How to Interpret a Chest X-Ray (Lesson 10 - Self Assessment): Part 1

A self-assessment of how much material was learned and retained from this course on interpreting chest x-rays, and how well it can be incorporated into the viewer's preexisting clinical knowledge.
Sources for images may include Wikimedia Commons, radiologypics.com, and Jose Caceres' wonderful radiology blog: Caceres Corner (blog.myesr.org/category/cacere...)

[@swapnilubarhande1372]

Case 4 diagnosis is wrong

[@StrongMed]

I assume you are referring to the fact that the impression says "right-sided tension pneumo" instead of "left". There's an annotation that points out the error, but annotations don't work on mobile, and you may have them turned off. I'm pinning your comment so others see this too.

[@swapnilubarhande1372]

Strong Medicine yeah that's what I ment.. Great video BTW. Looking forward for more. Subscribed👍

[@robbstark8275]

@@StrongMed could you tell us what's with the remaining lung in case 4?

[@travishughes9644]

These videos were extremely helpful. I appreciate the systematic quality to your lectures. Referencing the previous lectures and inserting the tables within this video was impressive as well. Well done!

[@StrongMed]

Florian Faehling Thanks for the feedback and for watching! In case 3, the left upper lung zone looks more black because that's essentially the only relatively normal lung the patient has. In other words, the non-cardiogenic pulmonary edema secondary to ARDS is impacting all of the rest of the lungs except for that one part. Why is the LUL spared in this particular case? I have no idea, and there probably isn't any specific reason.

[@ashbinlamsal]

Billion of thanks. Your video lectures helped a lot and make those finding clear in short interval of time.

[@aci.]

Thank you Sir for the effort you put into these videos. They're very informative and filled with must-know vignettes. Hope you could release tutorials for CT as well. Thanks again!

[@baidyanathpurbey449]

inerpret a chext x-ray series is a great review,Thanks a lot to Dr Eric Strong for your excellent presentation,this will be your precious contribution to mankind.I am a radiologigt but i will go through all your you tube video. once again i thanks.

[@heinhtet8956]

you are amazing! love your lecture series.

[@mathesondaniel]

Superb course, thank you. (year 2 MD student Australia)

[@danlevi7066]

WOW, thank you, this was AMAZING

[@janecovington2341]

FNP student here. Thank you so much for all of your videos. I am pretty sure you have helped me to grasp several challenging topics and have helped me do well in my first semester. You're videos are so organized and easy to follow. Thanks again for sharing your knowledge. I was also looking for CT/MRI/abdominal x-ray video and hope to see one in the future! Thank you for the great chest series!

[@AlkyxChannel]

Thank you very much for this series

[@hscamzhscam177]

Dr. Strong, this is an awesome series.The info is well organised and easy to understand. I´ll definately recommend to my junior doc collegues. Re Case 8: besides the broken pacemaker and rresulting bradycardia, are there bilateral hazy opacities the lung fields as well? (ie from associated cardiogenic oedema)? Thank you in adv.

[@honestyudukomose4109]

love love love all you lectures, they have helped a lot. really appreciate the time and effort utilized in making this videos. am also well supportive of your future plans for CTs. God bless. student[ukraine]

[@StrongMed]

Thanks for your message, and I hope that peace and stability come to your country soon!

[@constance7603]

Great videos Dr! Could you please do one on abdominal x rays? Thanks in advance

[@navincerma]

Most useful resources in the KZbin.

[@alexeybo4065]

Just perfect, Sir!

[@ujule321]

Amazing lectures... I have a doubt, in the last case of this video, when i reached the F (from the ABCDF method), It looks like the patient has an interstitial difusse pattern in both lungs. Am I right? Maybe I´m just too paranoid...

[@nishoo98]

dr. Strong , is there tracheal deviation in case 7?

[@anmarsaad6778]

Thank u so much.. You did me a great favor.

[@rehabaljassmi506]

extremely beneficial. thank you

[@zuneid375]

Very awesome lecture

[@StratosFear1992]

Looking at Case 8, does the CXR also show reticular opacification? I was probably overthinking but for a second I thought it might be pulmonary fibrosis secondary to chronic amiodarone use in a patient with a history of arrhythmia. I guess if she were on amiodarone, they would've mentioned that in the vignette.

[@ajazkhan9491]

Simply amazing 👍👍👍👍

[@svcars9040]

Thank you so much for sharing

[@ramasawah]

Hello, thank you so much fo the video, In Case no #4, is there a round well defined mass at the middle of the right lung?

[@ajaiarora4711]

Please explain difference between PA view and AP view in details . Thanks !

