How to Interpret a Chest X-Ray (Lesson 7 - Diffuse Lung Processes)

An explanation of alveolar vs. interstitial opacities, including cardiogenic and non-cardiogenic pulmonary edema, and the 3 types of interstitial patterns (reticular, nodular, and reticulonodular). Examples provided of air bronchograms, peribroncial cuffing, Kerley A and B lines, and cephalization. Etiologies of low lung volumes and hyperinflation are also discussed.
Video includes the following image (among others):
Cephalization, downloaded from Radiopaedia.org, originally posted by Charlie Chia-Tsong Hsu.
Sources for other images may include Wikimedia Commons, radiologypics.com, and Jose Caceras' wonderful radiology blog: Caceres Corner (blog.myesr.org/category/cacere...)

[@StrongMed]

Errata: @14:10, meant to say "nodules under 2mm" not "nodules under 2cm", though it's probably best not to overrely on highly precise cutoffs.

[@zeezona3250]

I can't differentiate between reticular vs nodular x ray

[@Somaye40]

What about nodules between 2mm and 2cm?

[@ahmadalsalman9567]

I am starting work in hospital as an ER/ICU GP. I asked my senior for resources for ABGs and ventilators and he just said "Strong Medicine". At first I was sceptical but dear Lord your Sir are a medical faculty on your own. Such depth and nuances that is rarely touched upon by most educators. A remarkable delivery of remarkable material. I am forever grateful and inspired by you. And I hope you smile every time you see our positive comments and heartfelt gratitude.

[@B4NDllKOOT_]

Tbh is is what makes me skeptical cuz not all doctors are the same and might not mention or know some things that they should do than the other doc. Different doctors

[@chideraezenekwe461]

this CXR playlist is exactly what I needed for my CXR crash course, truly thankful for this channel

[@tuanhuynhanh9901]

Thanksso much Dr Eric. You are right, we are waiting for the rest of your video, Tks again for your kindness to share nice knowledge for us. Have a good day!

[@JaehoonWrestling]

Dr. Strong, thank you so much for your time and effort putting into your lecture! I am learning as I listen to your lecture!!😊

[@daniloaguirre985]

MUCHAS GRACIAS DR ERIC, POR COMPARTIR SUS CONOCIMIENTOS Y HABILIDADES CON EL PERSONAL DE SALUD DE TODO EL MUNDO... UN CURSO FANTASTICO SOBRE LA INTERPRETACION DE RAYOS X DE TORAX

[@cotoleducational968]

Thank you Thank you Thank you Doctor for these videos. I started off watching different videos but since I found yours I decided to settle on them. Now I can say I learned to read X-ray Using your content. I will use your videos for every other medical topics that I have to study.

[@TheVitzy]

these videos progressively get harder but paced so well you don't even realise the difficulty of the content!

[@syedzainulabideen8479]

It's my 2nd time coming here to make notes out your videos Sir, cos everyword of this video is gold... Thank you a bunchiessss!

[@willychou8198]

So lucky I discovered this video. Although still a first-year clerk, I am so much better at interpreting chest X ray than my classmates simply by watching these videos.

[@johannsebastianbach9003]

I know ur comment is 3 years ago, but is there a math subject in Radiologist school?

[@anethg4989]

Me too

[@rajkumarnagpal7963]

Bahut gyanvardhak jaankari ek behtareen paryaas, salute 👏

[@zedjay5771]

Great videos! Thanks so much for making the time to share your knowledge in such concise and understandable ways.. Keep 'em coming! :)

[@user-po6cg8eo8m]

Dr.Eric, thak you for allll your lecture.. It's very most useful to me and doc exactly. Thank you.! your lecture quality is so high..Thank you thank you.

[@reticent1231]

Love n tremendous respect for such a lucid intellectual presentation

[@guyizhaki1137]

amazing, enjoyed every second of the video...thank u!!!

[@kristenlee9718]

this clarified so many things for me, thank you!

[@aryanchauhan7922]

Sir you are a life saver . Thank you so much for your excellent lectures

[@mromilowych]

YOUR LECTURES ARE FANTASTIC. Thankyouuuuuuuu

[@Aminulislam-zb9hu]

Really broo...

[@praveenahi]

Thank you so much for your hard work.... I am so lucky to find this information... Great job....May God bless you!!!!

[@gauravsharma-st6ex]

The best thing in youtube .... keep up the good work

[@ajmalnazir2120]

Good presentation with detailed expectations

[@suwaimyo1044]

lectures are really helpful..thank you.

