Interpretation of Plain Chest Roentgenogram
| Autor: | David S. Feigin, Edward C. Rosenow, Sabiha Raoof, Suhail Raoof, Lavanya Irugulpati, Arthur Wai Sung |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Lung Diseases
Pulmonary and Respiratory Medicine Abnormal chest medicine.medical_specialty Screening test business.industry Radiography media_common.quotation_subject Interpretation (philosophy) Critical Care and Intensive Care Medicine Diagnosis Differential X ray computed Reading (process) Humans Medicine Radiography Thoracic Clinical Competence Radiology Clinical competence Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Pulmonary disorders media_common |
| Zdroj: | Chest. 141:545-558 |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.10-1302 |
| Popis: | Plain chest roentgenogram remains the most commonly ordered screening test for pulmonary disorders. Its lower sensitivity demands greater accuracy in interpretation. This greater accuracy can be achieved by adhering to an optimal and organized approach to interpretation. It is important for clinicians not to misread an abnormal chest radiograph (CXR) as normal. Clinicians can only acquire the confidence in making this determination if they read hundreds of normal CXRs. An individual should follow the same systematic approach to reading CXRs each time. All clinicians must make a concerted effort to read plain CXRs themselves first without reading the radiologist report and then discuss the findings with their radiology colleagues. Looking at the lateral CXR may shed light on 15% of the lung that is hidden from view on the posteroanterior film. Comparing prior films with the recent films is mandatory, when available, to confirm and/or extend differential diagnosis. This article outlines one of the many systematic approaches to interpreting CXRs and highlights the lesions that are commonly missed. A brief description of the limitations of CXR is also included. |
| Databáze: | OpenAIRE |
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