Chest x-ray: circulation (summary)

Dr Jeremy Jones et al.

Chest x-ray review is a key competency for medical students, junior doctors and other allied health professionals. Using A, B, C, D, E is a helpful and systematic method for chest x-ray review where C refers to circulation and assessment of the heart and cardiomediastinal contour.

Reference article

This is a summary article; we do not have a more in-depth reference article.

Summary

  • introduction
    • assessment of the mediastinum
    • predominantly about the heart
    • remember the other structures in the mediastinum
  • procedure
    • assess the position of the heart
      • is it on the left and is the apex pointing to the left
    • assess the heart size
      • PA CXR: should be less than 50% of the chest diameter
      • AP CXR: will be artefactually enlarged
    • aortic knuckle
      • should be on the left
    • upper mediastinal contour
    • pulmonary vessels
    • hilar structures
      • left hilum usually higher than the right
  • checklist
    • cardiac position
    • cardiac size
    • aortic arch and upper mediastinum
    • hilar vessels

Medical student radiology curriculum
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Article Information

rID: 32473
Systems: Chest, Cardiac
Section: Approach
Synonyms or Alternate Spellings:

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