Soft Tissue Neck
ROUTINES: AP and Lateral of the neck--upright or supine. (We can only charge for a 1 view).
FOCAL SPOT: Small
IMAGING PLATE: 10x12 CR cassette
CENTRAL RAY: Perpendicular to the film entering the neck at the level of the thyroid cartilage. Include the entire nasal passage.
- If a child has epiglottitis, placing them in the supine position may cause obstruction so the technologist should find out whether epiglottitis is a concern.
- Patients suspected of epiglottitis:
- Film in upright position, assuming they can sit.
- Chin should be elevated, if possible.
- If the ordering physician or radiologist does not see epiglottitis on the upright film, but desires a better quality film, then a supine film can be obtained as below.
- Patients not suspected of epiglottitis:
- All infants should be done in the supine position. A bolster may be needed behind their shoulders to obtain an extended neck position. If possible, toddlers & older can be done upright. If this cannot be tolerated, a supine film may be taken.
- The chin should be up.
- The shoulders should be pulled down.
- The films should be taken during an inspiration.
- Maximum KVP should be 60 KVP.
- Patient should be mummy wrapped, sandbag on legs.