1. The Chest X-ray By Dr. MehmetKaphoury Residence of radio-diagnosis, ASU

2. Preliminary checklist Dose Centralization Patient’s data (name, age, sex, smoking, occupation, residence) Clinical history in brief

3. Centralized film

4. Mr. J is a 65-year-old male presents to the OPC complaining of cough & expectoration of bloody sputum 2 weeks ago. His smoking index is 1 pack/40 years. Past history is unremarkable except for frequent morning coughs with whitish sputum all through past 25 years almost everyday.. What is the best initial step in diagnosis? The answer is: a plain CXR

5. Bit-by-bit checklist Trachea Mediastinum Heart Cardio-phrenic angles Diaphragm Costo-phrenic angles Lungs Bony cage Lateral film, if present Other findings

7. Caliber

8. Intraluminal ‘things’

9. Paratracheal stripe

11. Smooth with no irregularities or festooning

13. Widening

14. Fluid level, Air

17. Borders (well defined or not)

18. Chambers size and effects of their enlargement

19. Retro-cardiac shadows

23. Trace the contour

25. Vessels

26. Interstitium(fluid, fibrosis)

27. Opacities (total, lobar, segmental, focal, miliary// homogenous, heterogenous)

28. Cavity

29. Pleura (line, calcification)