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Inteprate
Reading File
analyse_media
Chest X-Ray Interpretation
Patient: Mohd Bukhari Bin Zulkefle, Male, 35 years old (DOB: 06/11/1990)
Projection: AP Supine (Chest AP)
Institution: Sentosa Specialist Hospital (based on watermark)
Technical Adequacy
| Parameter | Assessment |
|---|---|
| Projection | AP Supine - note: inherently magnifies cardiac shadow vs. standard PA erect |
| Rotation | Minimal - clavicular heads roughly equidistant from midline |
| Inspiration | Suboptimal but acceptable (~8-9 posterior ribs visible) |
| Penetration | Adequate - thoracic spine faintly visible behind cardiac shadow |
Systematic Findings
1. Lung Fields
- Both lung fields are clear with no focal consolidation, masses, nodules, or cavitating lesions
- No evidence of interstitial lung disease or pulmonary oedema
- Bronchovascular markings are mildly prominent - this is a normal variant on supine films due to gravity-dependent redistribution and relative hypo-inspiration; not pathological in this context
- No pneumothorax (no visible pleural line or peripheral hyperlucency)
2. Cardiac Silhouette
- Heart size is within normal limits
- Cardiothoracic ratio (CTR) appears < 0.5, which is normal (accounting for AP magnification)
- Cardiac borders are well-defined and normally contoured
3. Mediastinum and Hila
- Mediastinum is midline, not widened
- Trachea is centrally positioned
- Bilateral hila are normal in size, shape, and density - no hilar lymphadenopathy
4. Pleura and Diaphragm
- Bilateral costophrenic angles are sharp and well-defined - no pleural effusion
- Cardiophrenic angles are clear
- Hemidiaphragms are smooth and normally contoured
5. Bones and Soft Tissues
- Visualised ribs, clavicles, and humeral heads are intact
- No obvious fractures, lytic or sclerotic lesions
- Soft tissues are unremarkable
- No foreign bodies, tubes, or lines present
Impression
Normal chest radiograph. No acute cardiopulmonary pathology identified.
The mild bronchovascular prominence is a positional/technical finding consistent with the AP supine projection and does not indicate pathology.
Note: This is an AI-assisted interpretation for educational/clinical support purposes only. Official reporting by a licensed radiologist is required for clinical decision-making. Additionally, an AP supine film is technically inferior to a PA erect film - if clinically indicated, a repeat PA erect chest X-ray is recommended.
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