Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
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
Haller JO, Slovis TL: Introduction to radiology in clinical pediatrics. Yearbook Medical Publishers (Chicago) 1984.
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