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AP chest x-rays are harder to read than PA x-rays and are therefore generally reserved for situations where it is difficult for the patient to get an ordinary chest x-ray, such as when the patient is bedridden. In this situation, mobile X-ray equipment is used to obtain a lying down chest x-ray (known as a "supine film").
Posterior area of interest - a PA chest X-ray, an AP projection of the ribs, and a 45 degree Posterior Oblique with the side of interest closest to the image receptor. Sternum. The standard projections in the UK are PA chest and lateral sternum. [15] In the US, the two basic projections are a 15 to 20 degree Right Anterior Oblique and a Lateral.
Chest x-ray is the first test done to confirm an excess of pleural fluid. The lateral upright chest x-ray should be examined when a pleural effusion is suspected. In an upright x-ray, 75 mL of fluid blunts the posterior costophrenic angle. Blunting of the lateral costophrenic angle usually requires about 175 mL but may take as much as 500 mL.
Chest radiographs in the lateral decubitus position (with the patient lying on the side of the pleural effusion) are more sensitive and can detect as little as 50 mL of fluid. Between 250 and 600mL of fluid must be present before upright chest X-rays can detect a pleural effusion (e.g., blunted costophrenic angles). [16]
An X-ray of a human chest area, with some structures labeled. The contents of the thorax include the heart and lungs (and the thymus gland); the major and minor pectoral muscles, trapezius muscles, and neck muscle; and internal structures such as the diaphragm, the esophagus, the trachea, and a part of the sternum known as the xiphoid process.
Lateral decubitus views, with the patient lying on their side, can confirm the effusion as it will layer along the lateral chest wall. [ citation needed ] Subpulmonic space refers to the space below the lungs in which the subpulmonic fluid fills.
After positioning in which the patient sits upright with their arms at the side, with the chest clear of clothing, the four stages of the examination can be carried out. In order to listen to the lungs from the back the patient is asked to move their arms forward to prevent the scapulae (shoulder blades) from obstructing the upper lung fields.
Schuller's view is a lateral radiographic view of skull principally used for viewing mastoid cells. [1] The central beam of X-rays passes from one side of the head and is at an angle of 25° caudad to the radiographic plate. This angulation prevents overlap of images of the two mastoid bones. The radiograph for each mastoid is taken separately.