chest radiograph

This tag is associated with 7 posts

There is No Such Thing as a Chest X-ray – 3 Off Limit Terms for Chest Radiology

If you like physics, are particular about the lexicon you use, or are just interested in proper use of the English language, then read along. Otherwise, this doesn’t interest you. The motivation for this article came from one of my superiors who is keenly interested in proper use of the English language in radiology reports. … Continue reading

Anatomy of a Chest X-Ray

Image source here.

Unilateral Hyperlucent Hemithorax Mnemonic – CRAWLS

This mnemonic is commonly used to recall the differential diagnosis of a unilateral hyperlucent hemithorax: C – contralateral lung has increased density or opacity (such as posterior layering of a pleural effusion in the supine patient) R – rotation of the patient causing less attenuation of the x-ray beam A – air (pneumothorax) W – … Continue reading

Assessment of the Chest X-Ray Mnemonic- ABCDEFGHI

This mnemonic has been used commonly to recall the assessment pattern for chest x-rays: A – Airway B – Bones C – Cardiac D – Diaphragm E – Effusions F – Fields/Fissures G – Great Vessels H – Hila I – Impression

Kerley B Lines

History: 60 year old male with lower extremity edema and shortness of breath.  This is an excellent example of Kerley B lines. These lines are created by interlobular septal thickening, typically created by fluid collecting within the pulmonary interstitium. Classically Kerley B lines are seen with cardiogenic pulmonary edema, where left ventricular failure causes increased … Continue reading

Round Atelectasis

History: 60 year old male undergoing CT of the thorax for follow up of chest x-ray abnormality.  This is a classic appearance of round atelectasis. Look again at the image above. Notice the calcified pleural plaque along the area of atelectasis. Round atelectasis is most frequently seen in asbestos related pleural plaques. Other terms for … Continue reading

Pneumonia – Hospital Acquired Pneumonia versus Community Acquired Pneumonia Pathogens

History: 40 year old man with 1 week history of productive cough and fevers.  This is a classic case of lobar pneumonia, which is most commonly bacterial in origin. Hospital acquired pneumonia is commonly caused by: Staphylococcus Aureus, anaerobes, and gram negative organisms. Community acquired pneumonia is commonly caused by: Pneumococcus, mycoplasma, viruses, and not … Continue reading