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PA Chest
- 14 x 17 (crosswise or lengthwide according to body habitus)
- 72" SID
- Lead blocker: Top
- Marker: Top
- Pt: upright facing wall bucky
- Chest against board/no rotation, chin up, shoulders rolled forward
- CR: 7-8" from vertebral prominens, midsagittal plane
- exposure after 2nd inspiration
- Must see: both lungs from apices to costophrenic angle, hilum, heart, great vessels, and bony thorax
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Lateral Chest
(left preferred)
- 14 x 17 lengthwise (wall bucky)
- 72" SID
- Blocker: top
- Marker: top
- Pt: left side to IR,arms overhead,chin up, true lateral, no tilting or leaning into board
- exposure after 2nd full inspiration
- CR: at mid thorax, 3-4" below jugular notch
- Must see: entire lungs from apices to costophrenic angles and stermun to posterior ribs, no rotation of posterior ribs
-
AP Supine Abdomen (KUB)
- 14 x 17" lengthwise (bucky or grid)
- 40" SID
- Blocker: botton
- Marker: bottom
- Pt: flat, no rotation expose after expiration
- CR: at level of iliac crest, midline of body (symphysis pubis mist be included)
- Must see: abdominal structures,symphysis pubis
- (may have to do 2-14 x 17" crosswise if pt. has very long torso overlat 1-2")
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AP Erect Abdmen
- 14 x 17" lengthwise
- 40" SID
- Blocker: bottom
- Marker: bottom
- Pt: upright, arms out of way, back against grid, no rotatio, top of IR about level of axilla, expose after expiration
- CR: to center of IR, on midline of body, about 2" above iliac crest
- Must see: bilateral diapragm and as much of abdomen as poss.
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AP Clavicle
- 10 x 12" crosswise
- 40 " SID
- Pt: erect or supine, arms at side, raise chin, no rotation of body, collimate top to bottom, expose after inspiration
- CR: to midline of clavicle
- Must see: entire clavicle, AC joint, and sternoclavicular joint
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AP Axial Clavicle
- 10 x 12" crosswise
- 40 " SID
- Pt: erect or supine, arms at side, raise chin, no rotation of body, collimate top to bottom, expose after inspiration
- CR: 15-30 cephalic angle (15-20 hypersthenic, 25-30 sthenic) to midline of clavicle
- Must see: entire clavicle, AC joint, and sternoclavicular joint, most of clavicle above scapula and ribs
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AP Internal shoulder
- 10 x 12" lengthwise (erect or supine)
- 40" SID
- Marker: lateral aspect
- Pt: shoulder should touch tabletop or bucky or IR, abduct arm slightly, internally rotate arm (palm down), epicondyle of distal humerus perp. to IR, suspend respiration
- CR: 1" below coracoid process (or 3" medial and 3" inferior from lateral border of arm
- Must see: lateral proximal humerus, 2/3 of clavicle, lesser tuercle in full profile (medial aspect of humeral head)
-
AP External Shoulder
- 10 x12" lengthwise (erect or supine)
- 40" SID
- Blocker: top
- Marker: lateral aspect
- Pt: shoulder should touch IR adbuct arm slightly, externally rotate hand(palm in anatomical position), epicondyles of distal humerus parallel to IR, suspend respiration
- CR: 1" inferior to coracoid process
- Must see: proximal humerus, 2/3 of clavicle, greater tubercle in full profile
-
AP Scapula
- 10 x12" lengthwise (upright or supine)
- 40" SID
- Pt: shoulder touching IR, arm abducted 90, hand supinated (palm forward), use breathing technique
- CR: 2" medial form lateral border of pt. at level of axilla
- Must see: scapula
-
AP Humerus
- 14 x17" upright or supine
- 40" SID
- Marker: lateral aspect
- Pt: rotate body so shoulder and humerus touch IR, extend arm, no rotation of epicondyles, include both joints, suspend respiration
- CR: at mid-humerus
- Must see: entire humerus, shoulder joint, elbow joint
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Lateral Humerus
- 14 x 17" erect or supine
- 40 " SID
- Pt: back to the IR, internally rotate arm, epicondyles perp to IR, elbow in true lateral, shoulder and elbow joints shown, suspend respiration
- CR: at midpint of humerus
- Must see: lateral humerus, elbow joint, shoulder joint, epicondyles superimposed
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RAO Stermun
- 10 x 12" lengthwise (erect or semi-prone)
- 40" SID
- Pt: 15-20 oblique RAO, arms by side and chin up and to the side, collimate side to side, breathing technique, to of IR 1 1/2" above jugular notch
- CR: left of midline, midway between jugular notch and xiphoid process
- Must see: sternum over heart shadow, sternum not superimposed by vertebrae
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Lateral Sternum
- 11 x 12" lengthwise, erect(preferred) or lateral recumbent
- 40" SID
- Pt: shoulders and arms drawn back, true lateral, top of IR 1 1/2" above jugular notch, expose on inspiration
- CR: just behind sternum, aling CR to IR level
- Must see: entire sternum
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PA Ribs (Above diaphragm-anterior)
- 14 x 17" erect preferred
- 40" SID
- Blocker: top
- Marker: top
- Pt: chin up no rotation of body, roll shoulders forward, expose after inspiration
- CR: to IR at T7 on midsagittal plane (7-8" below vertebral prominens)
- Must see: ribs 1-9 or 1-10 visualized
-
AP Ribs (below diapragm-posterior)
- 14 x 17" supine preferred
- 40" SID
- Blocker: bottom
- Marker: bottom
- Pt: back agains IR, no rotation, bottom of IR at iliac crest, expose after full expiration
- CR: align to IR on midsagittal plane
- Must see: ribs 8-12 visualized
-
AP Ribs ( above diapragm-posterior)
- 14 x 17" erect preferred
- 40" SID
- Blocker: top
- Marker: top
- Pt: back touching IR, roll shoulders forward, raise chin, no rotation of thorax or pelvis, exposure on full inspiration
- CR: 3-4" below jugular notch
- Must see: ribs 1-9 or 1-10 visualized
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