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Interpretation of chest x-ray.
Dr/ ABD ALLAH NAZEER. MD.
Indication for a chest X-Ray.
1- Evaluation of chest symptoms(cough, chest pain,
shortness of breath, hemoptysis, fever, u...
Distance 180 cm.
Distance 90 cm.
Penetration: Is the image over or under exposed? Under means the image is
too white (the radiation is not getting through ...
Right Lung lobe position.
Left Lung lobe position.
CR Interpretation:
Lung abnormalities:
Abnormal whiteness.
(increased density)
1-Consolidation.
2-Atelectasis.
3-Nodule or...
Density in left lower lung field,
left heart silhouette intact, loss
of diaphragmatic silhouette
Right middle lobe consoli...
Infiltrate is when your alveolar spaces are filled with
some sort of fluid, i.e. transudate, exudate. Consolidation is
mor...
Air bronchogram.
Nodules and Masses.
A solitary pulmonary nodule or SPN is defined as a discrete,
well marginated, rounded opacity less tha...
Pulmonary nodule. Pulmonary mass.
Causes of cavitating lung lesions.
. Abscess.
. Neoplasm.
. Cavitating pneumonia.
. Cavitations in infarcts.
. Rheumatoid ...
Pneumonia with cavitation. Pneumonia with abscess formation.
Pathology.
Tension pneumothorax with tracheal deviation.
Lung nodules.
Cavitating Bronchogenic Carcinoma, Squamous Cell. There is a thick-walled cavity present
in the right lower lobe (white ar...
Non Small Cell Lung Cancer
Cavitory lesions of the lung.
Multiple abscesses.
Primary T.B with lymphadenopathy. T.B RUL infiltrate with 3 peri-hilar Cavitory lesions.
T.B disease.
T.B RUL infiltrate
Military T.B.
Mediastinal lesions.
Posterior mediastinal mass.
A subpulmonic effusion is excess fluid that collects at the base of the lung, in
the space between the pleura and diaphrag...
There is a moderate-sized right basal and right subpulmonic pleural effusion.
Sternotomy wires and loop recorder noted. Mo...
This is a PA chest image on the same patient taken after cardiac surgery. Note the
increased distance between the fundus o...
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
Presentation1.pptx. interpretation of x ray chest.
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Presentation1.pptx. interpretation of x ray chest.

  1. 1. Interpretation of chest x-ray. Dr/ ABD ALLAH NAZEER. MD.
  2. 2. Indication for a chest X-Ray. 1- Evaluation of chest symptoms(cough, chest pain, shortness of breath, hemoptysis, fever, unexplained weight loss. 2- Evaluation of physical sign(e.g. hypoxemia, abnormal pulmonary examination. 3- Evaluation of nasogastric, endotracheal tubes and central venous lines. 4-screening for pneumothorax after lung biopsy, central line and pacemaker placement. 5- Evaluation of pacemaker lead fracture 6- Pre-employment and physical examination.
  3. 3. Distance 180 cm.
  4. 4. Distance 90 cm.
  5. 5. Penetration: Is the image over or under exposed? Under means the image is too white (the radiation is not getting through adequately and more of the X-ray is appearing white or similar to bone than it should be), and over exposure is too dark. To tell which you have look for the intervertebral disks.
  6. 6. Right Lung lobe position.
  7. 7. Left Lung lobe position.
  8. 8. CR Interpretation: Lung abnormalities: Abnormal whiteness. (increased density) 1-Consolidation. 2-Atelectasis. 3-Nodule or mass. 4-Inetrstitial. Abnormal blackness (decreased density): 1-cavitory lesion. 2-Cyst. 3-Emphysema.
  9. 9. Density in left lower lung field, left heart silhouette intact, loss of diaphragmatic silhouette Right middle lobe consolidation silhouette the right cardiac border intact diaphragmatic silhouette .
  10. 10. Infiltrate is when your alveolar spaces are filled with some sort of fluid, i.e. transudate, exudate. Consolidation is more of a measure of the texture and hardening of the lungs. But on a CXR you can't distinguish between the two.
  11. 11. Air bronchogram.
  12. 12. Nodules and Masses. A solitary pulmonary nodule or SPN is defined as a discrete, well marginated, rounded opacity less than or equal to 3 cm in diameter. It has to be completely surrounded by lung parenchyma, does not touch the hilum or mediastinum and is not associated with adenopathy, atelectasis or pleural effusion. The differential diagnosis of SPN is basically the same as of a mass except that the chance of malignancy increases with the size of the lesion. Lesions smaller than 3 cm, i.e. SPN's are most commonly benign granulomas, while lesions larger than 3 cm are treated as malignancies until proven otherwise and are called masses.
  13. 13. Pulmonary nodule. Pulmonary mass.
  14. 14. Causes of cavitating lung lesions. . Abscess. . Neoplasm. . Cavitating pneumonia. . Cavitations in infarcts. . Rheumatoid nodule(Rare).
  15. 15. Pneumonia with cavitation. Pneumonia with abscess formation.
  16. 16. Pathology.
  17. 17. Tension pneumothorax with tracheal deviation.
  18. 18. Lung nodules.
  19. 19. Cavitating Bronchogenic Carcinoma, Squamous Cell. There is a thick-walled cavity present in the right lower lobe (white arrows) with a nodular inner margin to the cavity. An air-fluid level is present. This was a squamous cell carcinoma, primary to the lung.
  20. 20. Non Small Cell Lung Cancer
  21. 21. Cavitory lesions of the lung.
  22. 22. Multiple abscesses.
  23. 23. Primary T.B with lymphadenopathy. T.B RUL infiltrate with 3 peri-hilar Cavitory lesions. T.B disease.
  24. 24. T.B RUL infiltrate
  25. 25. Military T.B.
  26. 26. Mediastinal lesions.
  27. 27. Posterior mediastinal mass.
  28. 28. A subpulmonic effusion is excess fluid that collects at the base of the lung, in the space between the pleura and diaphragm. The peak of the pseudo-diaphragm will lie lateral to the normal position. When located on the left, an increased distance may be seen between the pseudo-diaphragm and the gastric bubble. Lateralization of the diaphragm apex at the right side compatible with right sided subpulmonic effusion. The left dome of diaphragm is higher than right with increased distance of diaphragmatic outline to the fundal air bubble of stomach, suggestive of a subpulmonic pleural effusion.
  29. 29. There is a moderate-sized right basal and right subpulmonic pleural effusion. Sternotomy wires and loop recorder noted. Moderate cardiomegaly.
  30. 30. This is a PA chest image on the same patient taken after cardiac surgery. Note the increased distance between the fundus of the stomach (black arrow) and what appears to be the diaphragm (white arrow). The diaphragmatic plaque is marked by the grey arrow.
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