Download - Xray basics by me
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CHEST XRAY BASICS
DR UMAMAHESH MD,FCCP
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Essentials Before Getting Started
Sex of Patient Male Female
Date of examination
Path of x-ray beam PA AP Lateral Lateral Decubitus
Exposure Overexposure Underexposure
Rotation Breath
Inspiration Expiration
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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
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PA VIEW
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PA VIEW
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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
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AP VIEW
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Cxcr4.bmpCxcr4.bmp
AP VIEW
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PA VS AP VIEW
PA Taken in standing or
sitting Scapulae not
overlapping lung fields
Clavicle is not foreshortened
No cardiac magnification
Fundic air bubble seen
AP Taken in supine Scapulae
overlapping lung fields
Clavicle is foreshortened
Cardiac magnification
Fundic air bubble not seen
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PA VS AP
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LATERAL VIEW
Left lateral and right lateral view INDICATIONS:1. Minimal pleural effusion2. Segmental/mediastinal localizations of
lesions of chest
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Lateral
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DECUBITUS VIEW
Right decubitus and Left decubitus views Xray beam focussed perpendicular to
film Indications: 1.Minimal pleural effusion 2.Confirm air fluid levels in lung
itself
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Lateral Decubitus
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Penetration
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Rotation
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Expiration/Inspiration
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Counting the ribs
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HEART
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HILUM
RIGHT HILUM
LEFT HILUM
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ADDITIONAL VIEWS
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EXPIRATORY FILM
TO DETECT UNILATERAL OBSTRUCTIVE EMPHYSEMA
PNEMOTHORAX APPEARS LARGER ON EXPIRATION
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Lordotic view
Used to visualize the apex of the lung, to pick up abnormalities such as a Pancoast tumour.