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This session teaches a reproducible, step-by-step approach to chest X-ray (CXR) interpretation using two complementary mnemonics: RIPE (Rotation, Inspiration, Penetration/Projection, Exposure/Artifacts) to verify image quality, and A-B-C-D-E-F-G-H-I to read findings in a consistent order. Viewers learn to spot essential landmarks (trachea, aortic knob, hila, lobes/fissures, diaphragms, costophrenic angles), recognize when AP vs PA matters (e.g., cardiothoracic ratio), and avoid common pitfalls that lead to misses. A live, real-time read ties the method together so the approach can be used on rounds, in clinic, or at the bedside.
What you’ll learn
- Quality first: use RIPE to confirm a film is worth interpreting
- A structured read with A-B-C-D-E-F-G-H-I
- How projection changes appearance (AP vs PA vs lateral)
- Reliable checks for effusions, pneumothorax, edema, and device/artifact confounders
- How to synthesize a clear impression clinicians can act on
Chapters:
00:00 Reading a Chest Xray like a pro: Why a systematic approach
02:39 Pre-checks (ID, date, comparison chest xrays)
05:03 Method overview (RIPE + A→I Mnemonics)
06:24 RIPE: Chest Xray Image quality (Rotation, Inspiration, Penetration/Projection, Exposure)
18:26 A→I structured read (bones → hila or hilum)
33:50 Live demo: full read & forming the impression
34:52 Key takeaways & how to practice the workflow
37:35 Common pitfalls & limits of a Chest Xray (AP view and CTR, artifacts)
38:55 Resources (free downloads) + disclaimer & outro
Speaker:
Anthony Busti, MD, PharmD, MSc, FAHA, FNLA, is a licensed healthcare professional and medical educator with over 30 years of experience in clinical practice and academic teaching. He has trained and practiced as a nurse, pharmacist, and physician, bringing a uniquely comprehensive perspective to patient care and medical education.
Dr. Busti is dedicated to advancing evidence-based medicine and helping clinicians understand the underlying “why” behind clinical decisions to improve patient outcomes.
About This Channel:
This content is created by Anthony Busti, MD, PharmD, MSc, FAHA, FNLA, a board-certified physician with training at Johns Hopkins School of Medicine and University of Oxford and a medical educator for healthcare professionals and students. All material is based on current medical literature and evidence-based guidelines that align with principles of evidence-based medicine (EBM) and Evidence-Based Healthcare (EBHC).
Disclaimer:
This content is for educational purposes only and is not medical advice. It does not replace individualized evaluation, diagnosis, or treatment. Always seek the advice of a qualified health provider with questions about a medical condition and never delay care because of educational content.
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