AP vs PA Chest X-Ray: How to Tell the Difference episode artwork

EPISODE · Dec 5, 2025 · 14 MIN

AP vs PA Chest X-Ray: How to Tell the Difference

from This Is Why with Dr. Busti · host Anthony Busti, MD, PharmD, MSc, FNLA, FAHA

In this lecture from This is Why, Dr. Busti will teach you how to quickly and confidently tell AP vs PA chest X-ray (CXR) views apart so you don’t get misled by magnified hearts or a widened mediastinum. In this video, we break down chest X-ray projection step by step and show you how to spot whether a film is AP or PA view just by looking at the image itself—skills you can use on your next shift or exam.This teaching video is designed to help clinicians who want practical, bedside chest X-ray interpretation skills. We’ll connect the physics of X ray projection (AP vs PA) with real-world decisions, like when you can and cannot trust the heart size on a portable chest X-ray.You’ll learn how to:What AP and PA mean in chest X-ray views and why projection mattersHow to recognize AP chest X-ray vs PA chest X-ray using simple visual cluesWhy the heart often looks “enlarged” on AP portable CXRHow scapula position, patient posture, and inspiration help you identify the viewCommon pitfalls in how to read chest X ray and avoid overcalling cardiomegalyIf you’re looking for chest X-ray basics, how to interpret chest X ray, or a concise refresher on frontal chest X ray positioning, this video will help build your foundation in radiology chest X ray and medical imaging education. The goal = make medical education easy and clinically relevant.👉 Access bonus materials and downloads from this episode at: https://www.thisiswhy.health/topics/chest-xrays-ap-vs-pa-view-cxr👉 Get more with a free membership at https://www.thisiswhy.health/- Access free downloads from our videos - Access deep dive content from Dr. Busti- Organize content via playlists & collections- Join live Q&A- Receive member newsletters- Coupons & discounts for exam prep resources👍 If this helped you, please like, subscribe, and share it with a classmate or colleague. That will help this new channel continue producing free, high-yield medical education content.🔔 Don’t forget to turn on notifications so you don’t miss upcoming lectures in pharmacology, medical rounds, and more!#apvspachestxray #APvsPA #chestxrayinterpretation #howtoreadchestxray #drbustiDisclaimer: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.

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In this lecture from This is Why, Dr. Busti will teach you how to quickly and confidently tell AP vs PA chest X-ray (CXR) views apart so you don’t get misled by magnified hearts or a widened mediastinum. In this video, we break down chest X-ray projection step by step and show you how to spot whether a film is AP or PA view just by looking at the image itself—skills you can use on your next shift or exam. This teaching video is designed to help clinicians who want practical, bedside chest X-...

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AP vs PA Chest X-Ray: How to Tell the Difference

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