A systematic approach to basic chest radiograph interpretation: a cardiovascular focus.

Abstract

In this column, I will provide a general overview to the indications and basic chest radiograph features such as density, views and technical quality. A systematic approach to radiographic interpretation is outlined. This proposed approach follows anatomical structures organized in alphabetical order (airway, bone, cardiac, diaphragm, extras and frame), while considering a range of pathophysiological findings. Common cardiovascular findings reviewed include atelectasis, pneumothorax, pleural effusions, congestive heart failure, pulmonary edema, consolidation and pneumonia. While chest radiography is an important diagnostic tool for monitoring patients, correlation to the patient's clinical assessment is always required.