|ACR Index: 6.1|
â€¢ Check patient name, position, technical quality.
â€¢ Soft tissue including breast, chest wall, companion shadow.
â€¢ Review soft tissues and skeletal structures of shoulder girdles and chest wall.
â€¢ Review abdomen for bowel gas, organ size, abnormal calcifications, free air, etc.
â€¢ Review soft tissues and spine of neck.
â€¢ Review spine and rib cage: check alignment, disc space narrowing, lytic or blastic regions, etc.
â€¢ Review mediastinum:
1. overall size and shape
2. trachea: position
3. margins: SVC, ascending aorta, right atrium, left subclavian artery, aortic arch, main pulmonary artery, left ventricle
4. lines and stripes: paratracheal, paraspinal,paraesophageal (azygoesophageal), paraaortic
5. retrosternal clear space
â€¢ Review hila:
1. normal relationships
â€¢ Review lungs and pleura:
1. compare lung sizes
2. evaluate pulmonary vascular pattern: compare upper to lower lobe, right to left, normal tapering to periphery
3. pulmonary parenchyma
4. pleural surfaces
a. fissures - major and minor - if seen
b. compare hemidiaphragms
c. follow pleura around rib cage
â€¢ Labeled Images - - LINK -
â€¢ Chest Review - - LINK -