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Age Specific Chest X-Rays

Routine Views: PA (preferred) or AP and Lateral

Distance: Varies (See Below)

Bucky or Grid: Age Specific (See Below)

Imaging Plate: CR Cassettes

NEWBORN TO ONE YEAR OLD:

AP SUPINE—Done at 48" non-bucky.

  • Use a "Tame-em-board" if available. If not, infant should be immobilized using a head sponge and tape with their chin brought up away from their chest. Their arms should be immobilized above their head and their legs should be sandbagged or taped flat. Shield over the lower abdomen and pelvis. 
  • The Central Ray is directed 5° Caudal.
  • The exposure should be made on full inspiration. At least 9 posterior ribs should be demonstrated on the right side. Intervertebral disc spaces should be barely visible for proper exposure.

CROSS-TABLE LATERAL — Done with the infant Supine at 48" non-bucky.

  • Infant should be immobilized as for the AP Supine view either using the "Tame-em-board" or lying on a large block sponge. 
  • The cassette is placed vertically against the infant's left side. Shield over the lower abdomen and pelvis.
  • The Central Ray is perpendicular to the cassette.
  • The exposure is made on full inspiration.

CHILD:

A child can be done either sitting or standing at 72", non-bucky. On the PA view, have them put their hands on their hips and roll their shoulders forward to remove the scapulas from the lung field. Shield over the lower abdomen and pelvis.

  • The Central Ray is perpendicular to the cassette.
  • The exposure is made on full inspiration.

YOUNG ADULT/ADULT:

Done standing whenever possible, but can be done sitting if patient cannot stand. Done at 72". Annotate on the film whether the film was done AP or PA and if it is done anyway other than standing. If the AP is done AP sitting on the cart, the distance is 48". The PA is done with the patient's hands on their hips and their shoulders rolled forward. The Lateral is done with their arms over their heads and grabbing onto their elbows.

  • The PA and Lateral Chest can be done at the upright Bucky in any room.
  • The Central Ray is perpendicular to the cassette and done on the full inspiration. 

Updated 9/21/1999

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