One of my proudest moments as a new radiographer was finding a *huge* pneumothorax on an outpatient gentleman with dyspnea as his only complaint. I was out of school maybe 6 months and was proctoring a student and it was so rewarding for me. The patient ended up getting a chest tube after I'd gotten the Rad and ER doc consulting. Patient ended up doing quite well and I felt like a champ 😅
I'd really like a video about reading a Head CT. I am a medical student and I greatly enjoy your videos and I have followed you here from Instagram. Hope you're doing well!
In PA school we were taught CREST to assess the quality of the film (CLAVICLES for rotation, RIBS to make sure good expansion, ENTIRE field from cervical spine to costophrenic angles, SCAPULAS out of the way, and THORACIC spine just barely visible for good penetration.) Then, ABCD (airway, bones & breasts, costophrenic angles & cardiac silhouette, densities & diaphragm) This was helpful to see your method! Thanks for sharing!
I’ve been trying to find my career past few years but nothing ever felt right and I kinda got bored of new challenges. This medical field intrigues me so far to no end. I love learning and analyzing everything... literal job description. Now I will take the next 5 days and watch every one of your videos.
First step is to confirm presenting complaint and assess adequacy - rotation, inspiration and projection... as these can affect level of interpretation.
This is awesome! I have to learn to read and interpret all sorts of X-rays when I am in TCM medical school (to become a doctor of oriental medicine) and this video will be very helpful when I am in the radiology modules of my course. Thanks doc! :)
As an x-ray tech, I sometimes find myself repeating the lateral CXR because of rotation. Is there a major difference in the ability to diagnose from a true lateral opposed to a lateral with rotation in the eyes of a Radiologist? Awesome videos!!
Jake Lieske Jake Lieske Jake, I have a trick I did when I used to do Xray, I put the palm (of my left hand) on the patients midback with my fingers pointing towards the board, this can give me an idea of the rotation of the spine/lungs, also it is basically my perpendicular line to the Bucky, you can also feel the ribs on the back. But you can actually see how much you need to rotate. With my right hand I control the patient in the direction I need them to turn. This works amazing for me and even with patients with Scoliosis I get great laterals.
Gosh I think I retained more rewatching this. Do u have any xrays now of a covid lung involvement. I've watched many read cxr and they by far aren't near as meticulous as u. Kudos Dr. Cellini!
thanks doc, i'm finishing up medschool and i am considering doing Radiology, it's a very good clinic exercise and a very important one to help diagnose surgical diseases as well, but i like surgery very much too. What are those hypotransparent points on the pulmonar artery ? are those lymphnodes or veins?
I'm a Radiologic Technologist. The costrophrenic angles were cut off on the first PA (posteroanterior, or back to front--the patient is positioned facing the image receptor with the central X-ray beam entering his back and exiting his chest) image (the lower outer angles of the lung--the entire lung has to be shown) as well as what appears to be the upper portion of the lung on the second, lateral image. However, I'm betting there is more image than what is being shown here, since the marker is cut off on the lateral image (a small piece of plastic with lead letters which shows up on the X-ray image indicating the technologist's initials and left or right side of body) and overall squareness of the image, as well as the fact that almost no technologist would send this kind of radiograph to a radiologist with these cut-off errors present. Sorry for the formal and hopefully-not-rambling explanation, as I was trying to explain this as clearly as possible and not just throw out words which have no explanation.
I know that as a radiologist you'll read it, but as a radiologic technologist I would have rejected this exam and retaken. On the PA there are clipped costophrenic angles which is an automatic repeat at most hospitals I've been at. I've even seen Rads make RTs call back patients to do repeats. Of course, since it was clipped on the lateral, too, it might just be TH-cam and the way the video is :)
I have had shoulder problems. I was sent for a c t arthrogram. The report said I have a superior labral tear. The surgeon I’ve been seeing agreed. He has some health problems so, sent me to a new surgeon. The new surgeon said he doesn’t like to read the radiologist report, he likes to look at the images himself and draw his own conclusions. He said he doesnt know for sure how to read a Ct arthrogram, he wasn’t positive he was reading the images right and he said he didn’t think that I have a labral tear 🤷♀️
sir i have big problem of chest. my chest the left side has become thinner with the wrong exercise and the garlan- like bone on the left side goes in and goes out a little along the throat. please sir please sir make a vedio to this pls
i gotta ask if a person gets a chest scan during health check up will it shows i smoke. If they have smoked marijuana for a year like one joint a day but then not smoked for 3-4 months will it show in the xray?
