Chest X-Ray - Heart Failure. Radiology Masterclass - Tutorials - Introduction page. While browsing pinterest, I discovered casttoo.com. You can send them the digital file of your x-ray, and they'll send you back your break in print, ready to be applied directly to your cast. Interpreting abdominal radiographs. Understanding the large variations in normal anatomy will lead to more confident interpretation By: Jen-Jou Wong, Latifa Patel, John Curtis Published: 13 September 2012 DOI: 10.1136/sbmj.e5375 Cite this as: Student BMJ 2012;20:e5375 The abdominal radiograph can be difficult to interpret, and it is often given less teaching time than its more popular sibling, the chest radiograph.
This is despite its being the third most commonly requested radiological investigation, after chest and extremity radiographs. Competence in the interpretation of abdominal films is needed, given their ubiquity in surgical specialties and the need for doctors to request and interpret these films while on call or in the emergency department. Abdominal radiographs can display a wide variety of normal presentations, so familiarity with these is important (fig 1). It is also important to compare the radiograph with previous films, if they are available, to note any progression or detection of pathology.
Cases. Positioning: The patient stands erect facing the tube, from here the patient is rotated 45degrees with the affected side on the film, both arms are raised and placed across the head which may need to be turned towards the affected side for comfort and ease of positioning. If the pathology is suspected on the right side, then the right posterior chest should be on the cassette. If the lesion is suspected on the left, then it is the left posterior chest should be on the cassette. The film focus distance is 100cm (instead of 180cm). Exposure: The kV should be reduced because the FFD is now shorter but the mA should be increased because the tissue is now thicker when the patient is oblique cf PA view.
Radiation protection: Wear lead apron for waist level protection. Central Ray: The horizontal central ray is centered at mid clavicular line at a point midway between the sternal notch and the xiphisternum. Exposure is made on suspended deep inspiration. Evaluation of the Image: be clearly seen. NeuroMRI. Thorax Xrays.