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Chest radiograph: checklist to examine

"Pamela Found Our Rotation Particularly Exciting; Very Highly Commended Mainly 'Cus She Arouses":
Patient details
Film details
Objects (eg. lines, electrodes)
Rotation
Penetration
Expansion
Vessels
Hila
Costophrenic angles
Mediastinum
Cardiothoracic Ratio
Soft tissues and bones
Air (diaphragm, pneumothorax, subcut. emphysema)
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---Andrew Booshan

Chest X-ray: cavitating lesions differential

"If you see HOLES on chest X-ray, they are WEIRD":
Wegener's syndrome
Embolic (pulmonary, septic)
Infection (anaerobes, pneumocystis, TB)
Rheumatoid (necrobiotic nodules)
Developmental cysts (sequestration)
Histiocytosis
Oncological
Lymphangioleiomyomatosis
Environmental, occupational
Sarcoid
· Alternatively: L=Left atrial myxoma
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---LW Mason, and Anonymous Contributor 4th Year Medical Student and Not Specified

Lung cancer: main sites for distant metastases

BLAB:
Bone
Liver
Adrenals
Brain
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---Ian Silver Queen's University School of Medicine, Kingston, ON, Canada

Lung cancer: notorious consequences

SPEECH:
Superior vena cava syndrome
Paralysis of diaphragm (Phrenic nerve)
Ectopic hormones
Eaton-Lambert syndrome
Clubbing
Horner syndrome/ Hoarseness
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---Rinku Uberoi

Chest x-ray: differential diagnoses of shadow on the upper zones of lung fields

5 Ts:
Thymoma
Thyroid (retrosternal)
Tuberculosis
Terrible lymphoma
Teratoma
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---Kok Fai Kong Final Year Medical Student, University of Auckland, New Zealand

Chest X-ray interpretation

· Preliminary is ABCDEF:
AP or PA
Body position
Confirm name
Date
Exposure
Films for comparison
· Analysis is ABCDEF:
Airways (hilar adenopathy or enlargement)
Breast shadows/ Bones (rib fractures, lytic bone lesions)
Cardiac silhoutte (cardiac enlargement)/ Costophrenic angles (pleural effusions)
Diaphragm (evidence of free air)/ Digestive tract
Edges (apices for fibrosis, pneumothorax, pleural thickening or plaques)/ Extrathoracic tissues
Fields (evidence of alveolar filling)/ Failure (alveolar air space disease with prominent vascularity with or without pleural effusions)
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---Fahed Al-Daour