Chest x-ray - breathing

Case contributed by Jeremy Jones

Patient Data

Age: 30 years
Gender: Male
Annotated image
  • assess both lungs and pleural spaces in an ordered and logical fashion
  • check that both lungs are of similar volume (allowing for mediastinal asymmetry)
  • review each zone in turn, comparing it to the other side. Look for collapse, consolidation or masses
  • check around the lateral margin of each lung; markings should extend to the edge.
  • check each costophrenic angle; they should both be crisp
  • check the hemidiaphragms; they should be visible and crisp all the way to the vertebral bodies
  • check behind the heart
  • check the cardiac borders; they should be crisp and well-defined

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