Medical Radiology - Lazar A.P. 2008
Radiation Examination of the Thoracic Organs
Radiation Diagnostics of Mediastinal Diseases
Scheme for the Analysis (Description) of a Chest Radiograph
1. X-ray Examination technique.
2. Object of study.
3. Examination projection.
4. Assessment of radiogram quality (satisfactory or unsatisfactory).
B. Detailed Evaluation:
1. Shape of The thoracic cage (normal: cylindrical or cone-shaped; pathological: deformed).
2. Condition of the bones and soft Tissues of the Thorax.
3. Position, shape, and contours of the Diaphragm.
4. Shape, contours, and expansion (presence or absence of opacities) of the costophrenic angles.
5. Position, dimensions (width, length, or extent), Structure, density, and contours of the lung roots.
6. Density, number of structures per unit area, shape, and size (calibre) of the structural units of the pulmonary pattern.
7. Transparency of the lung parenchyma (uniform throughout, decreased, or increased).
8. Pathological alterations in lung transparency (opacities, radiolucencies, or a combination thereof). Shadows are characterized by number, localization, shape, size, density, structure, and border characteristics.
9. Condition of the lung apices (Symmetry in size, shape, and transparency).
10. Position of the mediastinal Organs (median, presence of displacement — indicating the direction).
C. Correlation of findings with medical history, clinical presentations, and data from instrumental and laboratory examinations.
D. Conclusion.
Last update: 08/08/2026
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