The adult chest radiograph pathology checklist is just a pathology checklist of things not to miss when reviewing a chest radiograph, especially in the exam setting.
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standard review areas
apices
retrocardiac area
hilar regions
below the diaphragm
right descending pulmonary artery (like a little finger)
Easily missed pathology
Run through the areas of the chest radiograph in order and think of pathology that you need to actively check for. It's not going to just jump out and hit you in the face!
Lungs
lobar collapse: check hilar position
Pleura
pneumothorax: especially small apical ones
Mediastinum
paratracheal lymph nodes: especially right paratracheal
density in the azygos region
coarctation: check rib notching
Bones
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ribs
destruction from local process
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humeral head
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vertebra
vertebral collapse/fracture
Soft tissue
breast: an absent breast shadow (mastectomy) is easy to overlook
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spleen
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gas in the splenic flexure, immediately below the diaphragm
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