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Cxr for final_year
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Lateral Decubitus
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• Turn off
stray lights, optimize room lighting, view images in order • Patient Data (name history #, age, sex, old films) • Routine Technique: AP/PA, exposure, rotation, supine or erect • Trachea: midline or deviated, caliber, mass • Lungs: abnormal shadowing or lucency • Pulmonary vessels: artery or vein enlargement • Hila: masses, lymphadenopathy • Heart: thorax: heart width > 2:1 ? Cardiac configuration? • Mediastinal contour: width? mass? • Pleura: effusion, thickening, calcification • Bones: lesions or fractures • Soft tissues: don’t miss a mastectomy • ICU Films: identify tubes first and look for pneumothorax
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