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Read X‑rays with confidence.

Learn a system that works on every film, then put it to work on real radiographs. Try one now, then explore 2,691 quiz questions, 66 step-by-step guides and an AI tutor that talks you through any practice film.

Start practising, free How to read a chest X-ray →
  • Built for students, nurses, radiographers & doctors
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Practice radiograph

Hellerhoff via Wikimedia Commons · CC BY-SA 3.0

What is the main diagnosis?

2,691image-based questions
1,910real, licensed radiographs
108diagnoses & findings
66learning modules

Three steps to reading films well

1

Learn the system

Short, structured guides take you through image quality, ABCDE and the review areas, then every common pattern region by region.

Open the learning library →
2

Practise on real films

Look at a real radiograph, zoom, invert and adjust contrast like a workstation, then commit to an answer before it's revealed.

Try the quiz bank →
3

Fix your blind spots

"Review my mistakes" re-serves only what you got wrong, and every answer links to the case gallery and the guide that explains it.

Browse the case bank →

Most-read guides

How to read a chest X-rayRIPE, ABCDE and the review areas NG tube positionThe four criteria and when to escalate PneumothoraxPleural line, tension and supine signs Describing a fractureThe language every referral needs Abdominal X-rayGas patterns and the 3-6-9 rule Ankle fracturesOttawa rules and Weber classification Heart failure on CXRThe ABCDE signs of oedema Salter-Harris fracturesGrowth-plate injuries in children

See all 66 modules

Made for your role

Medical students

Rehearse a system you can say out loud, and nail OSCE and finals image stations.

Start with presenting a film → Nurses

The checks you're asked about most: NG tubes, lines, and the films that need escalating now.

Start with NG tube position → Radiographers

Image-quality critique, repeat criteria and preliminary image evaluation of trauma films.

Start with image quality → Doctors & exam candidates

Act before the report, and drill rapid reporting: 30 films, 30 seconds each, normal or abnormal.

Try rapid reporting →

Quizzes by region

Chest X‑ray quiz

370 questions on real radiographs. Lungs, heart, mediastinum, pleura and chest wall.

Lines & tubes X‑ray quiz

42 questions on real radiographs. ETT, NG tubes, central lines, drains and devices.

Abdomen X‑ray quiz

193 questions on real radiographs. Bowel gas patterns, obstruction, free air and calcification.

Upper limb X‑ray quiz

1,036 questions on real radiographs. Shoulder, elbow, forearm, wrist and hand.

Lower limb X‑ray quiz

540 questions on real radiographs. Pelvis, hip, knee, ankle and foot.

Spine X‑ray quiz

86 questions on real radiographs. Cervical, thoracic and lumbar spine.

Skull & face X‑ray quiz

24 questions on real radiographs. Skull, facial bones, mandible and sinuses.

Paediatric X‑ray quiz

74 questions on real radiographs. Children's radiographs and growth-plate injuries.

Bone & joint disease X‑ray quiz

326 questions on real radiographs. Arthritis, tumours, metabolic bone disease.

AI tutor

Got a practice film? Talk it through.

Upload a photo of a teaching-file or textbook radiograph. The tutor checks image quality, walks through the film area by area, then suggests possible findings with confidence levels and teaching points. A second AI pass reviews the read before you see it.

Open the AI tutor

For education with practice images only. Not for real patients.

Real cases to explore

Radiograph from the case bank: Radial head fractureCase #112717541Upper limb · IntermediateRadiograph from the case bank: Intrauterine contraceptive device (IUCD)Case #17740531Abdomen · BeginnerRadiograph from the case bank: COVID-19 pneumoniaCase #88904911Chest · IntermediateRadiograph from the case bank: Finger (interphalangeal) dislocationCase #10820064Upper limb · BeginnerRadiograph from the case bank: Humeral shaft fractureCase #73863636Upper limb · BeginnerRadiograph from the case bank: Stress fractureCase #67086624Lower limb · AdvancedRadiograph from the case bank: PneumomediastinumCase #14718591Chest · IntermediateRadiograph from the case bank: Spondylolysis (pars defect)Case #12392489Spine · IntermediateRadiograph from the case bank: Foreign body (ingested or inserted)Case #17746731Abdomen · BeginnerRadiograph from the case bank: Femoral shaft fractureCase #17738090Lower limb · BeginnerRadiograph from the case bank: Multiple myelomaCase #65451384Bone & joint disease · IntermediateRadiograph from the case bank: Central venous catheterCase #101350814Lines & tubes · Beginner

Browse the case bank

Why learners trust X‑Ray Atlas

Honestly licensed images

Every radiograph is openly licensed for reuse and credited to its creator on the image and on our image credits page.

Built from the guidelines

Guides are written from professional and national guidance (RCR, BTS, NICE, NHS patient-safety alerts) and list their references.

Transparent review

Every page shows its review status. Read how we write and check content in our editorial policy.

Free, private, no account

No sign-up, no paywall. Quiz progress stays in your own browser.

Your next film is waiting.

Ten minutes a day on real radiographs builds pattern recognition faster than any textbook.

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Education only. Nothing on this site is a clinical report or medical advice. Never use it to make decisions about a real patient.