[@alain4473]

Excellent video. Greetings from Cuba

[@gamerdoc5489]

That was a great video! Thank you for making it!!

[@learnbyheart4640]

Sir, can u pls tell me the Diff between an expiratory film and a film showing reduced lung volumes

[@alfrismar7492]

Thank you very much(o) Dr Eric Strong.Your videos are great stuff and also delightful interesting.

[@shashwatpriyadarshi972]

Excellent concise and crisp

[@Testecoeur]

thanks from Italy Professor!

[@venkatraamudu]

Thank you so much👍🏾 Can you please explain homogenous haziness/appearance and non homogenous haziness/appearance??

[@pritdk4970]

Sir, can i use these information and few screen shots for workshop teaching purpose. i will provide the references in bibilography section.

[@ghdjgfd9992]

Patchy opacity in the right infrahilar region with ill-defined pulmonary vasculature. Finding may represent focus of atelectasis or in the right clinical setting, developing consolidation. I have no idea what this means ?

[@harvscerez9167]

hi may i ask if what is reticular alveolar infiltrate and if this is curable ? or how can this affect to our body ? thanks

[@ethelastillero6272]

Can anyone explain please what is the meaning of LMZ opacity?? - (That result is from my recent X-ray) I have told to do sputum by next week... Your answer will be appreciated... Thank you so much.

[@takamasaono3259]

apicolordotic view fails to show definite evidence of infiltrates. What does it mean?

[@johannsebastianbach9003]

Im watching this because i will be taking the Radiology Board Exam after the next 2 weeks, wish me luck guys

[@alisalm5022]

Dear Dr, How can i contact you please.

[@drmeghanabkulkarni9173]

Very clear concepts. Thank you..

[@jopilincabrera6472]

Suspicious densities, right upper lung. What's the meaning of that? Eversince I had not have tuberculosis

[@ytmamamariam2909]

Hi I'm dya I hv done PFT it shown a mild Restriction and xray according to IM (internal medicine) it's normal but for me it was funny report because Im having mild Restriction ...dear sir my question is how the features lung capacity those having mild Restriction how is looks like dya from Saudi thanks you so much .awaiting you reply sir

[@x1cool1x]

Thank you Eric. It must be slow Internet bandwidth. Will rewatch video.

[@RupinderSinghNeuroradiology]

excellent job...

[@hassan-farooq]

These are fantastic videos and very helpful for finals revision. Just curious as to wether these videos are available as slides to make it easier to revisit certain topics.

[@StrongMed]

+Hassan Farooq I'm sorry. The X-ray videos are not available as slides due to how they were produced (i.e. directly in Premiere Pro, without use of PowerPoint).

[@hassan-farooq]

No problem, thank you

[@theresalauralimanto546]

Thank u so much. Really helpful :-)

[@Allibaby78]

great videos

[@ibrahimabdirahman9586]

Thank you. Greeting from Somaliland.

[@dr.sankesh3170]

Thank you so much ❤️😊

[@sthrallday]

Excellent! Thanks!

[@MonaSax-ir6cw]

What is sarcoidosis

[@fedailsanosi932]

really great. thanks alots

[@avoyakashakash7785]

Very thanks sir

[@sumanthmanjunath7377]

Can u pls share the video of part 1 to 6 of this series

[@StrongMed]

They are all listed on my main channel page

[@jessicapamares3235]

Ano pong ibig sabihin ng M spot sa chest xtray

[@creationlover2887]

Sir i have increased vascular markings in both lungs.can you tell me the meaning? Tell me the name of disease i am suffering

[@StrongMed]

I'm very sorry, but for many reasons, I can't offer individualized medical advice on this channel. I recommend discussing your concerns with your physician.

[@MikeBirkhead]

At the end of the lecture you stated that air bronchograms were due to non-cardiogenic edema. My notes from radiology lectures have the three stages of cardiogenic pulmonary signs on CXR, and differentiate them based on PCWP.Stage 1 = 13-18Stage 2 = 18-25Stage 3 = > 25 We are supposed to be able to predict the degree of heart failure from radiograph findings (e.g. Stage 1 with broadened vascular pedicle and cardiomegaly). The notes I have say to expect air bronchograms after late stage 2. Obviously I'm asking Bc your summary was somewhat in contrast with lecture, and the radiologist didn't go into cardiogenic vs non- when talking about this....So, do these stages (when compared with CXR) have any predictive value when combined with other findings, such as kerly lines, etc, or is this something I should completely purge from memory after exams? To be more clear, I'm asking if it's truly possible to predict a PCWP from CXR findings?

