CXR

Question 1

Chest radiograph: checklist to examine

“Pamela found our rotation particularly exciting; very highly commended mainly ‘cus she arouses”:

Answer 1

Patient details

Film details

Objects (e.g. lines, electrodes)

Rotation

Penetration

Expansion

Vessels

Hila

Costophrenic angles

Mediastinum

Cardiothoracic ratio

Soft tissues and bones

Air (diaphragm, pneumothorax, subcut. emphysema)

Question 2

Chest X-ray interpretation - Preliminary is ABCDEF:

Answer 2

AP or PA

Body position

Confirm name

Date

Exposure

Films for comparison

Question 3

CXR interpretation - Analysis is ABCDEF:

Answer 3

Airways (hilar adenopathy or enlargement)

Breast shadows / bones (rib fractures, lytic bone lesions)

Cardiac silhoutte (cardiac enlargement) / costophrenic angles (pleural effusions)

Diaphragm (evidence of free air) / digestive tract

Edges (apices for fibrosis, pneumothorax, pleural thickening or plaques) / extrathoracic tissues

Fields (evidence of alveolar filling) / failure (alveolar air space disease with prominent vascularity with or without pleural effusions)

Question 4

Upper lobe shadowing: causes - BREASTS

Answer 4

Beryllium

Radiation

Extrinsic allergic alveolitis

Ankylosing spondylitis

Sarcoidosis

TB

Siliconiosis

Question 5

Airway assessment - LEMON

Answer 5

Look
Evaluate
Mallampati
Occlusion
Neck mobility

Question 6

Airway assessment - PIPPA

Answer 6

Position
Inspection
Palpation
Percussion
Auscultation