N T R O XR Interpretation T O C L I N I C A L P R A C T I C E
Approach to CXR 1. ASSESS THE IMAGE • Rotation • Exposure • Imaging technique (PA/AP, inspiration) 2. TUBES AND LINES 3. ANATOMY • Heart/mediastinum • Lungs and pleura • Extra-thoracic structures – Upper abdomen – Bones and soft tissues
CXR Demo
CXR 1
CXR 2
CXR 3
CXR 4
CXR 5
Approach to AXR Air • Pneumoperitoneum Bowel/Bones • Obstruction (distension, air fluid levels) • Volvulus (coffee bean) • Mural edema (thumbprinting) Calcification/Clips Gallstones • • Renal/bladder calculi Dystrophic calcifications (chronic pancreatitis) • Surgical clips and foreign bodies • Soft tissues Organomegaly or mass •
AXR Demo
Supine
AXR 1
Supine Upright
AXR 2
Supine Supine
AXR 3
Supine Upright
AXR 4
AXR 5
Upright Supine
Interpretation of MSK Radiographs Soft Tissues – Joint effusion – Swelling – Calcification/Intra-articular body Bones – Integrity – Mineralization Joints – Cartilage space – Alignment
Bone Demos
Bone 1
Cross-table lateral
Bone 2
Bone 3
Normal No Effusion Radial Head Fracture
Bone 4
Bone 5
APPROACHES CXR AXR Bone XR Image Air Soft Tissues Tube and Lines Bowel/Bones Bones Anatomy Calcification Joint Soft tissues Heart/Mediastinum Lungs/Pleura Extra-thoracic
YOUR FEEDBACK IS IMPORTANT ! Feedback helps improve This session Your facilitators The MED SCHOOL EXPERIENCE Workshop Credits - XRs and XR approaches by Brian Kruger (2017) - Reviewed and edited by Jason Motkoski (2018) 45 - Workshop design and additions by Anthony Seto and Lucas Streith (2017 – 2018)
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