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Thoracic Spine AP THORACIC LATERAL THORACIC PA CHEST LATERAL CHEST AP LORDOTIC CHEST AP (PA) RIBS ABOVE DIA 30 OR 60 deg OBLIQUE RIB AP RIB BELOW DIA
DEMONSTRATE C7-T12 C7-T12 Lung apices to Costophrenic angle Larynx Trachea Heart Vessels Bones Lower cervical upper thoracic vertebra and Heart Lung apices Right mid-lobe Lingula Ribs 1-10 Ribs 1-8 or 9 Ribs 8-12
MEASURE AP thru T6 with Inspiration Axilla to Axilla AP thru T6 with Inspiration Latissumus dorsi B/L thru CR AP thru T6 with Inspiration Thru CR Thru CR at Angle Thru CR
kVp 80 LARGE 90 SMALL 110 SMALL 115 SMALL 110 SMALL 70 SMALL 70 SMALL 90 SMALL
FILM SIZE 14x17 black verticle flash up 14x17 black verticle flash up 14x17 insight vert flash up fem horiz flash up male + obese 14x17 insight verticle flash up 14x17 insite verticle flash up 14x17 black verticle flash up 14x17 black verticle flash up 10x12 black horizontal flash lateral same side
GRID Yes Yes No Yes No Yes Yes Yes
FFD 72 72 72 72 72 40 40 40
TUBE TILT 0 0 0 0 0 0 0 0
PATIENT POSITION Face the tube Lateral upright Hands palm to palm Arms crossed, extended, and dropped down in front Face the bucky, roll scapula, split breast dorsal hands on hip head extended Arms above head elbows forward chin up Stand 1 foot away from bucky and lean back, Roll shoulders Dorsal hands on hips Upright, Mid-clavical at center Get arms out of way Standing Oblique with no Humeral obscuring Get arms out of way Upright Mid-clavicular at center Get arms out of way
CR Mid-sternum (T6) Mid-axillary vert. Under axilla horiz. Mid-sternum (T6) Mid-axillary line and angle of jaw Mid sternum (3-4" below jugular notch) 3-4" below jugular notch Mid-claviclar line and T7 T7 and about halfway B/T spine and lat margin Midway between xiphoid and lower rib cage in mid-clavicular line
COLLIMATE AND SHIELD Full verticle (1" above Vertebra Prominens) mid-clavicular sides Full cassettte verticle and back of Spine to Mid-axilla Full chest size Full cassette verticle 1" above Vertebra Prominens and Thoracic cavity horiz. Area of interest Should see all of Vertebral body and outer part of ribs Should see all of Vertebral body and outer part of ribs Full cassette with four sides of collimation
FILTER Upper 1/3 - (top of screen to mid T-spine) thick up and thin down Lower 1/2 Thin at T6 Fat at T12 NONE NONE NONE NONE NONE NONE
SIDE MARKER R or L L R or L L R or L R or L R or L R or L
BREATHING Breath in, hold Breath in, release slowly; expose during exhale Breath in and let it out then Breath in, hold Breath in and let it out then Breath in, hold Breath in and let it out then Breath in, hold Breath in, hold Breath in, hold Breath in; Exhale; hold
    Special note: time between 1-2 sec   Special note: Don't get left behind     Special note: ANT. OBLIQUE, use opposite marker to that of the side closest to screen  
Bear in mind spine is posterior, collimate else out                
Scoliosis - convex toward screen (x-ray into concave)                
Listing might require tube angling                
Time < 0.1 second                

Last Updated on 6/28/99
By Compaq
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