Evaluation ( Chest )

• Which of the following must be clearly demonstrated on x-ray projections done using a decubitus position ?

  Patient's arms not visible in the image

  Identification to indicate which decubitus
• What is valid criteria for a lateral chest x-ray ?

  Arms or its soft tissue not overlapping the superior lung

  Costophrenic angles and portions of the apices not obscured by the arms shoulders
• how many ribs should be visible above the diaphragm on the PA projection of the chest ?

  10
• for a PA Oblique projections of the chest , the side of interest is generally the side farther from the IR .
• Which of the following is an effective way to detect rotation of the patient with a PA projection of the chest?

  The asymmetric appearance of the sternoclavicular joints
• Using a lateral decubitus position for patients who are unable to stand upright best demonstrates which of the following pathologic conditions of the chest ?

  Air or Fluid Levels
• What evaluation critiea pertains to the PA projection of the chest ?

  The scapulae should be projected outside the lung fields
• Which evaluation criterion pertains to the lateral projection of the chest ?


  The ribs posterior to the vertebral column should be superimposed
• Which evaluation criterion pertains to the AP axial projection ( Lindbolm method ) , lordotic position of the chest ?

  The ribs should appear distorted
• If a patient is unable to be positioned for the PA Oblique projection in an RAO position , which second projection / position can be used that would produce a very similar image ?

  AP Oblique projection , LPO position
• When viewing PA Oblique chest images taken with the patient in the LAO position, the left lung should be partially superimposed by the spine ?


  True
• The patient's heart will appear larger in the right lateral projection image than in the left lateral projection image ?

  True
• What 5 evaluation criteria that indicate the patient was properly positioned for an AP axial projection ( Lindblom method ) ?


  The clavicles should be located superior to the apices .

  The apices and lungs should be included in their entirety

  The ribs should appear distorted

  The clavicles should be lying horizontal with their sternal ends overlapping only the first or second ribs

  The sternal ends of the clavicles should be equidistant from the vertebral column
• What are 9 evaluation criteria that indicate the patient was properly positioned for a lateral projection ?

  The heart and diaphragm should be seen in sharp outline .

  The sternum should be seen in lateral view without rotation .

  Penetration of lung fields and heart should be clearly seen .

  The ribs posterior to the vertebral column should be superimposed .

  Neither the arm or its soft tissue overlaps the superior lung field.

  The hilum should be seen in the approximate center of the image .

  The thoracic intervertebral spaces should be open .