By Lawrence R. Goodman
Felsons rules of Chest Roentgenology third version via Lawrence Goodman. W.B. Saunders Co.,2007
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Additional resources for Felson's Principles of Chest Roentgenology, 3rd Edition
Example text
Figure 3-7 B How do you tell who looked at the images last? A radiologist: The PAs and laterals are in chronologic order. An internist: The PAs are in chronologic order, and the laterals are in random order. A surgeon: All are in random order. An orthopedist: Half are missing. 10 For the novice, subtle, and not so subtle, abnormalities are easy to miss. In searching the lungs, three helpful strategies to minimize oversights are (1) searching the lungs individually, (2) searching the lungs ______________, and (3) taking advantage of ______________, if available.
H. J. K. __________ ___________ ___________ ___________ A. B. C. D. E. F. G. H. J. K. gas in splenic flexure costophrenic sulcus (angle) heart descending aorta trachea carina hilum aortic knob ascending aorta right diaphragm 4 To maximize your accuracy, you must have an organized search pattern. Start reading every radiograph—chest or otherwise—by scanning the areas of least interest first, working toward the more important areas. You are less likely to miss secondary but important findings this way.
C. D. E. right breast posterior rib scapula clavicle anterior rib 7 40 41 F. G. stomach bubble liver Tombstone of the Village Hypochondriac Mediastinum: An organized search of the mediastinum is complicated because there are multiple overlapping structures. , focal or diffuse widening). Figures 3-5A and 3-5B show three rapid searches of the mediastinum: A = for the trachea and carina; B = for the aorta and heart; C = for the hilum. 41 42 Figure 3-5 A 42 43 Figure 3-5 B 8 On Figure 3-5C 43 44 Figure 3-5 C , identify the following structures in the order of your mediastinal search: 1.