Normal Chest X Ray Documentation. Documentation how to document a chest x ray cxr in the notes if you d like to support us and get something great in return check out our pdf osce checklist booklet containing over 100 osce checklists in pdf format. No change in therapy needed.
Plain radiographs adult examples chest radiograph pa adult male example 1 example 2. The only documentation of an inclusion term is prefaced with wording such as no significant or no definite select value 2. No change in therapy needed.
Follow up in clinic one week or cxr ordered to r o pneumonia.
This article lists examples of normal imaging of the chest and surrounding structures divided by modality. Cardiomegaly is said to be present if the heart occupies more than 50 of the thoracic width on a pa chest x ray. The only documentation of an inclusion term is prefaced with wording such as no significant or no definite select value 2. Plain radiographs adult examples chest radiograph pa adult male example 1 example 2.