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Chest x-ray

Chest radiography; Serial chest x-ray; X-ray - chest

 

A chest x-ray is an x-ray of the chest, lungs, heart, large arteries, ribs, and diaphragm.

How the Test is Performed

 

You stand in front of the x-ray machine. You will be told to hold your breath when the x-ray is taken.

Two images are usually taken. You will first need to stand facing the machine, and then sideways.

 

How to Prepare for the Test

 

Tell the health care provider if you are pregnant. Chest x-rays are generally not done during the first 6 months of pregnancy.

 

How the Test will Feel

 

There is no discomfort. The film plate may feel cold.

 

Why the Test is Performed

 

Your doctor may order a chest x-ray if you have any of the following symptoms:

  • A persistent cough
  • Chest pain from a chest injury (with a possible rib fracture or lung complication) or from heart problems
  • Coughing up blood
  • Difficulty breathing
  • Fever

It may also be done if you have signs of tuberculosis, lung cancer, or other chest or lung diseases.

A serial chest x-ray is one that is repeated. It may be done to monitor changes found on a past chest x-ray.

 

What Abnormal Results Mean

 

Abnormal results may be due to many things, including:

In the lungs:

  • Collapsed lung
  • Collection of fluid around the lung
  • Lung tumor (noncancerous or cancerous)
  • Malformation of the blood vessels
  • Pneumonia
  • Scarring of lung tissue
  • Tuberculosis

In the heart:

  • Problems with the size or shape of the heart
  • Problems with the position and shape of the large arteries
  • Evidence of heart failure

In the bones:

  • Fractures or other problems of the ribs and spine
  • Osteoporosis

 

Risks

 

There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most experts feel that the benefits outweigh the risks. Pregnant women and children are more sensitive to the risks of x-rays.

 

 

References

Chernecky CC, Berger BJ. Chest radiography (chest x-ray, CXR) - diagnostic norm. In: Chernecky CC, Berger BJ. Laboratory Tests and Diagnostic Procedures. 6th ed. St Louis, MO: Elsevier Saunders; 2013:327-328.

Gotway MB, Panse PM, Gruden JF, Elicker BM. Thoracic radiology. In: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 18.

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      Aortic rupture, chest X-ray

      illustration

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      Lung cancer, frontal chest X-ray

      illustration

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      Adenocarcinoma - chest X-ray

      illustration

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      Coal worker's lungs - chest X-ray

      illustration

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      Coccidioidomycosis - chest X-ray

      illustration

    • Coal workers pneumoconiosis - stage II

      Coal workers pneumoconiosis - stage II

      illustration

    • Coal workers pneumoconiosis - stage II #2

      Coal workers pneumoconiosis - stage II #2

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    • Coal workers pneumoconiosis, complicated

      Coal workers pneumoconiosis, complicated

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      Coal workers pneumoconiosis, complicated #2

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      Tuberculosis, advanced - chest X-rays

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      Pulmonary nodule - front view chest X-ray

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      Sarcoid, stage II - chest X-ray

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      Sarcoid, stage IV - chest X-ray

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      Pulmonary mass - side view chest X-ray

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      Bronchial cancer - chest X-ray

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      Lung nodule, right middle lobe - chest X-ray

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      Lung nodule - front view chest X-ray

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    A Closer Look

     

      Talking to your MD

       

        Self Care

         

          Tests for Chest x-ray

           
           

          Review Date: 8/21/2016

          Reviewed By: Denis Hadjiliadis, MD, MHS, Paul F. Harron, Jr. Associate Professor of Medicine, Pulmonary, Allergy, and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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