文档介绍：The
Medical Student's
Guide
to the
Plain Chest Film
Edwin F. Donnelly, ., .
Copyright © 2006 Carchedon Publishing
All rights reserved. No part of this publication can be
reproduced or distributed without the written permission of
either the publisher or the author.
ISBN 1-4116-9538-0
Published by Carchedon Publishing.
Distributed through Lulu Press.
Electronic Proof
Not For Distribution
Table of Contents
Introduction i
Quick Flow Chart iii
I Normal Anatomy 1
II Approach to the Film 21
III Life Support Devices 34
IV Physiology of the Chest 59
V Parenchymal Patterns 70
VI Nodules and Masses 86
VII Don’t-Miss Lesions 97
Introduction i
Introduction
here are no great textbooks out there for medical students (and,
for that matter, interns) who want to learn the basics of chest
Tfilm interpretation. Most chest radiologists balk at the thought
of trying to teach such a huge topic to a group that cannot devote a
significant amount of time to this one area. Of course, not everyone can
do a residency in Radiology and a fellowship in Thoracic Radiology. The
reality, though, is that as medical students and interns you will be caring
for a great number of patients on whom you will be ordering these
studies. While most films will ultimately be interpreted by a Radiologist,
you will nevertheless be expected to look at any film you order and you
should have fort in making general diagnoses off of these films
without having to wait the “official read.” In addition, many chest films
are obtained at night, both in the Emergency Department and in the
hospital. These films may have abnormalities that are immediately life-
threatening. You responsibility is to the patient, and the sooner you can
make the diagnosis, the better off the patient will be.
The true secret to understanding these films is that it is not
always as difficult as some would have you believe. Many of the more
difficult and