Chest - Lordotic Right Middle Lobe

Radiographic Positioning

Adult

Other related pages of interest Applied Radiography Radiographic Anatomy Radiographic Protocols

Name of projection	Chest - Lordotic Right Middle Lobe (RML)
Area Covered	The right middle lobe of the lung is the area of particular focus, however include the entire lung fields for comparison
Pathology shown	Collapse and consolidation & various other pathologies
Radiographic Anatomy	Chest Radiographic Anatomy
IR Size & Orientation	35 x 43cm Landscape
Film / Screen Combination	Regular (CR and DR as recommended by manufacturer)
Bucky / Grid	Yes
Filter	No
Exposure	100 kVp 4 mAs
FFD / SID	180 cm
Central Ray	Directed to T7 to include all chest anatomy Perpendicular to the IR
Collimation	Centre: T7 Shutter A: Open to 5cm 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 either AP or PA depending on patient positioning
Shielding	Gonadal (check your department's policy guidelines)
Respiration	On suspended deep inspiration
Positioning	Can be performed AP or PA AP Method Patient is leaning back against the upright bucky at an angle of approximately 45° . centre to include the RML and any other anatomy of interest PA Method Patient is leaning back 45° holding onto the upright bucky/IR centre to include the RML and any other anatomy of interest
Critique PACEMAN	Positioning No rotation as evidenced by the medial ends of the clavicles equidistant from the spine the clavicles are in the same horizontal plane The lungs fields are clear of the scapulae The right middle lobe is shown Area Covered The entire lung fields Collimation Centre: T7 Shutter A: Open to show the entire lungs fields Shutter B:Open to show the lung fields laterally. Exposure There should be adequate exposure so that vascular lungs markings are shown
Special Notes