Chest - Lordotic

Adult

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Name of projection	Chest - Lordotic
Area Covered	Entire lung fields, posterior ribs, clavicles
Pathology shown	Rule out calcifications and masses behind the clavicles
Radiographic Anatomy	Chest Radiographic Anatomy
IR Size & Orientation	35 x 43 cm Portrait
Film / Screen Combination	Regular (CR and DR as recommended by manufacturer)
Bucky / Grid	Moving or Stationary Grid
Filter	No
Exposure	100 kVp 4 mAs
FFD / SID	180 cm
Central Ray	CR perpendicular to IR CR centred to mid sternum (approximately 9cm below sternal notch)
Collimation	Centre: To the midsagittal plane, to T7 Shutter A: Open to 5 cm above the shoulders Shutter B:Open to the level of the acromioclavicular joints (AC joints) laterally. This will include the lung fields laterally.
Markers	Superior and Lateral Marker orientation AP
Shielding	Gonadal (check your department's policy guidelines)
Respiration	On suspended deep inspiration
Positioning	The patient may be standing or sitting with their back to the upright bucky Their back should be 30 cm away from the bucky Centre the midsaggital plane to the midline of the bucky Have the patient lean back so that their shoulders, neck and head are resting on the bucky Adjust the IR to 8 cm above the shoulders
Critique PACEMAN	Positioning Area Covered Collimation Exposure
Special Notes

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