Thoracics and Ribs

Question 1

What are the routine views for thoracics?

Answer 1

AP and lateral

Question 2

What are the two additional thoracic views and when do you take them?

Answer 2

PA chest x-ray if the px is over 50

Lateral chest x-ray if the px is over 60

Question 3

What are the filtrations for the thoracic views?

Answer 3

AP filter top down

Lateral filter bottom up

Question 4

Where will the CR go for thoracic and rib views?

Answer 4

ultimately through T6 but in this region of the body it is easier to place the top of the film first and then align your CR to the film

Question 5

What are the collimation for thoracic AP and lateral films?

Answer 5

AP-7x17

lateral-10x17

Question 6

Where is the film placed for thoracic films?

Answer 6

top of film 1 1/2 inch above VP

Question 7

Lateral thoracic spice CR placement?

Answer 7

place the long axis of the CR an inch behind the humeral head

Question 8

What are the breathing instructions for the thoracic films?

Answer 8

inhale and hold

Question 9

What is the SID placement for the thoracic and rib films?

Answer 9

40”

Question 10

What are the routine views for the thoracic films?

Answer 10

AP or PA unilateral or bilateral above diaphragm or below diaphragm

Question 11

Why would you take an oblique rib film?

Answer 11

allows you to shoot into the concavity and elongates the ribs for better visualization

Question 12

What film would you use to look for a punctured lung?

Answer 12

PA chest xray

Question 13

What is the collimation for rib films?

Answer 13

to film size

Question 14

Where is the film placement for above diaphragm unilateral?

Answer 14

top of film 1 1/2’ above the VP (film is vertical)

Question 15

Where is the film placement below the diaphragm unilateral?

Answer 15

bottom of film at iliac crest (film is vertical)

Question 16

Where is the film placement above the diaphragm bilateral?

Answer 16

top of film is just above shoulders (film is transverse)

Question 17

What are the breathing instructions for above the diaphragm?

Answer 17

inhale and hold

Question 18

What are the breathing instructions for below the diaphragm?

Answer 18

exhale and hold

Question 19

Why is filtration used in thoracic films?

Answer 19

to create consistent radiographic density for anatomy shown

Question 20

Filtration is always placed over what portion of the anatomy?

Answer 20

the thinnest part

Question 21

Where do you measure with the calipers for the AP thoracic views?

Answer 21

over the shoulder, spine to lower 1/3 of the sternum

Question 22

Where is the measurement taken on the px for lateral thoracic views?

Answer 22

measure right to left, axilla to axilla

Question 23

Explain the breathing technique?

Answer 23

patient breathes during exposure to blur ribs
need a min 2 secs exposure
compensate by decreasing the MA