Common Pitfalls of CXR interpretation
A practical guide
For those of you who didn’t know, I actually did a year-long stint as a radiology trainee. I learnt a huge deal from a specialty that is so, so important in the modern clinical age.
I’m now based in primary care so all I get is the report and sometimes things are worded in a particular way that can cause confusion.
As chest x-rays are the most common type of imaging, I thought I’d write a short piece on some common pitfalls when interpreting them.
What’s the indication? AP X-rays are useful in determining the size of the heart and visualising the great vessels whilst PA views give you maximal appreciation of the lungs.
If you’re thinking about cancer, consider requesting a lateral view. Masses behind the heart are hard to spot on an AP/PA view whilst a lateral view can spot these.
Is the film rotated? A rotated film will make you think there is pathology present when in-fact it is due to the rotation.
Is the film well penetrated? Penetration refers to the visibility of posterior structures. This is important in helping you spot retro-cardiac masses or lymphadenopathy.
Always check the bones. I can’t recall how many rib fractures I’ve seen on an XR which often explain the patients acute or even chronic symptoms.
If in doubt, get clarity. Terminology such as “fusing consolidation” are confusing to every non-radiologist. Getting help doesn’t always mean calling a radiologist. Our awesome reporting radiographer colleagues are a wealth of knowledge and they are often easier to reach.
Is there anything you particularly struggle with when looking at CXRs? Let us know!
CXR & ABG webinar
If you’re looking for a deeper grounding in both CXR and ABG interpretation then look no further! We at Pareto are running a 3-hour long masterclass this Sunday (12/11). You will also receive a FREE “mastering CXR” PDF written by Dr Abdalla.
All this is available for a modest price of £9.99. Sign up here
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