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AA CR book locations

Radiography

QuestionAnswer
PA chest T7 or 7-8 inches below vertebra prominent at 72”
Lateral chest T7 may have to lower 1” at 72”
AP chest T7 or 3-4 inches below jugular notch
AP and Lateral Trachea and Larynx; soft tissue neck C6-C7 midway between the prominence and jug notch
Chest on pediatric Nipple line
PA finger; lateral and oblique PIP. 40”
AP, lateral and oblique Thumb First MCP joint
PA and Oblique Hand 3rd MCP joint
Lateral Hand 2nd MCP joint
PA, lateral and oblique Wrist Center of carpals
Ulnar deviation 10-15 degrees towards proximal towards elbow, centered on Scaphoid
Modified Stecher method Wrist Cr perpendicular to IR hand elevated 20 degrees cr at scaphoid
AP and Lateral Forearm Midpoint of forearm 40”
AP, Oblique and Lateral Elbow Midpoint of the Elbow Joint
Coyle Method Elbow Radial head elbow @ 90 degrees CR @ 45 centered on radial head:; Coronoid elbow @ 80 degrees CR @ 45 degrees mid elbow joint
AP and Lateral Humerus Midpoint of Humerus 40” Mid to Distal @ 1/3 distal humerus
AP shoulder ; ext and int 1” inferior to the coracoid 40”
Inferiosuperior Axial shoulder ; Lawrence Horizontal beam @ 25-30 degrees medially to axilla 40”
Superoinferior Axial shoulder 5-10 degrees towards the body 40”
AP Oblique- Glenoid cavity; Grashey method 2” inferior and 2” medial from superolateral border of shoulder 40”. Body at 35-45 oblique
PA Oblique shoulder ; scapular Y lateral Scapulohumeral joint 40”. Body 45-60 degrees
AP Neutral Shoulder Midscapulohumeral joint, approximately 3/4” inferior and slightly lateral to coracoid 40”
Transthoracic lateral shoulder Level of surgical neck 40”
AP and AP Axial Clavicle Both Midclavicle ;with axial 15-30 degrees cephalad, 15 thick; 30 thin
AP Acromioclavicular joints ; with & without weights; Pearson Method Midpoint of AC joints 1” (2.5cm) Above Jug notch. 72”
AP Scapula 2” inferior coracoid & 2” in from lateral border of pt. 40”
Lateral Scapula Midvertabral border of Scapula 40”. 45-60
AP Toes At the MTP joint of toe at 10-15 degrees; Metatarsal Phalangal joint
AP & Oblique Toe Centered to MTP joint foot 30 degrees 40”
Lateral Toes IP joint for 1st digit and PIP joint of 2nd-5th digits. 40”
AP Foot; Dorsoplantar 10 degrees at the base of the 3rd Metatarsal 40”
Lateral and Oblique Foot Base of 3rd Metatarsal; oblique 30 degrees medial
Plantodorsal axial : Calcaneus 40 degrees cephalic to exit out at base if 3rd Metatarsal 40”
Lateral Calcaneus At Midcalcaneus 1” inferior to medial malleolus
AP Ankle, Mortise and Oblique Midway between Malleoli. 40” AP 3-5 rotation, Mortise 15-20 rotation, Oblique 45 rotation
Lateral Ankle At medial malleolus
TiB/ Fib AP and Lateral Mid lower leg 40-48”
AP Knee 1/2” distal the Apex of the patella ; 3-5 degrees internal leg rotation 40”; Thigh thickness <19” 5 caudad; 19-24” no angle; >24” 5 cephalad
Oblique Knee 1/2@ distal to Apex of patella at midpoint of knee
Mediolateral Knee 1” distal the Epicondyle at 5-7 Cephalad angle ;; 5-7 Caudad for cross table
PA Axial wt. bearing ; Rosenberg method 1/2” below Apex of patella at 10 degrees Caudad between both flexed 45 degree knees
PA Patella Centered at midpopliteal crease or midpatella area
Lateral Patella Midpatellofemoral joint 40”
AP Tunnel Béclere method 1/2”below patella
Tangential Axial Patell; Merchant method CR 30 degrees from horizontal midway between knees 48-72”
Hughston 45 degrees cephalad at the patellofemorar joint
Settegast 15-20 degrees cephalad at patellofemoral joint
Axial AP Patella Sunrise 15 degrees upward at patellofemoral joint
