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. 2019 Jan 9;2019:6202405. doi: 10.1155/2019/6202405

Table 1.

#Form 2. CXR Assessment Checklist. Radiologist: Please complete the following table for each CXR film.

SN Parameter Response Comment
1 Patient ID ——————

2 Radiologist Code (1) R1 □
(2) R2 □
(3) R3 □

3 Chest X ray code ——————

4 Film Quality (1) Adequate □
(2) Sup optimal □
(3) Not interpretable □

5 Consolidation (1) Yes □
(2) No □
If yes,
location——————

6 Infiltration (1) Yes □
(2) No □
If yes,
location——————

7 Haziness (1) Yes □
(2) No □
If yes,
location——————

8 Pleural effusion (1) Yes □
(2) No □
If yes,
location——————

9 Atelectasis (1) Yes □
(2) No □
If yes,
location——————

10 Fibrosis (1) Yes □
(2) No □
If yes,
location——————

11 Pleural thickening (1) Yes □
(2) No □

12 Hyperinflation (1) Yes □
(2) No □

13 Index