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Chest X-Rays

A chest x-ray creates an image of your heart, lungs, and bones (ribs and spine). Different structures allow different amounts of x-rays to pass through them. For really thick things like bones, not much passes through, so they look white on an x-ray. Your lungs allow more x-rays to pass through, so they look much darker on the x-ray.

Doctors look at the colors and shading on the x-ray to help diagnose and treat conditions.

Child chest x-ray showing lungs and heart

  • A normal chest x-ray shows clear lungs, a normal size heart, and a clearly outlined chest cavity.
  • An abnormal chest x-ray can show fluid build up in the lungs, heart enlargement, infection, cysts (pockets of extra air), masses, and other problems.

If you get abnormal results, your doctor may recommend additional tests (like CT scans) for more information.

How many images are taken?

A chest x-ray usually involves getting 2 images — one taken from the front and one taken from the side. Your doctor will decide how many they take.

What to expect during a chest x-ray?

X-rays are taken by a special healthcare provider called a radiology technologist. The patient will be asked to lay down or stand next to a box that holds the x-ray equipment, and then they will turn on a light to make sure the picture is lined up correctly. Once they are in the correct position, they will be asked to hold still and take a deep breath while the technologist steps out and takes the x-ray.

It is important to hold really still during the x-ray. If your child is an infant or a toddler, they may be placed in a clear plexiglass positioner that will hold them still and in the correct position for the x-ray.

Watch: Chest X-Ray video


This information is for educational purposes only. It should not be used as a substitute for the medical advice of one’s healthcare provider.