparing
prior exams). • Check for position markers - right vs. left,
upright .• Patients position - supine, upright, lateral,
decubitus. • Technical quality of exam .
FILM INTERPRETATION DEPENDS ON:• Film quality and technique• Clinical history and presentation.• Availability of previous x-rays for
comparison.• Knowledge of radiological anatomy.• Recognition of the radiological signs of
disease.
Systematic film review 1.Soft Tissues
• Calcifications• Abnormal air collections • Lumps/masses • Look for sharp, distinct muscle fat planes
Systematic film review2.Skeletal Structures
• Overall size, shape, and contour of each bone.
• Density or mineralization • Compare cortical thickness to medullary
cavity, trabecular pattern, look for erosions, fractures, any lytic or blastic regions
Case 8
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