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Chest Radiograph Assessment Guide

The document provides a comprehensive overview of chest radiography, including how to assess the adequacy of a radiograph through factors like penetration, inspiration, rotation, and angulation. It details common lung abnormalities, types of densities, and various views of chest radiographs, as well as anatomical segments of the lungs. Additionally, it discusses specific conditions such as pneumonia, atelectasis, pleural effusion, and pulmonary metastasis, along with their radiographic characteristics.

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Joshua Jerard Guillermo
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We take content rights seriously. If you suspect this is your content, claim it here.
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17 views42 pages

Chest Radiograph Assessment Guide

The document provides a comprehensive overview of chest radiography, including how to assess the adequacy of a radiograph through factors like penetration, inspiration, rotation, and angulation. It details common lung abnormalities, types of densities, and various views of chest radiographs, as well as anatomical segments of the lungs. Additionally, it discusses specific conditions such as pneumonia, atelectasis, pleural effusion, and pulmonary metastasis, along with their radiographic characteristics.

Uploaded by

Joshua Jerard Guillermo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Introduction to Chest

Radiograph
MILTHON ANLI A. CUA, RMT, MD, FPCR, FUSP
HOW TO ASSESS THE ADEQUACY OF A
CHEST RADIOGRAPH
Penetration

Underpenetratio Normal
n penetration Overpenetration
Inspiration

Adequate Poor Inspiratory


Inspiration Effort
Rotation and Angulation

Normal PA View Oblique


Magnification

PA View AP View
Types of Densities
Types of Densities
Usual Chest Radiograph Views

◦ Top left: PA view (postero-


anterior)
◦ Top right: AP view
(antero-posterior)
◦ Bottom left: Lateral view
Usual Chest Radiograph Views

◦ Apicolordotic ◦ Lateral Decubitus


View View
Anatomy
Anatomy
Anatomy
Anatomy
Anatomy
Anatomy
Anatomy
◦ Right Lung: 3 + 2 = 5 (Total: 10 segments)
◦ Left Lung: 2 + 2 = 4 (Total: 8 segments)
Bronchopulmonary Segments
RIGHT LUNG LEFT LUNG
Right Upper Lobe (3):
Left Upper Lobe (2):
Apical Segment
Apicoposterior Segment
Posterior Segment
Anterior Segment
Anterior Segment
Right Middle lobe (2): Lingula (2):
Lateral Segment Superior Lingular Segment
Medial Segment Inferior Lingular Segment
Right Lower lobe (5): Left Lower lobe (4):
Superior Segment Superior Segment
Anterior Basal Segment Anteromedial Basal
Medial Basal Segment Segment
Lateral Basal Segment Lateral Basal Segment
Posterior Basal Segment Posterior Basal Segment
Anatomy

- RETROSTERNAL SPACE
- RETROCARDIAC SPACE
- RETROTRACHEAL SPACE
(RAIDER TRIANGLE)
Osseous Structures
Common Lung Abnormalities
Common Lung Abnormalities
Common Lung Abnormalities

- Pneumonia
- PTB
- Atelectasis
- Pleural effusion
- Pneumothorax
- Pneumopericardium, Pneumomediastinum
- Pulmonary Metastasis
- Pulmonary Mass/Nodule
- Aspergilloma
- Abscess
- Pneumoperitoneum
Patterns of Interstitial Disease

Reticular Nodular Reticulonodula Alveolar


r
Loss of Silhoutte Sign

Right Middle Lobe


Pneumonia Normal Lingular Pneumonia
PTB

Miliary TB
Bilateral Upper Lobe PTB
- Cavitary formation - Bleb
- Bulla
- Thick walled cystic lucency
- Thin-walled cystic - Thin-walled cystic
lucency lucency
- Greater than 1 cm - Less than 1 cm
Atelectasis

- Wedge-shaped opacity if the involvement is not the entire lung


- Types: Obstructive, Passive, Compressive, Cicatrisation and
Adhesive
- Ipsilateral effect
Atelectasis

Right Lung Atelectasis Left Lung Atelectasis


- Top Left: RUL Atelectasis
- Top Right: LUL Atelectasis
- Bottom Left: RLL Atelectasis
Pleural Effusion

- Homogenous opacity
usually obscuring the
diaphragm and sulcus
- May be loculated
- Contralateral effect
Loculated Pleural Effusion
Massive Right Pleural Effusion - Decubitus Views
- Bilateral Pleural Effusions
Pneumothorax

Left Pneumothorax
Diagnosis?
Diagnosis?
Pneumomediastinum and Pneumopericardium

Pneumomediastinu Norma Pneumopericardiu


m *Balut l m
Pulmonary Metastasis

- Pulmonary Metastasis - Pulmonary Nodule - Pulmonary Mass


- Cannonball - Less than or equal - Greater than 3.0 cm
3.0 cm
Aspergilloma and Abscess Formation

Aspergilloma Pulmonary Abscess


Pneumoperitoneum

Pneumoperitoneum Normal
“Don’t pray for a weaker storm. Ask
for a stronger boat.”

End
End

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