Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Approach/Discussion:
When interpreting a chest x-ray in the child, one should be sure to
examine the entire film, and not just the chest. Use of the "ABC"
approach by the radiologist ensures that all areas of the film are
systematically examined.
A - Abdomen, check for: bowel gas pattern suggesting ileus or
obstruction, free air, abnormal calcification, abdominal situs.
B - Bone, check for: fractures, lytic or blastic lesions, metabolic
bone diseases.
C - Chest, check for: midline trachea and mediastinum, abnormal
mediastinal and cardiac contours, position of the aortic arch,
pleural effusions, pulmonary vascularity, pneumomediastinum,
pneumothorax, pneumopericardium, infiltrates, atelectasis.
Cases to Practice On
References:
Haller JO, Slovis TL: Introduction to radiology in clinical
pediatrics. Yearbook Medical Publishers (Chicago) 1984.
Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
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