Great video. So detailed and informative. If , I may ask how much longer do you have to go? What specialty do you want to make a career of? Thank you for your valuable time. 👍💛☺
Can a chest x ray show the condition of the heart arteries? If not, by saying that the cardiac shillouette is within the norm, is an indication of no CAD?
Hi! I'm currently studying as a Radiologic Technologist, What can you suggest or advise as to what lesson in class should I be focusing on? E.G Radiologic Positioning? What else
oye , no hay nada mejor la razon del estudio , el clinico casi nunca pone un dato , enoja muchas veces en todos los estudios nunca el clinico explica la razon o motivo del estudio , saludos...
As an X-ray and CT Technologist for 20 yrs, one tip I was shown by a Radiologist I worked with, was to rotate the CXR 90°. By doing this, you'll find the lung fields will magically "disappear" and the ribs will be plain as day! This will make it easier to dx rib fx with a chest image if pt condition prevents ordering a proper Rib Series. I promise, this is one of the easiest, most effective tools I've shared with Doctors that can make your life much easier. ALSO, if you suspect the possibility of a pneumo for whatever reason, PLEASE order, or at least ask the tech, to include an additional EXPIRATION view because small pneumos can be made to disappear (and be missed) with a standard PA and Lat CXR, both done on inspiration. Hope this is a blessing to your all and please don't hesitate to involve the Rad/CT Techs, as they are a great source of knowledge.
Hey Doctor, are you worried about the clipped costophrenic angles on the PA Upright chest....Or since you have a lateral, you are fine with it? Thanks. This video is very informative.
One of my proudest moments as a new radiographer was finding a *huge* pneumothorax on an outpatient gentleman with dyspnea as his only complaint. I was out of school maybe 6 months and was proctoring a student and it was so rewarding for me. The patient ended up getting a chest tube after I'd gotten the Rad and ER doc consulting. Patient ended up doing quite well and I felt like a champ 😅
I never realized how crucial the radiologist is to medicine. I guess you never think about the people working ''behind the scene''. Good job Dr!
This is cool, thanks for this. I never realized how intricate Radiology could be.
I'd really like a video about reading a Head CT. I am a medical student and I greatly enjoy your videos and I have followed you here from Instagram. Hope you're doing well!
And brain MRI
Thank Dr. Am a first year radiology résident in cameroon and really appreciate what u are doing for us
Plain and simple, yet effective and detailed . This channel is going to be trending soon. Keep up the good work doc.
Im in radiography eventually doing MRI and I'm nervous to do my first chest xray/comp in clinical in a couple weeks but im excited!!!
Did you make it, I'm starting premed this January
In PA school we were taught
CREST to assess the quality of the film (CLAVICLES for rotation, RIBS to make sure good expansion, ENTIRE field from cervical spine to costophrenic angles, SCAPULAS out of the way, and THORACIC spine just barely visible for good penetration.)
Then, ABCD (airway, bones & breasts, costophrenic angles & cardiac silhouette, densities & diaphragm)
This was helpful to see your method! Thanks for sharing!
I am in PA school and this made it easy to interpret a chest X-ray. thank you!
Can PA’s become radiologists? I’m interested in radiology and I barely ever see pa’s in radiology.
@@Saleyed they can become radiologist assistant
Omg definitely needed this for my identification exam haha. All the pathologies look the SAME!!
I’ve been trying to find my career past few years but nothing ever felt right and I kinda got bored of new challenges. This medical field intrigues me so far to no end. I love learning and analyzing everything... literal job description. Now I will take the next 5 days and watch every one of your videos.
you are such an amazing Doctor. i wish i could turn back time to where i can go to medicine school and do radiology thing.
I really like your search pattern, thanks Doc!
It would be great if you could do a video on how to recognise different pathologies
Absolutely fascinating, thanks so much !! The human body never ceases to amaze me!
First step is to confirm presenting complaint and assess adequacy - rotation, inspiration and projection... as these can affect level of interpretation.
This is awesome! I have to learn to read and interpret all sorts of X-rays when I am in TCM medical school (to become a doctor of oriental medicine) and this video will be very helpful when I am in the radiology modules of my course. Thanks doc! :)
Thank youuu please do CT git
Thank u doc.. Keep these radiographs coming!!
