L23- X-ray projection Flashcards
standard chest radiograph
patient standing up
X-ray beam passing throguh the patient from the posterior to the anterior (PA)
Posterior-anterior view X-ray
beam passes through the patient from posterior to anterior
when is anterior-posterior view X-ray used
Sometimes PA projection not possible. This is usually because the patient is too unwell to stand.
Anterior- posterior view x-ray
Beam passes through the patient from posterior to anterior
disadvanatge of AP view
Lower quality than PA images
Image acquired by mobile x-ray unit in resuscitation room
- Scapulae are not retracted laterally and they remain projected over the each lung
- Heart size exaggerated
in PA x-ray the scapulae
are retracted laterally with only a small portion projected over each lung
if cardiothroacic ratio is abnormally check…
that the x-ray is not AP
PA will show the cardiothroacic ratio
is clearly well within normal 50% (unless actual problem)
which x-ray view is standard
posterior anterior (PA)
why is heart magnified by AP projection
heart is an anterior structure within the chest
Magnification is exaggerated by the shorter distance between the X-ray source and the patient when acquiring AP image
if x-ray is not labelled
assume PA
lateral view x-ray
The lateral chest view may be performed as an adjunct to a frontal chest radiograph in cases where there is diagnostic uncertainty.
The lateral chest view examines the
lungs, bony thoracic cavity, mediastinum, and great vessels.