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Step 1
Keep in mind an X-ray beam easily penetrates through air but not bone. Organs with a lot of air such as the lungs will appear black. Bones will appear white.
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Step 2
Make certain the patient's name is on the X-ray to ensure it is theirs. Check the date and time to determine when the X-ray was taken.
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Step 3
Look at the quality of the film. Determine if the X-ray is over or under penetrated by the X-ray beam. Check to see if all structures are easily seen and the film is clear.
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Step 4
Spot anatomical landmarks. This will help ensure the patient was property positioned for the X-ray. Anatomical landmarks will vary depending on what part of the body was X-rayed. Look for proper placement of any tubes or lines that were placed in the body to aid in treatment.
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Step 5
Start with the bones and determine if there are fractures which will appear like cracks on the X-ray. Compare opposite sides of the body and look for symmetry. For example bones in the legs should be the same on both sides of the body.
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Step 6
Determine if abnormalities are present. Abnormalities will appear as bright spots where black should be. On areas that should be white such as bone abnormalities will appear as a shadow over the bone.
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Step 7
Compare prior X-rays. This will help determine if any abnormalities which are found are old, new or have changed. If available consider viewing an X-ray taken from a different angle. This will help confirm an abnormality.
