胸部系统读片法（Thoracic system reading）.docVIP

胸部系统读片法（Thoracic system reading） Professor Sheldons 24 letter (A-X) system reading method A (Airway) airway in the upper chest, to see whether it is centered, whether the spine straight line, the trachea has no shift, whether there is no fiber tissue traction, so that lung volume retraction, excessive inflation and compression. There were no symptoms of bronchogenic carcinoma, pulmonary stenosis, pulmonary compression, stenosis, carina compression, and so on Whether B (Bone) ribs are constricted at one side or not, and the ribs are free of defects, such as the upper rib defect of the first rib, and the possibility of scleroderma and rheumatoid arthritis. The lower rim of 7~9 rib demonstrates aortic stenosis in congenital heart disease in children. Tetralogy of Fallot is seen in the lower left costal margin. Cough caused by fractures seen in 6~9 rib and seventh rib posterior axillary line visible forked rib. Pigeon breast is associated with congenital atrioventricular septal defects and is also seen in children with asthma or severe scoliosis with reduced ventilatory function. Bone demineralization can be seen in steroid treated patients, elderly, kidney disease, or other metabolic diseases. C (Cor) has two arches on the right edge of the heart and four arches on the left edge. The right two arch disappeared in funnel chest, right middle lobe atrophy and pneumonia. A change in shape or enlargement of the heart found in congenital heart disease or heart failure. D (Diaphragm) diaphragmatic muscle is higher than the left intercostal space, and the side is high. The chest tumor, fibrous tissue traction and abscess under the diaphragm are considered. The lateral diaphragm is elevated after consideration of trauma, stroke, neck infection, or tumor, pneumonia, or radiation therapy. Diaphragm with scimitar sign is seen on the right side. The E (Esophagus) esophagus is located on the right side of the trachea. If there is an air level, the esophagus should not be relaxed or