As an x-ray tech, I sometimes find myself repeating the lateral CXR because of rotation. Is there a major difference in the ability to diagnose from a true lateral opposed to a lateral with rotation in the eyes of a Radiologist? Awesome videos!!
Jake Lieske Jake Lieske Jake, I have a trick I did when I used to do Xray, I put the palm (of my left hand) on the patients midback with my fingers pointing towards the board, this can give me an idea of the rotation of the spine/lungs, also it is basically my perpendicular line to the Bucky, you can also feel the ribs on the back. But you can actually see how much you need to rotate. With my right hand I control the patient in the direction I need them to turn. This works amazing for me and even with patients with Scoliosis I get great laterals.
I would also like to know the answer to this question
So, does anybody ever walk by and say, "Why is there a camera in the middle of the hallway...?"
M Wishing everytime i see part ofs
thank you for sharing your knowledge and experience! so helpful
This is an excellent way to learn. Radiology.
That's a great quality x-ray
Gosh I think I retained more rewatching this. Do u have any xrays now of a covid lung involvement. I've watched many read cxr and they by far aren't near as meticulous as u. Kudos Dr. Cellini!
Nice to know what you look at.
You are doin’ great doc! Greetings from Turkey
Yes, that's amazing. Thanks for making this video!
Can you please make a video on how you put your powerpoints on one page? I tried to find if anyone else made a video on it, but no one has.
I wish you would have showed some pathology and how you recognize it. Am struggling with it in medical school
word I would have liked to see examples
Was diagnosed with COPD heart trouble just had chest x-ray came out good nothing seen also last year deep er test for cancer none found blessed
Just realize the fact that he put camera there before and walk to it again at the starting is funny
what a cool music
Love ur presentation.. Love radiology..In coming november i will appear in xm to be a radiology resident...💕💕
Again great content! So helpfull!
I see a slight clipping of the left costophrenic angle. 🤓 Tiny missing. But still. Loving your videos explaining all this stuff !!
Thank you , your video are helpful in my work
Thank you very much for teaching this to us
I’m a rad tech and mr tech! Sweet channel man
plz upload a video on xray chest pathologies ,thanx
i love this work its like playinga video game lol!!
thanks doc, i'm finishing up medschool and i am considering doing Radiology, it's a very good clinic exercise and a very important one to help diagnose surgical diseases as well, but i like surgery very much too.
What are those hypotransparent points on the pulmonar artery ? are those lymphnodes or veins?
`thanks Dr. great explanation.
The best cxr training
What is mean by densities in the right apex which are felt most likely to be related to the patient's hair
could you do a video on an NG tube placement I had a fair few myself after my stroke
I'd also like to see a head ct
I'm a Radiologic Technologist. The costrophrenic angles were cut off on the first PA (posteroanterior, or back to front--the patient is positioned facing the image receptor with the central X-ray beam entering his back and exiting his chest) image (the lower outer angles of the lung--the entire lung has to be shown) as well as what appears to be the upper portion of the lung on the second, lateral image. However, I'm betting there is more image than what is being shown here, since the marker is cut off on the lateral image (a small piece of plastic with lead letters which shows up on the X-ray image indicating the technologist's initials and left or right side of body) and overall squareness of the image, as well as the fact that almost no technologist would send this kind of radiograph to a radiologist with these cut-off errors present. Sorry for the formal and hopefully-not-rambling explanation, as I was trying to explain this as clearly as possible and not just throw out words which have no explanation.
I'm a fairly new tech (working only for two years) and you wouldn't believe how many horrible techs there are that do send images like that lol
why were the spinous processes rotated from C5 onwards please ?
Thanks
I know that as a radiologist you'll read it, but as a radiologic technologist I would have rejected this exam and retaken. On the PA there are clipped costophrenic angles which is an automatic repeat at most hospitals I've been at. I've even seen Rads make RTs call back patients to do repeats. Of course, since it was clipped on the lateral, too, it might just be TH-cam and the way the video is :)
Definitely agree with you
Awesome!!!!
I have had shoulder problems. I was sent for a c t arthrogram. The report said I have a superior labral tear. The surgeon I’ve been seeing agreed. He has some health problems so, sent me to a new surgeon. The new surgeon said he doesn’t like to read the radiologist report, he likes to look at the images himself and draw his own conclusions. He said he doesnt know for sure how to read a Ct arthrogram, he wasn’t positive he was reading the images right and he said he didn’t think that I have a labral tear 🤷♀️
Great teacher
Do more videos on how to read ..
