Introduction to Chest Radiology

Introduction to chest radiology provides a general overview of thoracic imaging. Chest radiography is an important part of the imaging evaluation of patients who present with thoracic complaints and is frequently ordered in patients undergoing physical examinations, hospital admission and surgery. Portable chest radiographs are also commonly obtained in patients in the intensive care unit. Chest computed tomography (CT) is characteristically employed for further evaluation of suspected pulmonary, vascular, pleural, mediastinal and chest wall abnormalities. Magnetic resonance imaging (MRI) is often employed as a problem solving tool to further evaluate abnormalities found on radiography or CT. Radiologists should work with radiologic technologists to continuously assess and improve radiologic technique and image quality. Right and left markers must be noted on all radiographs in order to diagnose situs abnormalities. Radiologists should also strive to have optimal working conditions with regards to their reading rooms and viewing equipment. Accurate interpretation of thoracic imaging studies relies on a systematic evaluation of all thoracic structures on radiography, CT and MRI. Radiologists should produce clear radiologic reports and should include recommendations for further imaging and/or management when appropriate. Critical and unexpected imaging findings should be promptly communicated to the clinical team, and such communications should be documented on the radiologic report.