How to approach imaging interpretation regarding X-rays and specifically structuring for your most common X-rays which include AXRs and CXRs. Common AXRs and CXRs which you can have as spot diagnoses will also be discussed
CXR & AXR interpretation
Summary
This on-demand teaching session provides a comprehensive understanding of imaging interpretation designed specifically for medical professionals. Led by BRisma Resmudeenald, the first part of the session broaches the analysis of CXR and AXR along with MSK x-ray interpretations. It covers the nuances of deciphering various patient details encapsulated in a scan like date and type of CXR with a focus on the ABCDE model of interpretation. It also introduces RIPE Mangoes, an effective tool for evaluating the adequacy of an image, and BOB, a structure for reading AXRs. This course allows an in-depth study of conditions ranging from pulmonary venous hypertension, COPD, to Paget's disease, osteoarthritis, and more. Also, uncover how to spot medical apparatus such as chest drains, ECG leads, and pacemakers on scans. With a mix of theoretical understanding and practical applications, this course is perfect for augmenting your radiological aptitude.
smart_toy Generated by MedBot
Description
Learning objectives
-
By the end of the session, learners will be able to understand and apply the concept of RIPE Mangoes to assess the adequacy of CXRs and AXRs.
-
Learners will develop the competence to interpret CXR and AXR images, adhering to the ABCDE and BOB approaches respectively.
-
The teaching session will enable learners to identify and describe common abnormalities and pathologies visible in CXR and AXR images such as tracheal deviation, pleural thickening, vertebral fractures and calcification of the pancreas.
-
Participants will gain knowledge about the different projections used in AXRs, including PA prone, lateral decubitus, upright AP & lateral crosstable, and their specific applications.
-
Medical professionals completing this session will be skilled in recognizing the presence of medical apparatus in situ in CXRs, including chest drains, ECG leads, pacemakers etc., and their impact on image interpretations.
smart_toy Generated by MedBot
Similar communities
Similar events and on demand videos
Computer generated transcript
Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.
Imaging interpretation part 1 BRisma Resmudeenald andItinerary -CXR interpretation -AXR interpretation -MSK x-ray interpretationCXR interpretation - Patient details - Date of CXR - Type of CXR (AP/PA Erect/supine) - Adequacy: RIPE Mangoes - Interpret: ABCDE - Differential and how you would complete your summaryNormal CXRAdequacy of a CXR: RIPE Mangoes Rotation: equal distance between spinous processes thd clavicles sloping) transects the diaphragm the filmwn is adequate for resp effort Penetration: Not too white or too dark- should be just able to see the spinous processes Exposure: Can see all of the lung field both sides and the diaphragm as well (particularly the costophrenic angles). Markings: red mark-means radiographer has spotted an abnormality - Tracheal deviation: Interpretation: volume loss drawing ABCDE- A for trachea towards or voltrachea away?ing Airway - Hilar region: hilar vasculature and major bronchi. Also contains LNs. Left hilum is usually slightly higher than the right. The hilar are usually the same indicates pathology. ABCDE: B for breathing Lung fields: compare in thirds and always trace around the lung marking to ensure no air/fluid in pleural space. Note any consolidation/ whitening/ opacification or lesions in lung fields Pleura: any pleural thickening (shown in next image)ABCDE: C for Circulation remember AP films are crAP for this reason size)- in thoracic cavity (volume loss (lung collapse)/ volume gain (mass)) Heart borders Aortic knob Mediastinal width (widening=aortic dissection!!!) Aortic knuckle: reduced definition can indicate aneurysm Aortopulmonary window: If the space is lost then this can indicate Mediastinum mediastinal lymphadenopathyAbcde: d FOR DIAPHRAGM Flattening of diaphragm-hyperexpansion of lung (COPD background?) Any air under the diaphragm Costophrenic angles-blunting=pleural effusionPneumoperitoneum vs gastric bubble Key indicator is looking whether air is present under the diaphragm bilaterally. Furthermore will see gastric bubble on left side of CXR, not right.ABCDE: E for everything else - Any medical apparatus in situ: chest drains, ECG leads, pacemakers e.t.c. - Bones: especially the ribs (any #s) - Soft tissue: subcutaneous emphysema or massesSubcutaneous emphysemaLoop recorder (records Permanent ICD: Implantable BIV-ICD: heart rhythms for up to 3 pacemaker: cardiac years): looks like a USB defibrillator thin Biventricular continuously same ICD stick thickness to line strand with denser line in the middle (the coil)Cephalization of vessels: redistribution of blood into the upper lobe vessels and can be diagnosed when the upper lobe veins are the same or larger in diameter relative to the lower lobe veins. manifestation of pulmonary venous hypertension.AXR interpretation - Patient details - Type of AXR: standard AXR is an AP projection in supine position. Special projections include a PA prone, lateral decubitus, upright AP & lateral crosstable - Adequacy: RiPE Mangoes - Interpretation: BOB - Differential and how you would complete your summaryNormal AXRAdequacy of film Rotation: assess symmetry of pelvis/ check spinous process is central of vertebrae Penetration: Not too white/not too dark Exposure: should be able to see up to the diaphragms and also see the pelvic joints where the femur inserts Markings: red dot=abnormalityInterpretation: BOB the minion (he looks jaundice and bloated) B: Bowels O: Other organs B: BonesInterpretation: BOB- B for bowels should be <3cm in diameterion + valvulae coniventes; diameter (caecum and sigmoid <9cm)a; should be <6cm in **The 3,6,9 rule Look for any gas in the bowel wall-ischaemia Look for any bowel on bowel appearance-Rigler’s signInterpretation BOB- O for other organs Liver Spleen Kidneys Gallbladder Psoas shadow Pancreas ** most important one- calcification=chronic pancreatitisINTERPRETATION BOB- b FOR BONES Spine and pelvis -Paget disease -Mets (lytic/sclerotic) -Osteoarthritis (LOSS) -vertebral fracturesOSTEOAR THRITIS CAECAL VOLVULUS-FETAL SIGMOID VOLVULUS-COFFEE BEAN SIGN APPEARANCE SIGN TOXIC MEGACOLON Iwith colonic dilatations + systemic toxicitiy