X-ray interpretation NICU - Kelsie
- Emory University
- Graduate Nursing
- Graduate Nursing 569
- X-ray interpretation NICU - Kelsie
Last Modified: 2012-02-26
Less dense structures absorb fewer x-rays allowing more to reach and develop on the film.
Infant is lying on back
Infant lying prone
Infant lying on back and cassette is against infant's left side
Correct exposure for AP view of the chest and abdomen on the SAME film can only be done on full term infants.
Fat is denser than water, which produces a gray image on x-ray.
When two structures are of the same density, they cannot be differentiated on film.
Air filled bronchogram will appear less dense than diseased lung.
Cardiac: Abnormal heart shape and size
Diaphragm: Signs of over- or under-distention
Everything else: Lines and tubes, infiltrates, pneumothorax, masses
Right above the carina
The heart should be no more than half the width of the thorax
The costophrenic angle should come to a sharp point.
Appropriate for emergencies until other access established
Homogenous, diffuse, bilateral reticulogranular pattern
Air bronchograms with aerated bronchioles superimposed on non-aerated alveoli
Normal heart size
Similar to GBS pneumonia
Hyperventilation caused by partial airway obstruction from mediastinal fluids
* Fluid in the fissure especially fissure on the right that separates the lower/upper lobes (becomes more prominent with retained fluid present)
Patchy and non-homogenous
Prone to pneunothorax
Increase in AP diameter
Bilateral diffuse granular pattern
Loss of volume
The earlier the onset of CDH the worse the outcome.
Time off CPAP
Passage of stool
Surgery is required for duodenal atresia.
Vomiting and abdominal distention
Dilated loops of bowel and air fluid levels
Absence of ganglion cells in nerve plexus in colon
Rectosigmoid junction but may involve entire colon
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