Radiologists use a systematic approach called "ABCDEF" to read chest x-rays. This approach examines the adequacy of the radiograph, airways, bones and soft tissues, cardiac and mediastinum, diaphragm and stomach, effusions and pleura, and fields (lungs). Radiologists also check penetration by ensuring intervertebral disk spaces in the thoracic spine are visible to determine if the x-ray is adequately exposed. Lung tissue appears black on x-rays since air does not attenuate the x-ray beam.
Radiologists use a systematic approach called "ABCDEF" to read chest x-rays. This approach examines the adequacy of the radiograph, airways, bones and soft tissues, cardiac and mediastinum, diaphragm and stomach, effusions and pleura, and fields (lungs). Radiologists also check penetration by ensuring intervertebral disk spaces in the thoracic spine are visible to determine if the x-ray is adequately exposed. Lung tissue appears black on x-rays since air does not attenuate the x-ray beam.
Radiologists use a systematic approach called "ABCDEF" to read chest x-rays. This approach examines the adequacy of the radiograph, airways, bones and soft tissues, cardiac and mediastinum, diaphragm and stomach, effusions and pleura, and fields (lungs). Radiologists also check penetration by ensuring intervertebral disk spaces in the thoracic spine are visible to determine if the x-ray is adequately exposed. Lung tissue appears black on x-rays since air does not attenuate the x-ray beam.
Air does not attenuate x-ray beam. Therefore lung is black
How to read a chest xray
Turn off stray lights, optimise room lighting, view images in order 9most recent, important one should be last) Start with central structure out, or from outer structures in
Systematic Approach (ABCDEF)
Adequacy of radiograph e.g. PA or AP Airways Bones & soft tissues Cardiac & mediastinum Diaphragm & stomach Effusions & pleura Fields (lungs) Other (lines, tubes, devices and previous surgery)
To judge whether x-ray is good enough:
Penetration - If can seen intervertebral disk spaces of the thoracic spine = adequately exposed