Would be really helpfull!
sir i have big problem of chest. my chest the left side has become thinner with the wrong exercise and the garlan- like bone on the left side goes in and goes out a little along the throat. please sir please sir make a vedio to this pls
This man is so healthy I'm jealous :D
what are those small white circular things ? blood vessels?
5:50 How do you differentiate between right and left hemidiaphragm?
Impressive! Have you ran across pulmonary fibrosis yet? Especially the Amiodarone induced type?
Wow this was very educational. So do u document all that in report? Here they just put no infiltrates negative cxr.
How to differentiate infiltrates from the normal vessels on a chest x ray, please advise.
Increased vascular markings
what is the explanation of vertical lucent line outside the bony cage?
i gotta ask if a person gets a chest scan during health check up will it shows i smoke. If they have smoked marijuana for a year like one joint a day but then not smoked for 3-4 months will it show in the xray?
Full body xray take.
Great video.
So detailed and informative.
If , I may ask how much longer do you have to go?
What specialty do you want to make a career of?
Thank you for your valuable time.
👍💛☺
I'm still very confused differentiating AP vs PA view...
I had an xray snapshot of my chest when i went in for passing out due to dehydration. why did they do that?
អរគុណ
Sir what’s that white dots seen in hilar region please reply
You made no mention of what looked like a crack on the front right side, half way down. There is a black line all the way through that rib.
Can a chest x ray show the condition of the heart arteries? If not, by saying that the cardiac shillouette is within the norm, is an indication of no CAD?
If white scar little very what is it ?
What is positive charged x ray
You’re so handsome 😍 in the thumbnail with your feet kicked up is adorable 🥺
If always wanted to see my lungs when i have pneumonia every year
🙌
How to hide on lung TB sports?
I have a few chest x Ray's and I think they may be abnormal can you look at them for me
I’m told it’s the equivalent of a chest X-ray
Damn. Your lungs are so clean.
what abt those bright spot in pa view.i always see them but no one tell abt it is it normal or any consolidation /infiltration
you mean those circular white things?
Yes
Can u interpret the findings in xray like a hairline
Hi! I'm currently studying as a Radiologic Technologist, What can you suggest or advise as to what lesson in class should I be focusing on? E.G Radiologic Positioning? What else
uh all of them
You need all of them because all the content are covered on the registry.
Do you have a way to contact you directly about Rads?
Hi sir, can oxygen toxicity possible to read in chest x-ray?
oye , no hay nada mejor la razon del estudio , el clinico casi nunca pone un dato , enoja muchas veces en todos los estudios nunca el clinico explica la razon o motivo del estudio , saludos...
Would it be possible to speak in layman’s terms? I understood just the general conversational words, lung, rib, spine. 😂
As an X-ray and CT Technologist for 20 yrs, one tip I was shown by a Radiologist I worked with, was to rotate the CXR 90°. By doing this, you'll find the lung fields will magically "disappear" and the ribs will be plain as day! This will make it easier to dx rib fx with a chest image if pt condition prevents ordering a proper Rib Series. I promise, this is one of the easiest, most effective tools I've shared with Doctors that can make your life much easier.
ALSO, if you suspect the possibility of a pneumo for whatever reason, PLEASE order, or at least ask the tech, to include an additional EXPIRATION view because small pneumos can be made to disappear (and be missed) with a standard PA and Lat CXR, both done on inspiration.
Hope this is a blessing to your all and please don't hesitate to involve the Rad/CT Techs, as they are a great source of knowledge.
Hey Doctor, are you worried about the clipped costophrenic angles on the PA Upright chest....Or since you have a lateral, you are fine with it? Thanks. This video is very informative.
Normally, yes. I think my video actually cropped them out for some reason. They were included on the image though!
@@DrCellini sir please esent me your email number I have a pa chest x ray who has no sympotms but doctors says has large number of infection
0:04
Too bad the tech cut off that left costophrenic angle. Tsk tsk tsk.
As a rad tech student... Those clipped costophrenic angles would be a repeat.
So.. It's normal?
Omfg i love you
Sound is low,sir!
Wrong xray by tech CP cut ....
Hi doc can read my xtray?
Can you get cancer after having a chest x-ray?
Its the same dose as 10 days worth normal background radiation 🌭