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

EPISODE · Nov 11, 2025 · 40 MIN

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

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

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 learnQuality first: use RIPE to confirm a film is worth interpretingA structured read with A-B-C-D-E-F-G-H-IHow projection changes appearance (AP vs PA vs lateral)Reliable checks for effusions, pneumothorax, edema, and device/artifact confoundersHow to synthesize a clear impression clinicians can act onShow notes and downloads: https://www.thisiswhy.health/topics/chest-xray-how-to-read-step-by-step-guideGet 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.

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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 pitfall...

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

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