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Remember your ABCs when reading chest films
When reading chest films, I have found the following alphabetical guide helpful to ensure that I don't rush and forget something.
A >> Airway (midline, patent)
B >> Bones (eg, fractures, lytic lesions)
C >> Cardiac silhouette size
D >> Diaphragm (eg, flat or elevated hemidiaphragm)
E >> Edges (borders) of the heart (to rule out lingular and left middle lobe pneumonia or infiltrates)
F >> Fields (lung fields well inflated; no effusions, infiltrates, or nodules noted)
G >> Gastric bubble (present, obscured, absent)
H >> Hilum (nodes, masses)
I >> Instrumentation (eg, lines, tubes)
Jeffrey M. Edmondson, MD
Harker Heights, Texas
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