[@ahmedsalah3316]

VERY USEFUL INDEED. MANY THANKS

[@johnysalem9639]

Thank you so much!

[@ThePrency]

Both hilar and perihilar marking coarse is mentioned in findings, what does it mean?

[@Zack_MD]

Case no. 4 : Is there a subcutaneous emphysema in the left side chest wall?

[@ranahanna160]

same

[@suruchi2867]

best..i appreciate the effords

[@florianfaehling6458]

Hey Eric, thank you so so much for all your videos, your teaching style is incredible and I have learned more from your chest x ray videos than in all of my medical course so far. A quick question to case 3, the IV drug abuse in the ER:what causes the increased transparency in the left upper lung zone right above the flexible tube? Is that just an artifact or idnt the effusion spread there? Thank you so much again, I am eagerly awaiting your new videos :-)

[@rwilson2k]

brillant. thank you.

[@fatimaghaffar2916]

Can anyone explain the complete whiteout after pnemonectomy?

[@tecmedimagen]

Thanks a lot!

[@Connakal21]

I LOVE YOUR LECTURES. Thank you so much! I'm taking my radiology exam on Monday and you are the greatest revision! Greetings from a medical student from Greece :) P.S. Do you have any xrays/ cts from systems other than chest? Thanks a lot again

[@StrongMed]

I'm planning on eventually making 1-2 videos on abdominal x-rays, plus maybe in the distant future some on head, chest, and/or abdominal CTs, but unfortunately nothing before next Monday!

[@sadmanjaoad6994]

Nobody explains a topic the way you do. You make everything so clear by giving examples og everything. Would be great if you could make series on CT chest and abdomen.

[@turaycesur3099]

Thank you very much sir :)

[@user-sv2be8qj9p]

in case 6 isnt there a RML collapses? lobular white out shown in lateral film..

[@bhagya9898]

Thank u so much

[@drmanishsharma1]

Hey Eric,your lectures are undoubtedly best medical; learning material i have ever seen so far.I went through all your lectures including ECG and ABG...wow...Gr8... I just have a query. in this video of self assessment of x ray part 1 ..in case 4...in the part impression the video shows right sided tension pneumothorax...but i think it must be left sided tension pneumothorax...or if it is not...please clarify this... Thank you so much... Dr Manish Mittal

[@StrongMed]

Manish, thanks for the kind words. Yes, you are absolutely right about the side of the tension pneumo... An embarrassing typo!

[@narges8438]

Thanks 🙏

[@gamalelshehaby5001]

excellent

[@wakylaugh]

Omg amazing thank u

[@qiqisongs]

How to recognize a subpleural opacity?

[@RithwikNeurovideos]

God bless you sir

[@ghaida2682]

I thought pulmonary edema regardless of the cause don't have air bronchograms! please correct me if I'm wrong.

[@andrearatkovic4048]

What kind of x-ray tech would allow that Case 3 image to pass on to the radiologist? I definitely would’ve repeated that.

[@ajaiarora4711]

Excellent 👌👌👌👍👍

[@user-ey4rh5sf2s]

Thanks

[@pranavbhartiya1790]

Thanku sir......... Thanku so much....

[@KunjGPatel]

Love these lectures on CXRs, thank you so much. It really helped me as an intern when admitting pts at night, as we don't get official reads till morning. One Question--why is air bronchogram more common in Non-cardiogenic, & why is peribronchial cuffing more common in cardiogenic alveolar opacity?

[@edagala6577]

is there also a fracture in posterior ribs 2-3 on the right?

[@StrongMed]

Which case?

[@edagala6577]

@@StrongMed Case #8, the last one. Dr. Strong thank you so much for these you are an AMAZING teacher!!

[@doctormunesh1985]

ones more thanks dr...i learn a lot form ur lectures ....is there any lectures for abdomen x-ray....

[@StrongMed]

There isn't yet, but abdominal X-ray is on my list of topics to cover. Unfortunately, I'm so far behind on viewer requests that I am unable to predict specifically when I'll get to it. But I'll cover it eventually!

[@doctormunesh1985]

ok.sir ...i ll wait...one more thanks ...ur lectures so god ...

[@hazratullahbariz6433]

Great

[@alshdelealmorade]

love all you lectures .............thanks alot , very usefull lectures for syrian midical student ,syria is crying becuse all counties squeezing it ???

[@999Patriots]

Also in case # 3: left distal clavicle fracture.

[@StrongMed]

Lol! Yes - that's what happens when one (i.e. me) isn't systematic in the reporting of findings, stuff that's important but not necessary the most immediately relevant get left out!

[@LucasdaMatta]

seeing this in covid times be like

[@mamdouhmansour]

Case No . 8 I think it is for a man not a woman