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Chest: LEFT LATERAL

RAD 111 Chart 2011

QuestionAnswer
PROJECTION CHEST: LEFT LATERAL
MEASURE PATH OF BEAM RAISE PT ARMS, PLACE CALIPER @ WIDEST PART OF CHEST
SID INCHES 72 to decrease magnification of heart + increase thoracic detail
IMAGE RECEPTOR 14x17 LW, VERT GRID DEVICE, UPPER IR BORDER 1 1/2-2" ABOVE SHOULDERS
PATIENT POSITION UPRIGHT, Lt lateral, NO rotation, Adjust True Lateral: 1st_ w/flat hands...palpate + superimpose scapulae + palpate + position sternum in lateral 2nd_ w/flat hands, palpate + superimpose post ribs and C. angles
PART POSITION Arms upward, flex + grasp elbows MSP verticle, adjacent shoulder touching IR, elevate chin, look straight ahead
CENTRAL RAY perpendicular CENTER IR, CR WILL ENTER PT ON MC PLANE @ T7 (T7= inferior aspect scapulae)
ID MARKERS LT MARKER FACING AWAY FROM IR, IN FRONT OF PT
COLLIMATION MAXIMUM 13X16
RESPIRATION FULL INSPIRATION ON 2ND BREATH: "take a deep breath in, blow it out, take another deep breath in and hold it"
SPECIAL NOTE IMMOBILIZE UNSTEADY PT BY EXTENDING ARMS TO GRASP IV POLE
GONADAL SHIELDING PLACE LEAD SHIELD BETWEEN TUBE + PELVIS
STRUCTURES SHOWN HEART + AORTA, LT SIDE PULMONARY LESIONS
EVALUATION CRITERIA SUPERIMPOS RIBS POST TO SP, ARMS NOT OVERLAP SUP LUNG FIELD, LONG AXIS LUNGS VERT, LAT STERNUM, COST ANGLES + LUNGS APICES, PENETRATE LUNGS + heart
2011 MERRILLS PAGE # 508
Created by: svvang