The simple way to read a “CHEST FILM

The simple way to read a “CHEST FILM”:- remember the phrase “ABCDEFGHI”


A:(airway):- see the position of trachea(is it in centre or shifted either side)..!!.

B:(bony skeleton):-see the clavicles,sternum,ribs(normal or any # line and presence of cervical rib)..!!

C:cardiac silhouetee):-see the borders of heart n large blood vessels..!!

D:-(diaphragm):compare left n rt one/air bubbles under lt diaphragm n presence of hemidiaphragm).

E:-(effusion and/or empty space):-see the costophrenic n costocardiac margins…!!

F:-(fields..i.e. lung fields):-small airways n vascular margins..,cavity,air bronchogram,local or descrete lesion,consolidation,etc…!!

G:(gass bubbles):-presence or absence under left diaphragm..!!

H:(hilar reason):-see any lymphadenopathy n all..!!

I:(inspiratory effort):-look for either patient has inspired enough.normaly incase of normal quite respiration
 1o anterior ribs should be visible.look also for the position of patient..i.e. either patient is rotated?? coz incase of rotation usualy mediastinum n hilar shadows r altered….!!

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