Page 143 - AACN Essentials of Critical-Care Nursing Pocket Handbook, Second Edition
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                                                   spaces, apical bullae, and chest rotation. (Reprinted from: Siela D.
                                                  COPD, flattened diaphragms, hyperinflation, widened intercostals














                                                       2008;19:444-473.) Chest radiograph evaluation and interpretation. AACN Adv Crit Care.







                              L clavicle appears  longer in length  than R clavicle  Widened intercostal  spaces


                          Trachea appears
                           deviated to left
              Chest X-Ray of COPD  Clavicle heads  Spinal pedicle  Flattened diaphragms











                                          Hyperinflation
              5.3             Bullae
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