Chest X-ray - Scenario 2
Scenario image interpretation

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Scenario Image Interpretation

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  • When the abnormality is obvious don't waste too much time assessing image quality
  • Rotation - none - the spinous processes are central between the clavicles (orange)


  • Heart size cannot be assessed
  • Very dense opacification of the left hemi-thorax without 'air bronchogram'
  • Well defined border between aerated lung and a pleural effusion ('meniscus' - red line)
  • This is a very large pleural effusion with shift of the mediastinum to the right (arrows)

Page author: Salisbury NHS Foundation Trust UK (Read bio)

Last reviewed: March 2016