4. RPPI
Is the film centered? Rotation
Is it PA or AP film ? Positioning
Is it exposed properly ? Penetration
Is it a good inspiration film? Inspiration
5. observing the
clavicular heads
determining
whether they are
equal distance from
the spinous process
of the thoracic
vertebral bodies
8. Why do you have to know whether
the film is centered or not ?
Difficult to evaluatethe position of
Mediastinum if the film is not
centered
9. RPPI
Is the film centered? Rotation
Is it PA or AP film ? Positioning
Is it exposed properly ? Penetration
Is it a good inspiration film? Inspiration
10. If the scapulae no longer overlie the lung fields
then the film is PA
If the scapulae overlie the lung fields then the
film is AP
11.
12.
13. Why do you have to know whether
it is PA or AP film?
20. RPPI
Is the film centered? Rotation
Is it PA or AP film ? Positioning
Is it exposed properly ? Penetration
Is it a good inspiration film? Inspiration
21. The thoracic spine
disc spaces
should be barely
visible through the
heart
26. RPPI
Is the film centered? Rotation
Is it PA or AP film ? Positioning
Is it exposed properly ? Penetration
Is it a good inspiration film? Inspiration
27. The
diaphragm
should be
found at about
the level of
the 8th - 10th
posterior rib
or 5th - 6th
anterior rib on
good
inspiration
28. Why Do You Have To Know
Whether
It Is Good Inspiration
Or Poor Inspiration?
35. Compare and
contrast
vascular
markings in
upper vs. lower
lung fields in PA
view
36. List conditions, where vascular markings are
prominent in upper lung fields
• Mitral stenosis
• Congestive heart failure
• Alpha one antitrypsin deficiency
37. Compare and
contrast
vascular
markings in
outer third vs.
inner two thirds
of lungs
38. increased markings in outer third of lung fields?
increased
pulmonary flow
• In:
1. Left to right shunts (ASD, VSD, PDA)
39. increased markings in outer third of lung fields?
• In :
2. Interstitial disease
3. Lymphangitic malignant spread
4. CHF with increased lymphatic flow
46. The upper zone lies
above the anterior
border of the 2nd rib
47. The middle zone lies
between the right
anterior borders of
the 2nd and 4th ribs
48. The lower zone lies
between the right
anterior border of
the 4th rib and the
diaphragm
49. It does not give any
information about the
lobes of the lung
50. Look at the borders of the lesion
• If the lesion is next to a dense (white)
structure then the border between the
lesion and that structure will be lost
75. The heart border should be distinct
If the lung adjacent to the heart is collapsed
then the heart border will appear blurred
Right heart border is Left heart border is
blurred blurred
RML collapse lingular collapse
80. Homogenous Atelectasis Right Upper Lobe
density right
upper lung
field.
Mediastinal
shift to right.
Loss of
silhouette of
ascending
aorta.
Movement of
oblique and
transverse
fissures.