Thorax Normal

PA atau AP

Antero-Posterior

Postero-Anterior

Simetris

A well centred x-ray. Medial ends of clavicles are equidistant from

the spinous process.

Inspirasi Maximal

Six complete anterior ribs (and ten posterior ribs) are clearly visible.

Perbandingan antara foto kurang inspirasi dengan inspirasi maximal. Pada

gambar pertama jantung terlihat membesar, gambaran seperti massa di arcus
aorta dan adanya perselubungan di lapang bawah, pada gambar kedua pasien
yang sama setelah inspirasi maximal terlihat normal

If a poor inspiratory effort is made or if the CXR is taken

in expiration,
then several potentially spurious findings can result:
apparent cardiomegaly
apparent hilar abnormalities
apparent mediastinal contour abnormalities
the lung parenchyma tends to appear of increased
density, i.e. white
lung.
Needless to say any of these factors can lead to CXR
misinterpretation.

Cardiothoracic Ratio
Assessment of heart size
The cardiothoracic ratio should be less
than 0.5.
i.e. A/B<0.5.
A cardiothoracic ratio of greater than 0.5
(in a good quality film)
suggests cardiomegaly.

Cardiomediastinal Contour
Right side:
SVC
RA
Anterior aspect:
RV
Cardiac apex:
LV
Left side:
LV
Left atrial appendage
Pulmonary trunk
Aortic arch.

Hilus
Both hilar should be concave.
This results from the superior
pulmonary
vein crossing the lower lobe
pulmonary artery. The point of
intersection
is known as the hilar point (HP).
Both hilar should be of similar
density.
The left hilum is usually superior
to the right by up to 1 cm.

Trakea
The trachea is placed usually just to the
right of the midline, but can be
pathologically pushed or pulled to either
side, providing indirect support
for an underlying abnormality.
The right wall of the trachea should be
clearly seen as the so-called right
para-tracheal stripe.

Mediastinum

Sinus Costophrenicus dan

Diafragma

The right hemidiaphragm is higher than the left. Both costophrenic

angles are sharply outlined.

Membedakan costae anterior dan

posterior

Thorax Lateral

Foto Lateral

Diafragma kanan lebih tinggi dari diafragma kiri