This Is Why with Dr. Busti

Chest X-Rays: How to Read Like a Pro - A Step-by-Step Guide


Listen Later

This session teaches a reproducible, step-by-step approach to chest X-ray (CXR) interpretation using two complementary mnemonics: RIPE (Rotation, Inspiration, Penetration/Projection, Exposure/Artifacts) to verify image quality, and A-B-C-D-E-F-G-H-I to read findings in a consistent order. Viewers learn to spot essential landmarks (trachea, aortic knob, hila, lobes/fissures, diaphragms, costophrenic angles), recognize when AP vs PA matters (e.g., cardiothoracic ratio), and avoid common pitfalls that lead to misses. A live, real-time read ties the method together so the approach can be used on rounds, in clinic, or at the bedside.

What you’ll learn

  • Quality first: use RIPE to confirm a film is worth interpreting
  • A structured read with A-B-C-D-E-F-G-H-I
  • How projection changes appearance (AP vs PA vs lateral)
  • Reliable checks for effusions, pneumothorax, edema, and device/artifact confounders
  • How to synthesize a clear impression clinicians can act on

Show notes and downloads: https://www.thisiswhy.health/topics/chest-xray-how-to-read-step-by-step-guide

Get more (free) at ThisIsWhy.health
Access the video, free downloads (mnemonic tables), organize content via playlists & collections, join live Q&A, receive member newsletters, and unlock partner discounts—resources built to help clinicians move from what to why and improve real-world decisions.

Disclaimer:
This content is for educational purposes only and is not medical advice. It does not replace individualized evaluation, diagnosis, or treatment. Always seek the advice of a qualified health provider with questions about a medical condition and never delay care because of educational content.

...more
View all episodesView all episodes
Download on the App Store

This Is Why with Dr. BustiBy Anthony Busti, MD, PharmD, MSc, FNLA, FAHA