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AP chest x-rays are harder to read than PA x-rays and are therefore generally reserved for situations where it is difficult for the patient to get an ordinary chest x-ray, such as when the patient is bedridden. In this situation, mobile X-ray equipment is used to obtain a lying down chest x-ray (known as a "supine film").
A normal Haller index should be about 2.5. Chest wall deformities such as pectus excavatum can cause the sternum to invert, thus increasing the index. [6] [7] In severe asymmetric cases, where the sternum dips below the level of the vertebra, the index can be a negative value. [8]
For example, if the reader thinks the x-ray being read has profusion most like the standard x-ray for category 1, but serious considered category 2 as an alternative description of the profusion, then the reading is 1/2. Close-up right lower zone 2/2 S/S Large opacities: A large opacity is defined as any opacity greater than 1 cm in diameter.
A ventilation/perfusion lung scan, also called a V/Q lung scan, or ventilation/perfusion scintigraphy, is a type of medical imaging using scintigraphy and medical isotopes to evaluate the circulation of air and blood within a patient's lungs, [1] [2] in order to determine the ventilation/perfusion ratio.
While the chest x-ray is normal in the majority of PE cases, [2] the Westermark sign is seen in 2% of patients. [3] Essentially, this is a plain X-ray version of a filling defect as seen on computed tomography pulmonary arteriogram. The sign results from a combination of: the dilation of the pulmonary arteries proximal to the embolus and
Chest x-ray is the first test done to confirm an excess of pleural fluid. The lateral upright chest x-ray should be examined when a pleural effusion is suspected. In an upright x-ray, 75 mL of fluid blunts the posterior costophrenic angle. Blunting of the lateral costophrenic angle usually requires about 175 mL but may take as much as 500 mL.
Number of chest X-rays resulting in same effective dose Skull radiography (X-ray) 0.015 1 Chest X-ray 0.013 1 Lumbar spine X-ray 0.44 30 Abdomen X-ray 0.46 35 Pelvis X-ray 0.48 35 Screening mammography (4 views) 0.2 15 Dental X-ray (intraoral) 0.013 1 Diagnostic fluoroscopy: barium swallow 1 70 Cardiac angiography 7 500 Head CT 2 150 Chest CT 10
A) Normal chest radiograph; B) Q fever pneumonia affecting the right lower and middle lobes. Note the loss of the normal radiographic silhouette (contour) between the affected lung and its right heart border as well as between the affected lung and its right diaphragm border. This phenomenon is called the silhouette sign: Differential diagnosis