Assessment of bones and soft tissue on chest x-ray

Changed by Appukutty Manickam, 5 Aug 2018

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Described below are points on assessment of bones and soft tissue on CXRchest radiographs

1.Ribs
  • normal variant: bifid rib
  • rib fractures in children < 2yrs: suspect NAI. Occurs in posterior ribs, close to the spine. Associated with other fractures (skull, long bones, spine, sternum). In 50% of proven NAI, radiographs are normal
  • lesions: lytic (lucency in bone), sclerotic (opacity in bone). Invert contrast to spot lesions better
2. Vertebrae
  • fractures: compression, burst, change fractures
  • Lesions: lytic, sclerotic
  • clavicle: fractures, distal erosion, sclerosis
3. Soft tissue
  • asymmetric soft tissue, surgical clips (around lobectomy/pneumonectomy/axillary clearance, thyroidectomy), Poland syndrome
  • note subcutaneous emphysema and lacerations
  • -<p>Described below are points on <strong>assessment of bones and soft tissue on CXR. </strong></p><h5>1.Ribs</h5><ul>
  • +<p>Described below are points on <strong>assessment of bones and soft tissue on chest radiographs. </strong></p><h5>1.Ribs</h5><ul>
  • -<li>asymmetric soft tissue, surgical clips (around lobectomy/pneumonectomy/axillary clearance, thyroidectomy), <a title="Poland syndrome" href="/articles/poland-syndrome">Poland syndrome</a>
  • +<li>asymmetric soft tissue, surgical clips (around lobectomy/pneumonectomy/axillary clearance, thyroidectomy), <a href="/articles/poland-syndrome">Poland syndrome</a>

Tags changed:

  • cxr
  • chest radiograph

Sections changed:

  • Approach

Systems changed:

  • Chest

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