Purpose or Case Report: Interpretation of chest radiographs requires a good understanding of anatomy, the physiology of the lungs and cardiovascular system as well as good pattern recognition. Additionally, it requires a systematic approach to search for pathologies and pertinent clinical details for interpretation. With frequent use of CT / MRI, the residents (and even practicing radiologists) have become less skilled in the interpretation of chest x-rays, making one of the most commonly ordered exams the most challenging.
With challenges of decreasing radiation exposure (especially in pediatric population), it is important that the relatively lost skill set of chest radiographs interpretation be revisited, for trainees (radiology and non-radiology services) and the practitioners.

OUTLINE
● Historical perspective.
● Overall approach towards a chest x-ray and importance of clinical details.
● PA/AP and lateral radiograph anatomy and radiographic lines and stripes.
● Fleischer society standard terminology for radiographs.
● Radiographic appearance of abnormalities and pearls for differentiation. The abnormalities to be categorized as:
○ Pneumonia
○ Effusion
○ Atelectasis
○ Big heart
○ Pulmonary vascularity (plethora and oligemia)
○ Lucencies (Pneumo: thorax, mediastinum and cardia)
○ Masses
Methods & Materials:
Results:
Conclusions: