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Chest X-Ray Views and Techniques Guide

This document provides information on how to properly perform and interpret a chest x-ray. It discusses the essential information to document before an x-ray, including patient sex, date, and breath status. It then describes the standard views taken, including posteroanterior (PA), anteroposterior (AP), lateral, and decubitus views. For each view it provides positioning details and clinical indications. Other topics covered include rotation, penetration, counting ribs, and identifying key anatomical structures like the heart and hilum. Additional specialized views are also mentioned.

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110 views23 pages

Chest X-Ray Views and Techniques Guide

This document provides information on how to properly perform and interpret a chest x-ray. It discusses the essential information to document before an x-ray, including patient sex, date, and breath status. It then describes the standard views taken, including posteroanterior (PA), anteroposterior (AP), lateral, and decubitus views. For each view it provides positioning details and clinical indications. Other topics covered include rotation, penetration, counting ribs, and identifying key anatomical structures like the heart and hilum. Additional specialized views are also mentioned.

Uploaded by

EINSTEIN2D
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

CHEST XRAY BASICS

DR UMAMAHESH MD,FCCP
Essentials Before Getting Started

 Sex of Patient  Exposure


 Male  Overexposure
 Female
 Underexposure
 Date of examination  Rotation
 Path of x-ray beam
 Breath
 PA
 Inspiration
 AP
 Lateral  Expiration

 Lateral Decubitus
POSTEROANTERIOR (PA) VIEW

 The standard frontal view of the chest


 Refers to direction of x-ray beam
 Positioning of the patient
 Taken at a distance of SIX FEET
PA VIEW
PA VIEW
ANTEROPOSTERIOR (AP) VIEW

 Patient in supine position


 Used in very sick patients, infants, one who is unable
to sit or stand
 Direction of x-ray beam
 At a distance of 4 feet
 Greater magnification
AP VIEW
AP VIEW
PA VS AP VIEW

 PA  AP
 Taken in standing or sitting  Taken in supine
 Scapulae not overlapping  Scapulae overlapping
lung fields lung fields
 Clavicle is not  Clavicle is foreshortened
foreshortened  Cardiac magnification
 No cardiac magnification  Fundic air bubble not seen
 Fundic air bubble seen
PA VS AP
LATERAL VIEW

 Left lateral and right lateral view


 INDICATIONS:
1. Minimal pleural effusion
2. Segmental/mediastinal localizations of lesions of
chest
Lateral
DECUBITUS VIEW

 Right decubitus and Left decubitus views


 Xray beam focussed perpendicular to film
 Indications:
[Link] pleural effusion
[Link] air fluid levels in lung itself
Lateral Decubitus
Penetration
Rotation
Expiration/Inspiration
Counting the ribs
HEART
HILUM

LEFT HILUM
RIGHT
HILUM
 ADDITIONAL VIEWS
EXPIRATORY FILM

 TO DETECT UNILATERAL OBSTRUCTIVE


EMPHYSEMA
 PNEMOTHORAX APPEARS LARGER ON
EXPIRATION
Lordotic view

 Used to visualize the apex of the lung, to pick up


abnormalities such as a Pancoast tumour.

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