RadPos

6/8/99

Chest

• Taken P-A to not magnify the heart
• Flash and ID should be up right above the shoulder
• For short heavier people side ways
• For taller thinner people length ways
• But beam on chest, then place film
• Circumduction scapulae around the thorax
• Put hands on PSIS and bring elbows out
• Take a deep breath and hold it (suspect neumothorax, due during expiration)
• Want to see 9-10 ribs above the diaphragm
• Time of exposure is important, less than 1/10 sec (want to stop heart)

Lateral

• Left lateral is standard
• Get heart closest to the film
• Due right only if expect right sided lung problem
• Post chest wall to ant chest wall (not worried about breast tissue)
• Height is set from PA, probably not the width
• Put hands on top of the head and bring elbows together
• Take a deep breath and hold it, don't move
• No filter
• Smaller ribs is left
• Larger ribs and less sharp
• Pleural effusions, at angle where diaphragm meets lungs
• Right hilum is water density
• Left structures is behind
• Bronchi are darker images in the middle
• Scapulae
• Trachea
• Pulmonary vessels
• Heart

Apical Lordotic

• Obscure less of the lungs
• Pancoast tumors
• Angle cephalically
• Do entire chest w/right middle lobe which has collapsed

Ribs

• 1-8 full inspiration
• 10-12 full expiration
• 9 &10 are trouble
• have pt point to spot and put that part closest to the film for A-P (P-A)
• anterior oblique—anterior axillary margin
• posterior oblique
• w/obliques make sure to get arms out of the way
• above diaphragm ribs change to 70kvp on supertech

End of Material for Midterm Written and Practical