Background: Chest X-ray (CXR) remains one of the most widely used imaging modalities for the evaluation of thoracic diseases because of its rapid availability, affordability, low radiation exposure, and diagnostic effectiveness. It plays a crucial role in the early detection and assessment of various pulmonary and cardiovascular conditions, particularly in resource-limited healthcare settings.
Aim: To evaluate the diagnostic utility of chest radiography in the assessment of common thoracic disorders and to analyze their prevalence, radiographic characteristics, and diagnostic performance in a hospital-based population.
Methods: A retrospective observational study was conducted on 109 patients who underwent chest radiography at a tertiary care teaching hospital. Standard posteroanterior and anteroposterior chest radiographs were reviewed for the presence of cardiomegaly, pneumonia, pleural effusion, and pulmonary tuberculosis. Diagnostic performance was assessed using sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and overall accuracy. Descriptive statistics and Chi-square analysis were used for demographic evaluation.
Results: Among the 109 patients, 75 (68.8%) demonstrated at least one thoracic abnormality on chest X-ray. Pleural effusion was the most prevalent condition (26.6%), followed by pneumonia (22.0%), cardiomegaly (14.7%), and pulmonary tuberculosis (5.5%). Costophrenic angle blunting was the most common associated radiographic finding, observed in 67.9% of patients. The estimated mean age was 42.8 years, and no significant association was found between gender and age-group distribution (χ² = 1.485, p = 0.686). Diagnostic accuracy ranged from 94.5% to 98.2%, with cardiomegaly showing the highest sensitivity (93.8%) and pulmonary tuberculosis demonstrating the highest specificity (99.0%).
Conclusion: Chest radiography is a reliable, accessible, and cost-effective diagnostic tool for the evaluation of common thoracic disorders. Its high diagnostic performance supports its continued role as a first-line imaging modality in routine clinical practice.
Keywords: Chest X-Ray, Thoracic Disorders, Cardiomegaly, Pneumonia, Pleural Effusion, Pulmonary Tuberculosis, Diagnostic Accuracy, Sensitivity
| DOI: | 10.62502/ijmi/v3i2art1 |
| Journal: | Innovative Journal of Medical Imaging |
| Abbreviation: | Innov. J. Med. Imaging |
| ISSN (Online): | 3048-5568 |
| Volume/Issue: | 3(2) |
| Pages: | 1-7 |