Xray

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CHEST X RAY

• THE chest x- ray is the commonly performed diagnostic x- ray


examination. A chest x ray produces images of heart , lungs,
airways ,blood vessel and the bones of the spine and chest.

• Imaging with x ray involves exposing a part of the body to a


small dose of ionizing radiation to produce pictures of the
inside of the body .

• A chest x ray is the typically the first imaging test used to


help diagnose the symptoms . Such as breathing diffculities,
a bad or persistance cough , chest pain or injury and fever.
• Different parts of the body absorb the x-rays in varying
degrees. Dense bone absorbs much of the radiation while soft
tissue, such as muscle, fat and organs, allow more of the x-
rays to pass through them.

As a result, bones appear white on the x-ray, soft tissue shows


up in shades of gray and air appears black.

• On a chest x-ray, the ribs and spine will absorb much of the
radiation and appear white or light gray on the image. Lung
tissue absorbs little radiation and will appear dark on the
image
FOUR MAJOR VIEWS OF A CHEST RADIOGRAPH

• POSTERIOR- ANTERIOR(PA)

• LATERAL

• ANTERIOR- POSTERIOR (AP)

• LATERAL-DECUBITUS
• Posterior anterior view is the standard position for obtaining a
routine adult chest radiograph.

• Patient stands upright with the anterior wall of the chest


placed against the front of the film.

• The shoulders are rotated forward enough to touch the film


ensuring that the filmscapula do not obscure a portion of the
lung fields.

• Usually it is taken with the patient in full inspiration.


• Anterior posterior view is immobilized or unable to cooperate
with the PA procedure.

• Film is placed behind the patient back with the patient in


supine position.

• The scapula are usually visible in the lung fields because they
are not rotated out of the view as they are in PA.

• Heart is at a greater distant from the film hence appear more


magnified than in a PA view.
• Lateral position patient stands upright with the left side of the
chest against the film and the arms raised over the head.

• Allows the viewer to see behind the heart and diaphramatic


dome.
• LATERAL DECUBITUS POSITION

• PATIENT LIES ON THE EITHER the right side or left side rather
than in standing position as with a regular lateral radiograph.

• The radiograph is labelled according to the side that is placed


down.
• Benefits

• No radiation remains in a patient's body after an x-ray


examination.
• X-rays usually have no side effects in the typical diagnostic
range for this exam.
• X-ray equipment is relatively inexpensive and widely available
in emergency rooms, physician offices, ambulatory care
centers, nursing homes and other locations, making it
convenient for both patients and physicians.
• Because x-ray imaging is fast and easy, it is particularly useful
in emergency diagnosis and treatment
• Risks

• There is always a slight chance of cancer from excessive


exposure to radiation. However, the benefit of an accurate
diagnosis far outweighs the risk.

• The effective radiation dose for this procedure varies.

• Women should always inform their physician or x-ray


technologist if there is any possibility that they are pregnant

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