Measurements to find Femoral Neck 1”-2” medial from ASIS and 3”-4” inferior to ASIA
AP and Lateral Mid-Distal Femur Mid Femur include knee joint. 40”
AP proximal Femur; Hip 1”-2” Distsl the Femoral neck 40”
Lateral proximal Femur ; Frog Leg; modified cleaves method At the Femoral Neck CR perpendicular to IR
Bi Lateral Frog Leg ; cleaves MSP at 3” below ASIS OR at level of Femoral Heads. 40”
Axiolateral Inferosuperior Lateral Hip; Danelius miller method Horizontal beam CR perpendicular to Femoral Neck, leg rotation 15 degrees if possible
AP Pelvis Midway between ASIS and Pubis symphysis OR 2” below ASIS 40” rotate feet 15-20 degrees internally
AP Open Mouth C1- C2; Atlas and Axis Center of open mouth 40”
AP Dens ; Fuchs Method 1” Inferior to chin
AP Axial Cervical spine 15-20 degree cephalad at C-4
Oblique Cervical spine 15-20 degree cephalad LPO/RPO 15-20 degree Caudad LAO/RAO BOTH at 40”-72”
Lateral Cervical spine C-4 at 72”
Cervicothoracic ; Swimmers T-1 at 72” might have to put a 3-5 degree Caudad angle on tube
AP and Lateral Thoracic spine T-7 at 40”
Oblique T-Spine T-7 at 40” with 70 degree oblique body
AP Lumbar Spine Level of Iliac Crest L4-L5. 40”
Oblique Lumbar Spine L-3 (lower costal margin) and 2” medial the upper ASIS
Lateral Lumbar Spine Centered on Iliac Crest : 40” put cross hair line from Ear to Iliac crest
Lateral L5-S1 Lumbar Spine : Spot 1 1/2” inferior to Iliac Crest and 2” posterior to ASIS. 40”. SPOT
AP Axial Sacrum 15 degrees Cephalad at 2” above the Pubis symphysis
AP Axial Coccyx 10 degrees Caudad at 2” above Pubis Symphysis. 40”
Lateral Sacrum and Coccyx 3”-4” posterior of ASIS Level, put marker in front lower quadrant
AP Axial SI Joint MSP at 2” below ASIS Level with 30 degree Male & 35 degree Female. 40”
Posterior Oblique SI Joint 1” medial from upside ASIS. 40”. Pt. At 25-30 oblique
Sternum Mid sternum between jug notch and xiphoid 40”. Pt. 15-20 RAO
Lateral Sternum Mid Sternum. 72”
PA SC Joints T2-T3 MSP
Oblique SC Joint T2-T3 at 1”-2” from MSP to the up side. 40”
AP PA Ribs Above diaphragm T7 MSP 3”-4” below Jug notch. 72”
AP Ribs Below diaphragm MSP at midway between lower rib margin and xiphoid process 72”
Anterior Oblique upper ribs Centered at ribs at T7 72” Erect/ 40” Recumbent
AP Axial cranium ; Townes 30 degrees Caudad (OML) or 37 degrees Caudad (IOML) at 2 1/2” above Glabella. 40”
Lateral Cranium 2” above the EAM
PA Cranium; Caldwell CR enter back of skull and exit out at Glabella, no angle
PA Axial Cranium , Caldwell 15 degree Caudad exit out at Nasion 40”
Submentovertical Cranium SMV Centered 1 1/2” inferior to the mandible symphysis perpendicular to the IOML ; 3/4” anterior to level of EAM
Lateral Face Bones Perpendicular to IR at midway between outer canthus and EAM on Zygoma
Parietoacanthial ; Waters CR perpendicular to IR exit out of Acanthion
Lateral Paranasal Sinuses Midway between outer canthus and EAM
PA Paranasal Sinuses ; Caldwell Horizontal beam exit out at Nasion with head tilt 15 degrees
AP Supine Abdomen ; KUB Iliac Crest 40”
AP Erect Abdomen 2” Above Iliac Crest. 40”
Lateral Decubitus Abdomen 2” above Iliac Crest
RAO Esophagogram T6; 2”-3” below jug notch
Lateral Esophagogram ; right lateral T 6; 2”-3” below jugular notch
AP Esophagogram T 6 at 40”
RAO Upper GI ; ALL Stomach Sthenic at L1 Hypersthenic 2” Above T1 Hyposthenic 2” Below T1
AP Small Bowel Early image at 2”Above Iliac Crest Later image at Iliac Crest
Clements-Nakayama Method Plate is 15 degrees from vertical facing more upward, CR enters at that 15 degree angle plus rotate 15-20 degrees; CR and IR perpendicular
Created by: scones and joe
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