N T R O XR Interpretation T O C L I N I C A L P R A C T I C E - PowerPoint PPT Presentation

N T R O XR Interpretation T O C L I N I C A L P R A C T I C E

Approach to CXR 1. ASSESS THE IMAGE • Rotation • Exposure • Imaging technique (PA/AP, inspiration) 2. TUBES AND LINES 3. ANATOMY • Heart/mediastinum • Lungs and pleura • Extra-thoracic structures – Upper abdomen – Bones and soft tissues

CXR Demo

CXR 1

CXR 2

CXR 3

CXR 4

CXR 5

Approach to AXR Air • Pneumoperitoneum Bowel/Bones • Obstruction (distension, air fluid levels) • Volvulus (coffee bean) • Mural edema (thumbprinting) Calcification/Clips Gallstones • • Renal/bladder calculi Dystrophic calcifications (chronic pancreatitis) • Surgical clips and foreign bodies • Soft tissues Organomegaly or mass •

AXR Demo

Supine

AXR 1

Supine Upright

AXR 2

Supine Supine

AXR 3

Supine Upright

AXR 4

AXR 5

Upright Supine

Interpretation of MSK Radiographs Soft Tissues – Joint effusion – Swelling – Calcification/Intra-articular body Bones – Integrity – Mineralization Joints – Cartilage space – Alignment

Bone Demos

Bone 1

Cross-table lateral

Bone 2

Bone 3

Normal No Effusion Radial Head Fracture

Bone 4

Bone 5

APPROACHES CXR AXR Bone XR Image Air Soft Tissues Tube and Lines Bowel/Bones Bones Anatomy Calcification Joint Soft tissues Heart/Mediastinum Lungs/Pleura Extra-thoracic

YOUR FEEDBACK IS IMPORTANT ! Feedback helps improve This session Your facilitators The MED SCHOOL EXPERIENCE Workshop Credits - XRs and XR approaches by Brian Kruger (2017) - Reviewed and edited by Jason Motkoski (2018) 45 - Workshop design and additions by Anthony Seto and Lucas Streith (2017 – 2018)