Normal pediatric chest X-ray
How do pediatric chest X-rays differ from those of an adult?
Consider this normal chest X-ray of an infant (Fig. 65.1). Is there a system for interpreting the image?
What points do you look for?
What is specific to each age group?
What should you not expect to see on an infant chest X-ray?
Do not forget?
Pediatric chest X-Ray differ from those of adults because:
Chest X-rays change with age.
Children present with different conditions.
There are specific areas to review when interpreting a pediatric chest X-ray.
The thymus can cause confusion.
There are many ways of reading a CXR . Adopt a method that suits you and stick to it. Here is an example:
Check ID and quality
Tracheobronchial tree and mediastinum
Contours of thorax
Lines, tubes, and artefacts
Points to look for:
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Check ID and quality:
Age will guide you in your interpretation.
Quality of the picture: rotation, inspiration, and exposure . Over- or underexposed films will impair your judgement on parenchymal density and vascularity.
Position: AP, PA, and supine. Particularly important in neonates where lung mechanics are different such as the angle of the ribs. This can be affected by poor positioning of the child.
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