Mann H
Department of Radiology, University of Utah Medical Center, Salt Lake City 84132.
Postgrad Med. 1990 Jan;87(1):275-8, 281-2. doi: 10.1080/00325481.1990.11704539.
Chest radiographs that are correctly obtained and interpreted provide valuable diagnostic information. However, some radiographs are not taken at total lung capacity, and the appearance of the lungs on film may mimic certain lung disorders. Most common interpretive pitfalls in chest radiography can be avoided by physicians who are familiar with the film appearance of varying degrees of lung inflation, technical limitations of portable radiography, and common chest abnormalities. When further definition is necessary, additional projections should be obtained. Chest fluoroscopy and computed tomography can offer further clarification, if needed.
正确获取和解读的胸部X光片能提供有价值的诊断信息。然而,一些X光片并非在肺总量时拍摄,并且胶片上肺部的影像可能会与某些肺部疾病相似。熟悉不同程度肺膨胀的胶片表现、便携式X光摄影的技术局限性以及常见胸部异常的医生,大多可以避免胸部X光摄影中最常见的解读陷阱。当需要进一步明确时,应获取额外的投照。如有必要,胸部荧光透视和计算机断层扫描可提供进一步的清晰影像。