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SJC Zerbe Procedures Semester 2 Unit 2.

Which breathing instruction should be given for a lateral projection of the thoracic spine?

As a rule of thumb, have the patient 'breath in and hold' for any view that should include all 12 thoracic vertebrae. That includes AP and lateral views of the thoracic spine, the AP full spine projection, as well as chest radiographs. The patient should 'breath out and hold' for all other views.

When positioning for an AP thoracic spine image how far above the shoulders should the IR be positioned?

Film holder placement Place the IR behind or underneath the patient. The lengthwise use of the IR can cut off the side borders of the lung fields. The cassette should be adjusted so that the upper border is approximately 1 1/2 to 2 inches (3.8-5 cm) above the shoulders.

Where is a lateral thoracic film centered over?

The thorax is centered on the central ray and to the image receptor anteriorly and posteriorly. For a lateral decubitus chest radiograph, the patient lays on the side (either right or left) with the arms above the head and the chin up. The central ray is centered at the level of the T7 vertebra.