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Chapter 16 – The Chest Radiograph in Cardiovascular Disease

Michael A. Bettmann

  TECHNICAL CONSIDERATIONS, 277
  Image Recording and Radiation Exposure, 278
  Normal Chest Radiograph, 279

  EVALUATING THE CHEST RADIOGRAPH IN HEART DISEASE, 283
  Lungs and Pulmonary Vasculature, 286
  Cardiac Chambers and Great Vessels, 287
  Pleura and Pericardium, 290
  Additional Specific Considerations, 290

  IMPLANTABLE DEVICES AND OTHER POSTSURGICAL FINDINGS, 290
  CONCLUSION, 290
  REFERENCES, 292

The chest radiograph was one of the first clinical examinations to use the then-new technology of diagnostic radiography.[1]It remains the most common x-ray examination and one of the most difficult examinations to interpret. With careful evaluation, it yields a large amount of anatomic and physiologic information, but it is difficult and sometimes even impossible to extract the information that it contains. The major variables that determine what can be learned from the chest x-ray include the technical factors (milliamperage [mA], …