Interpretation of Plain Chest Roentgenogram

作者: Suhail Raoof , David Feigin , Arthur Sung , Sabiha Raoof , Lavanya Irugulpati

DOI: 10.1378/CHEST.10-1302

关键词: Abnormal chestPulmonary disordersInterpretation (philosophy)X ray computedMedicineScreening testRadiographyRadiologyClinical competenceReading (process)Critical Care and Intensive Care MedicinePulmonary and Respiratory MedicineCardiology and Cardiovascular Medicine

摘要: Plain chest roentgenogram remains the most commonly ordered screening test for pulmonary disorders. Its lower sensitivity demands greater accuracy in interpretation. This can be achieved by adhering to an optimal and organized approach It is important clinicians not misread abnormal radiograph (CXR) as normal. Clinicians only acquire confidence making this determination if they read hundreds of normal CXRs. An individual should follow same systematic reading CXRs each time. All must make a concerted effort plain themselves first without radiologist report then discuss findings with their radiology colleagues. Looking at lateral CXR may shed light on 15% lung that hidden from view posteroanterior film. Comparing prior films recent mandatory, when available, confirm and/or extend differential diagnosis. article outlines one many approaches interpreting highlights lesions are missed. A brief description limitations also included.

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