Radiographic Positioning: Radiographic Positioning of the Chest

CHEST

ROUTINE POSITIONS: PA, Lateral

ADDITIONAL POSITIONS: Lordotic, Decubitus, Expiration, 45 degree RAO and LAO

PA
1. 14 x 17 film
2 Patient upright
3. Patient's chin is extended and with their hands on hips have them roll shoulders forward.
4. 72" SID
5. Central Ray: perpendicular to film.
6. Deep inspiration

LATERAL
1. 14 x 17 film
2. Patient is upright in a true left lateral (right lateral must be specifically ordered).
3. Patient instructed to raise arms over head out of the area of interest.
4. 72" SID
5. Deep inspiration

LORDOTIC
1. 14 x 17 film
2. Patient is place din an upright AP position.
3. Instruct patient to take two (2) steps forward, then lean back so only their shoulders are touching the cassette.
4. 72" SID
5. Central Ray: perpendicular to film.
6. Deep inspiration

*IF PATIENT IS UNABLE TO LEAN BACKWARD, ANGLE TUBE 15-20 DEGREE CEPHALIC.

AP DECUBITUS - TO SHOW FLUID IN DEPENDENT SIDE
1. 14 x 17 film
2. Patient is in a recumbent lateral position (side down as ordered).
3. Have patient raise arms out of chest area.
4. 72" SID
5. Central Ray: perpendicular to film.
6. Deep inspiration

EXPIRATION
Patient positioned the same as PA chest except exposure is made on complete expiration.

45 DEGREE LAO AND 45 DEGREE RAO
1. 14 x 17 film
2. Patient placed in 45 degree LAO or 45 degree RAO position.
3. 72" SID
4. Central Ray: perpendicular to film.
5. Deep inspiration