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X-Ray Chest 2V Front and Lat AP

Also known as

chest x-ray or CXR

Chest X-ray is a painless, non-invasive test. It is the most commonly preferred diagnostic examination to view images of the anatomy of the heart, airways, lungs, bones of the chest, spine, and blood vessels. The lateral chest view can be instrumental in assessing the retrosternal and retrocardiac airspaces. This will allow radiographers/imaging technologists to image with the side of interest against the image receptor, reducing magnification from an increased SID. Otherwise, a left lateral view is the default and preferred side as it demonstrates better anatomical details of the heart.
A chest radiograph is the initial testing performed for a broad spectrum of indications. It is often used as a preliminary screening test for pre-employment medical fitness or immigration screening. It's also done as a postoperative measure to: monitoring of patients in intensive care units follow up on the progression of a known disease to monitor nasogastric and endotracheal tubes.
Your doctor may order a Chest 2V X-ray to look for chest pain causes, including several abnormalities visible on the radiograph. Chest 2V X Rays can show:
  • Respiratory disease
  • Cardiac disease
  • Hemoptysis
  • Tuberculosis
  • Metastasis
  • Pneumonia
  • Pneumothorax
  • Thoracic disease processes
  • Pneumomediastinum
  • Neoplasms
  • Rib fractures
  • Aortic dissection

The conditions will be visible clearly on your results. Similarly, pulmonary embolism may manifest as pleural effusion or pulmonary infarct. However, the specificity and sensitivity of a chest X-ray are too poor to reach a clinical diagnosis.
There is no special preparation for a routine X-ray. Still, you should keep the following points in mind before going to your appointment:
Patients with asymptomatic hypertension should be discouraged from going for a chest X-ray routinely. You will be asked to change into a hospital gown. Leave behind all jewelry and metallic devices. Tie up long hair Tubes and lines will be removed from the field of view of radiography.
A frontal chest radiograph may be performed as an adjunct in cases where there is diagnostic uncertainty. The patient's position is such that the top of the lungs should be visible. In a Chest AP sitting erect, you'll get a clear image of the chest cavity and lungs in patients who cannot stand. The patient is asked to inhale deeply and hold their breath while the exposure is taken. The exposure is made at full inspiration and would show both angles and the lower parts of the diaphragm. The lungs and spine would be visible on the radiograph behind the heart shadow. In the AP view, the X-ray beam will traverse the patient from anterior to posterior and could be conducted with the patient sitting up and erect. In some instances, it could also be performed outside of the radiology department using a mobile x-ray unit. It is more convenient for intubated and sick patients who cannot stand for a PA projection. If you experience any discomfort, the technician may adjust your position to an AP supine view, an alternative supine view technique used for trauma patients that cannot be made to sit. The supine position gives a clear view of the heart cavity, specifically the mediastinum, by the physiological widening of the outline, including superior mediastinum, as well as congestion of the pulmonary veins with upper lobe venous diversion.
A chest X-ray is most often the first step to diagnose a suspected heart or lung disease. It is also used to monitor the progression of a disease and its response to medication and treatment. Many things inside your body can be revealed through a CXR, including:
Cancer and infection, or air collection in the space around a lung which could result in lung collapse, chronic lung conditions such as emphysema or cystic fibrosis, and all complications related to these conditions Heart issues resulting in lung-related problems. For example, fluid in the lungs can be a result of congestive heart failure. Alterations in your heart's size and shape may indicate heart failure, fluid around the heart, and heart valve dysfunction. May reveal aneurysms in the aorta or other problems in the large blood vessels or congenital heart disease. Calcification of the heart. The presence of calcium may indicate damage to heart valves, coronary arteries, the protective sac surrounding the heart. Calcification of nodules in the lungs as a result of old, unresolved infections Fractures in the ribs or spine Postoperative monitoring of recovery to check for air leaks in the tubes and fluid or air buildup. To confirm correct positioning of catheters, pacemakers, and defibrillators.
Your Chest X-ray film will produce a black-and-white image showing the anatomy of your chest. Structures that block radiation appear white and structures that let radiation through appear black. The white structures on the radiograph are bones and cartilage that are dense in material and block radiation. The heart also appears as a faded white area. Lungs are mostly filled with air and block very little radiation, so they appear darker on the imaging. A lab usually develops the images from a chest X-ray on large sheets of film. When viewed against a lit background, your doctor can look for an array of problems, from tumors to broken bones. A radiologist also goes over the images and gives your doctor their interpretation. Your doctor will discuss the results of your X-ray with you at a follow-up appointment. Together, you will draw a plan on how to approach the condition appearing on the scan.