A normal chest x-ray 

In this article we will describe what is a normal chest x-ray and how to interpret it.

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This is a normal chest x-ray (CXR). It is a PA and lateral chest x-ray of a healthy woman. Note mild pectus excavatum on the lateral image (arrows).

Why is this a normal chest x-ray?

This is a normal chest x-ray because it has the following features: clear lung fields; a normal looking heart (CT ratio under 0.5); no visible nodules, tumours, masses or foreign bodies; and it has a clearly outlined chest cavity, with clear costodiaphragmatic angles.

Why are chest x-rays done?

A CXR is quick, cheap and non-invasive – and tells you alot about the heart (like an ECG) and lungs. This is why such an ‘old test’ is still so widely used.

Summary

We have described the normal chest x-ray. We hope it has been helpful.

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