Category: Radiographic Positioning Guide

Radiographic positioning guide.

Radiographic Positioning of the Chest

By: CE4RT


This article discusses radiographic positioning of the chest for the Radiologic Technologist (X-Ray Tech).

Chest X-ray Positioning

  • Chest PA
  • Chest Lateral
  • Chest AP Sitting Erect
  • Chest Lateral Sitting Erect
  • Chest AP Supine
  • Chest Apical (Lordotic) AP
  • Chest Lateral Decubitus
  • Chest PA Oblique Projection
  • Chest PA Oblique Projection Moore Method
  • Chest Axiolateral Projection Kurzbauer Method
  • Ribs Oblique AP Standing or Sitting Erect
  • Ribs Oblique AP Supine
  • Chest AP Erect for Infants
  • Chest AP Supine for Infants

Radiologists consider a chest X-ray to be of good quality when the trachea is centered and equidistant from the head of the clavicle on both sides, the spine is visible as a transparent structure through the heart shadow, and there is full inspiratory effort (the right 6th rib is at the midpoint of the hemidiaphragm on that side). A useful search pattern is described by the mnemonic ABCDEF for airways, bones, cardiac silhouette, diaphragm, expanded lungs, and foreign objects.

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