Chest radiograph

Peter DeBlieux, Lisa D Mills

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

INDICATIONS The chest radiograph(CXR)is the most commonlyordered plain film in emergency medicine and has correspondingly broad indications. It is ordered to evaluate patients with chest pain, breathing complaints, thorax trauma, fevers, and altered mental status. Patients who complain of chest pain have a broad differential diagnosis, andCXRis one of the first screening tests to be applied in chest pain complaints. This study is relevant when cardiac or pulmonary processes are suspected. CXR should be obtained when patients are suspected of having an occult infectious process, presentingwith fever, altered mental status, or hypotension. A screening CXR helps initially evaluate patients for thoracic injury after thoracoabdominal trauma. DIAGNOSTIC CAPABILITIES CXR is useful to diagnose or identify primary cardiac and pulmonary pathology, abnormal pleural processes, thoracic aortic dilation, aspirated foreign bodies, and thoracic trauma. In cardiac disease, the CXR reveals pulmonary edema, moderate to large pericardial effusion, and cardiomegaly. CXR shows multiple primary pulmonary processes. It reveals infectious processes, such as lobar pneumonia, tuberculosis, atypical pneumonia, empyema, and lung abscess. Pulmonary processes such as pneumonitis, hyperaeration due to chronic obstructive pulmonary disease (COPD) and asthma, and lung masses are evident on CXR. Pleural processes such as pleural thickening, pneumothorax, hemothorax, and pleural effusions are also evident on CXR.

Original languageEnglish (US)
Title of host publicationClinical Emergency Radiology
PublisherCambridge University Press
Pages45-64
Number of pages20
Volume9780521870542
ISBN (Print)9780511551734, 9780521870542
DOIs
StatePublished - Jan 1 2008
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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