CHEST POSITIONING

PROJECTION

VOLTAGE

INDICATIONS

PA CHEST (Erect)

110-125 Kv

- pleural effusion ,
pneumothroax ,
atelactasis or
signs of infection

CENTRAL
RAY/POINT

Evaluation criteria of a
good image

IR 2 inches
above the
shoulders .

Ten posterior ribs are

visible above the
diaphragm.

CR: 18 cm (female
) and 20 cm (in
male) from
vertebral
prominent (T1)
PA CHEST
(Sitting)

110-125 Kv

same as above

AP CHEST
(supine)

110-125 Kv

-pathology
involving the
diaphragm &
mediastinum or
pleural effusion.

CR: T7 which
is 8-10 cm from
the jugular
notch.
IR : 4-5 cm above
the shoulders .

AP CHEST
(lordotic view)

110-125 Kv

- to R/O
calcifications or
masses beneath
the clavicle.

CR : 9 cm
below the
jugular notch.
patient stands
1 feet away
from the IR &
leaning
backward.
IR is placed 7-8
cm above the
shoulders.

CHEST POSITIONING
Lateral Chest
(erect)

110-125 Kv

-pathology
posterior to the
heart , great
vessels and
sternum.

CR: 8-10 cm from

the jugular notch.

all lung fields from

apices to
costophrenic angles
should be visualized .
the arms should not
be superimposed
over portions of the
lung field .
Sharp radiographic
outlines.
No tilt: thoracic
intervertebral spaces and
foramina are open.

Lateral chest
( sitting)

AP Lateral
decubitus

110-125 Kv

110-125 Kv

(cross table lateral

chest)

same as above.

same as above.

small pleural
effusions , airfluid levels in
the pleural
space

affected side
should be
against the grid
.

- possible
pneumothorax.
R/L anterior
oblique

110-125 Kv

Pathology in the
lung fields ,
trachea ,
mediastinal
structures \contour
of the heart &
great vessels

R/L posterior
Oblique

110-125 Kv

same as above

CR : as above.

CHEST POSITIONING

CHEST POSITIONING