[@qiqisongs]

He said that air bronchogram occurs more commonly in noncardiogenic pulmonary oedema, not that it cannot be caused by cardiogenic pulmonary oedema.

[@nadiah9104]

great, thanks ♥

[@nkkhan6008]

Sir llz ribs opacity kya hota hai please reply.....

[@StrongMed]

Is this Hindi written phonetically with the Latin alphabet? I'm sorry, but I don't understand.

[@user-du6kd3of1b]

Very good

[@davocreative]

Good as always!

[@x1cool1x]

The video resolution is poor (144p instead of 480p). Eric could you please fix it (prefer 720p, if possible).

[@StrongMed]

+x1cool1x I'm sorry you are having problems with resolution. It was uploaded in 1080p, and it's currently able to play at 1080p on my computer (through KZbin). Could it be a temporary problem with your connectivity? When you click on the gear in the lower right corner of the player, what is the highest quality choice listed?

[@virginiahallasgo6048]

Thank you clarify for me

[@prtysha07]

Thank you! Very helpful. Will Part 8 and 9 be out soon?

[@StrongMed]

Yes. Part 8 will be out very soon (tomorrow maybe?). I'm just having trouble locating the last few examples to include (e.g. pulmonary infarction, septic emboli). Part 9 will prob be along a week later.

[@arslanthemughals]

@@StrongMed Is there difference between scars on chest and scars on lungs? I Heard lung scarring is not curable?

[@evagreece15]

very helpfull!!!!!!

[@adrielle5302]

does anyone here have an idea what does LURTS means? bcoz the clinic told me to repeat my x-ray... i have no idea why? they didnt told me. im just confused'.. :(

[@StrongMed]

LURTS is not a common, standardized medical acronym with which I'm familiar. LURT is rarely used to mean "living unrelated transplant" (i.e. a friend donated you a kidney), but unless that clearly applies to you, the acronym may be something idiosyncratic used just by your doctor's office.

[@adrielle5302]

Eric's Medical Lectures thanks doc.. :) now i know...

[@adrielle5302]

Eric's Medical Lectures im sorry.. i was just not clear about my xray doc. im refering to my chest xray? is this LURTS still not a common medical acronym. base on what they saw in my chest x-ray.. thanks..

[@StrongMed]

araceli agan I can't imagine what that term/acronym is referring to.

[@whitfieldlewis837]

great! What is your source of reference?

[@StrongMed]

Sorry, just seeing this question now...my sources are primarily a combination of radiopaedia.org, Field Guide to the Chest X-ray, Chest Radiology - The Essentials, UpToDate, personal experience, and primary papers on specific findings when there is insufficient info in the preceding.

[@whitfieldlewis837]

Hey. Thank you. I am a 3rd year medical student. I do use uptodate daily. It is an excellent source to learn from.

[@aidaancog665]

What medicines for many white lungs

[@sunving]

Thanks

[@reddragonfire1407]

great

[@robox6126]

Hi sir :v Nice To Met you

[@ryanchang7588]

謝謝！

[@mulwaphiri1871]

Interesting

[@virginiahallasgo6048]

Fully explain

[@adnanmalik6390]

pakistan loves you doctor

[@0okasiao0]

Any chance the next one is on the way? exams approaching! :)

[@StrongMed]

Sorry, I've been working on an EKG video that has been taking a little longer than expected. The next CXR video should be up this weekend.

[@ksle2011]

Eric's Medical Lectures Please finish this lecture series. Amazing as always. We are very appreciate your works.

[@StrongMed]

Working on the next chest X-ray video now...

[@ksle2011]

Eric's Medical Lectures Thank you

[@venkybly]

Tq

[@neelimaddneelimadd2701]

thanks

[@neelimaddneelimadd2701]

thanks for such a vedio

[@birhanuendris6231]

good know

[@imenetabti2546]

💗

[@saptarshibhattacharya]

Could you plz check my xray if I send you

[@StrongMed]

No, please don't send me personal medical information. I cannot provide specific, individualized medical advice or test interpretation online.

[@phouaymalaysaysouthinh9762]

👍👍👍

[@dhillon09]

noice

[@RonniePrince1-ff6ge5vi9b]

💕💕❤ These lessons have made us better thanks Dr Strong. #Jesus is Lord# John 14:6. 💕💕💕❤

[@sarah_9955]

My dad

[@nikkisales4336]

Tv

[@audreysimmons70]

,😁🌕

[@toddsazama3118]

Designed in the USA? Not Made in the USA? Weak