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Chest X-Ray in Clinical Practice (Paperback, 2009 ed.)
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Chest X-Ray in Clinical Practice (Paperback, 2009 ed.)
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Thechestradiograph(chestX-ray)isthemostcommonly-
questedexamination,anditisprobablythehardestplain?lm
tointerpretcorrectly. Accurateinterpretationcangreatly- ?uence
patient management in the acute setting. It is, h-
ever,oftenperformedoutofhoursandtheinterpretationis
undertakenbyrelativelyjuniormembersofstaffwithno-
mediateseniorsupportorradiologicalinput. Despitethe-
creasingavailabilityofmorecomplexradiologicalinvesti-
tions,thechestX-raycontinuestoberequestedasa?rst-line
investigationandthisislikelytocontinue. The structure of this book
derives from many teaching sessions that have been given to junior
doctors and me- calstudents. Theauthorshavefoundthat,ingeneral,tea-
ingregardingchestX-rayinterpretationhadlackedaformal
structuredapproach,andjuniordoctorsandmedicalstudents
foundinterpretingachestX-raydif?cult. Givingthemastr-
turedapproachallowedthemtofeeltheycouldtackleint-
pretationwithmorecon?dence.
Weaimtoprovideaportablehandbookforjuniordoctors. The structure is
based upon those lectures that the authors havegiven.
Thebookitselfisintendedtobeeasilyaccessible
andtohelpthiswehaveincludedtablescontainingthekey
teachingpoints,toalloweasyreference. Wehaveincluded-
tensiveexamplesofcommonpathologies. Thisbookis,h-
ever,notanexhaustiveworkofreference.
WehaveincludedbasicinformationonhowachestX-ray
isperformedandhowsuchperformancefactorscanaffectthe
qualityoftheimage. Weconsidertheimplicationsofrad-
tiondoseandgivedetailsofbasicnormalanatomy. Wethen
explainwhynormalstructuresappearastheydoonthechest vii viii Preface
X-ray. Theabilitytointerpretthenormaliskeytointerpr-
ingtheabnormalandweexplainwhyabnormalitiescreatethe
imagingfeaturestheydo. Using a structured logical approach, we
focus on both anatomical abnormality and more generalized patterns
of lungdisease. Our ultimate aim is to equip the reader with a
con?dent, simplebutlogicalapproachtochestX-rayinterpretation. R.
Joarder N. Crundwell Acknowledgments We would like to acknowledge
Christina Worley for all her hardworkinpreparingthemanuscript. We
would also like to acknowledge the following for their valuable
contribution to this book: Steve Page, DCR, MSc, Conquest Hospital,
St Leonards-On-Sea, East Sussex,
UK,andAndrewDeveling,DipMDI,ConquestHospital,St
Leonards-On-Sea,EastSussex,UK ix Contents Preface...vii
Acknowledgments ...ix PartI 1 ChestRadiography ...3 1. 1.
RadiographicTechnique ...4 1. 1. 1. Postero-anterior(PA)...4 1. 1.
2. Antero-posterior...6 1. 1. 3. Lateral ...7 1. 1. 4. Obliques...9
1. 1. 5. PenetratedPostero-anterior ...12 1. 1. 6.
Inspiration/ExpirationPostero-anterior 12 1. 1. 7. ApicalLordotic
...12 1. 2. KeyPoints...13 2 The Normal Chest X-ray: An Approach
toInterpretation...15 2. 1. UnderstandingNormalAnatomy ...17 2. 2.
ReviewAreas...22 2. 3. Pseudo-abnormalitiesonaNormalFilm...24 2. 4.
KeyPoints...27 PartII 3 TheMediastinumandHilarRegions ...31 3. 1.
MiddleMediastinumandHilarRegions...34 xi xii Contents 3. 1. 1.
CardiacAbnormality...
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