This is an extract of our Cxr Interpretation document, which we sell as part of our Medical Finals & OSCEs Notes collection written by the top tier of Oxford University students.
The following is a more accessble plain text extract of the PDF sample above, taken from our Medical Finals & OSCEs Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:
CXR Radiology Order of examination
Name/marker/rotation/penetration/expansion Rotation-clavicles equidistant from manubrium Penetration-should be able to see spinuous processes around heart. Expansion-on breathing in should be able to see 6 anterior ribs
Lines/Metal e.g. sternal wiring, arthroplasties
Heart Measure heart size - <50% of diameter of lung if on PA, not interpretable if AP or shallow breath
Mediastinum Should be well defined
?Trachea central Follow hila. Is the hilar density the same on both sides?
Lungs Look at the upper, middle and lower zones. Top 2 ribs=upper zone 3rd + 4th ribs = middle zone 5th + 6th ribs=lower zone
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