Adult chest radiograph pathology checklist
Updates to Article Attributes
The adult chest radiograph pathology checklist is just a pathology checklist of things not to miss when reviewing a chest radiograph, especially in the exam setting.
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standard review areas
apices
retrocardiac area
hilar regions
below the diaphragm
right descending pulmonary artery (like a little finger)
Easily missed pathology
Run through the areas of the chest radiograph in order and think of pathology that you need to actively check for. It's not going to just jump out and hit you in the face!
PulmonaryLungs
lobar collapse
-: check hilar position
PleuralPleura
pneumothorax
-: especially small apical ones
MediastinalMediastinum
paratracheal lymph nodes
-: especially right paratrachealdensity in the azygos region
coarctation
-: check rib notching
Chest wallBones
-
ribs
metastases
-: sclerotic or lucentdestruction from local process
breast: absent breast shadow -mastectomy: easy to overlook
Other
-
humeral head
-
vertebra
vertebral collapse/fracture
Soft tissue
breast: an absent breast shadow (mastectomy) is easy to overlook
-
spleen
-
gas in the splenic flexure, immediately below the diaphragm
-</li></ul><h4>Easily missed pathology</h4><p>Run through the areas of the chest radiograph in order and think of pathology that you need to actively check for. It's not going to just jump out and hit you in the face!</p><h5>Pulmonary</h5><ul>-<li><p><a href="/articles/lobar-collapse-summary">lobar collapse</a> - check hilar position</p></li>- +</li></ul><h4>Easily missed pathology</h4><p>Run through the areas of the chest radiograph in order and think of pathology that you need to actively check for. It's not going to just jump out and hit you in the face!</p><h5>Lungs</h5><ul>
- +<li><p><a href="/articles/lobar-collapse-summary">lobar collapse</a>: check hilar position</p></li>
-</ul><h5>Pleural</h5><ul><li><p><a href="/articles/pneumothorax-in-the-exam">pneumothorax </a>- especially small apical ones</p></li></ul><h5>Mediastinal</h5><ul>- +</ul><h5>Pleura</h5><ul><li><p><a href="/articles/pneumothorax-in-the-exam">pneumothorax</a>: especially small apical ones</p></li></ul><h5>Mediastinum</h5><ul>
-<li><p>paratracheal lymph nodes - especially <a href="/articles/right-paratracheal-lymphadenopathy" title="Right paratracheal lymphadenopathy">right paratracheal</a></p></li>- +<li><p>paratracheal lymph nodes: especially <a href="/articles/right-paratracheal-lymphadenopathy" title="Right paratracheal lymphadenopathy">right paratracheal</a></p></li>
-<li><p><a href="/articles/coarctation-of-the-aorta">coarctation</a> - check <a href="/articles/rib-notching" title="Rib notching">rib notching</a></p></li>- +<li><p><a href="/articles/coarctation-of-the-aorta">coarctation</a>: check <a href="/articles/rib-notching" title="Rib notching">rib notching</a></p></li>
-<li><p>hiatus hernia</p></li>-</ul><h5>Chest wall</h5><ul>- +<li><p><a href="/articles/hiatus-hernia" title="Hiatus hernia">hiatus hernia</a></p></li>
- +</ul><h5>Bones</h5><ul>
-<li><p><a href="/articles/bone-metastases-1">metastases</a> - <a href="/articles/sclerotic-bone-metastases">sclerotic</a> or <a href="/articles/lucentlytic-bone-lesion-differential-diagnosis-mnemonic-1">lucent</a></p></li>- +<li><p><a href="/articles/bone-metastases-1">metastases</a>: <a href="/articles/sclerotic-bone-metastases">sclerotic</a> or <a href="/articles/lucentlytic-bone-lesion-differential-diagnosis-mnemonic-1">lucent</a></p></li>
-<li><p><a href="/articles/breast" title="Breast">breast</a>: absent breast shadow - <a href="/articles/mastectomy" title="mastectomy">mastectomy</a>: easy to overlook</p></li>-<li><p><a href="/articles/pneumoperitoneum">free intraperitoneal gas</a></p></li>-</ul><h5>Other</h5><ul>-<li><p><a href="/articles/osteonecrosis-of-the-humeral-head">humeral head AVN</a> - <a href="/articles/sickle-cell-disease" title="Sickle cell disease">sickle cell disease</a></p></li>-<li><p>fracture</p></li>- +<li><p><a href="/articles/osteonecrosis-of-the-humeral-head">humeral head osteonecrosis</a> (<a href="/articles/sickle-cell-disease" title="Sickle cell disease">sickle cell disease</a>)</p></li>
- +<li><p><a href="/articles/proximal-humeral-fracture-1" title="Proximal humeral fracture">fracture</a></p></li>
- +</ul><h5>Soft tissue</h5><ul>
- +<li><p><a href="/articles/breast" title="Breast">breast</a>: an absent breast shadow (<a href="/articles/mastectomy" title="mastectomy">mastectomy</a>) is easy to overlook</p></li>
- +<li><p><a href="/articles/pneumoperitoneum">free intraperitoneal gas</a></p></li>
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