Week 3 Chest Positioning & Indications 50

Week 3 Chest Positioning & Indications 50 - 1 Chest...

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Unformatted text preview: 1 Chest Radiography • All chest views are taken at 72” SID to minimize magnification. • All chest view are taken using high kVp to obtain a broad scale of contrast. • Routine: P-A & Lateral • Supplemental: Apical Lordotic, Anterior Oblique Views 2 Chest Radiography • On patients older than 40 years old that have a thoracic spine for full spine series will have a P-A chest routinely. This is done at no charge to the patient. • On patients older than 60 years, they will have a P-A and lateral chest. The patient is charged for the chest x-ray. 3 6.5 P-A Chest • Measure: P-A at mid chest • Protection: Half Apron • SID: 72” Bucky • No Tube Angle • Film: 14” x 17” regular I.D. up Portrait unless wider than 35 cm. • Marker: Pronated 4 P-A Chest • Patient stand P-A, facing Bucky with hands on hips. Shoulders rolled forward to get scapulae clear of lungs. • Film placed two inches above the shoulders. 5 P-A Chest • Horizontal central ray: centered to film • Vertical central ray: mid-sagittal • Collimation: slightly less than film size. • Breathing Instructions : “Take a deep breath in and hold it .” Inspiration • Make exposure and let patient relax. 6 P-A Chest Film • The scapulae should be clear of the lung fields. • The thoracic spine can be made out through the heart. • Respiratory effort should be to the 10 ribs. • No rotation: S.C. joints equal distance from spine. 7 P-A Chest Film • Note that this is a large patient. • For large patients, the film may be turned 17” x 14” with the I.D. up. • If the lateral measurement is greater than 35 cm turn film 17” x 14” Landscape. 8 6.6 Lateral Chest • Routine lateral is the left lateral. • If pathology is suspected in the right lung, take a right lateral. • Important to have arms over head for view of apices. 9 Lateral Chest • Measure: Lateral mid- chest • Protection: Half apron • SID: 72” Bucky • Film: 14” x 17” regular I.D. up Portrait • Top of film two inches above shoulder. • Center horizontal central ray to film 10 Lateral Chest • Instruct patient to interlock fingers with arm over head. May place arm behind head. • Make sure patient is as close as possible to the Bucky. • Vertical central ray: mid coronal plane. • Push film into Bucky. 11 Lateral Chest • Collimation top to bottom: slightly less than film size. • Collimation side to side: skin of chest • Breathing instructions: “Take a deep breathe and hold it.” Inspiration • Make exposure and have patient breathe and relax. 12 Lateral Chest Film • Should see apical area of chest....
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This note was uploaded on 01/06/2012 for the course PB 322 taught by Professor Wilson during the Summer '09 term at Palmer Chiropractic.

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Week 3 Chest Positioning & Indications 50 - 1 Chest...

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