When interpreting a chest X-ray you should divide each of the lungs into three zones, each occupying one-third of the height of the lung.

These zones do not equate to lung lobes (e.g. the left lung has three zones but only two lobes). Inspect the lung zones ensuring that lung markings are present throughout.

Air on an X-ray looks dark, so when the lungs are clear and healthy, that's exactly how they should look: not quite black, because there is still tissue there, but still quite dark. If the lungs look like they have regions of density within them, that's something to take note of.

If the X-ray images show abnormalities, this means that there is something unusual on the image of the chest. This is usually indicative of a problem, and could be immediately obvious, such as a broken or fractured rib, or could simply be a shadow that needs further investigation.

1. Lumbar X-ray Interpretation – OSCE Guide
2. Cervical Spine X-ray Interpretation – OSCE Guide
3. How to Document a Chest X-ray (CXR) in the Notes
4. Chest X-ray (CXR) Interpretation
5. Shoulder X-ray Interpretation
6. Musculoskeletal (MSK) X-ray Interpretation – OSCE Guide
7. Abdominal X-ray Interpretation
8. Ankle X-ray Interpretation
9. Surgical Gowning Technique – OSCE guide

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