Which is right and left in a chest x ray

WHICH IS RIGHT AND LEFT IN A CHEST X RAY HOW TO

The trachea is seen as a dark column (due to air) with the cartilaginous ring not being visible. Look for the cervical rib, maybe small or rudimentary (missed in many cases).Д¬heck the ribs (normal, crowding, wide-spaced, erosion, notching, fracture or healed fracture).Д¬heck the clavicle, spine and vertebral column, scapula and humerus. In females, check for breast shadow (may be absent due to mastectomy) Bony Configuration Soft Tissue Shadow (Outside Skeleton) вЂ“ This appears as opacity outside the bony skeleton. Look at the cardiac apex, which is on the left side. Heart-normally one-third lies on the right side and two-third on the left. The other points which will help to find the side/position in addition to the markers on the top of the film areДiaphragm-usually the right dome is 2.5 cm above the left dome. Dextrocardia or situs inversus may be missed if the correct position is not noted at the beginning. Side of the XrayДЄlways look at the top of the film for the вЂњRвЂќ or вЂњLвЂќ markers which indicate the patientвЂ™s position (right or left). If the position is not correct the heart may appear shifted in the radiograph. The medial end of the clavicle should be equidistant from the spinous process at the level of T4 and T5 thoracic vertebrae.

Observe the medial ends of both clavicles in relation to the pedicles of the thoracic vertebrae. Exposure: One needs to be able to identify both costophrenic angles and lung apices.Penetration: one should barely see the thoracic vertebrae behind the heart.Adequacy of inspiration: Nine pairs of ribs should be seen posteriorly in order to consider a chest x-ray.Rotation: measure the distance from the medial end of each clavicle to the spinous process of the vertebra at the same level, which should be equal.Additional information: inspiration, expiration.Orientation: position and side description.Patient details: First name, surname, date of birth.

WHICH IS RIGHT AND LEFT IN A CHEST X RAY HOW TO

Understanding Basics and How to Read Head CT Scan On all Chest Xray Check the following: H=Hilum, Hernia (congenital diaphragmatic hernia).Radiological Checklist: Easy Way to Remember any abnormality in the humerus and subcutaneous emphysema Look for any shadow in the neck, subcutaneous tissue in the chest wall.Look for the integrity of ribs, clavicles, scapula, and spine.Lung fields (including hilar shadow, pulmonary vessels, and fissures of the lung).Borders of the heart including upper mediastinum.Costophrenic and cardiophrenic angles on both sides.Outline of the diaphragm (both right and left domes).Side of X-ray (look for right вЂњRвЂќ and left `V markers on the top of the film).Position of the patient (look for kyphoscoliosis).Always remember to assess the technical quality of the film, such as incorrect exposure or faulty centering or projection, which may either hide, mimic or confuse with the disease diagnosis. In a CXR, carefully observe the following points. However, a pneumothorax is more clearly seen in an expiratory film rather than in the inspiratory film. Interpretation of the film taken in expiration is difficult because the lung bases appear hazy and the heart looks enlarged.

Which is right and left in a chest x ray