Week 3 Chest Positioning & Indications 50

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

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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
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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.
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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
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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.
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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.
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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.
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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.
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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.
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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
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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.
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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.
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12 Lateral Chest Film Should see apical area of chest. Respiratory effort down to tenth ribs. No rotation: ribs superimposed.
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