He said he felt fine to stand, but he just needed help to get up. His diagnostic order was for a 2 view chest x-ray and a 4 view right shoulder x-ray. I started with a PA chest followed by a left lateral x-ray. First, I placed a 14 x 17 crosswise digital image cassette into the upright bucky and moved the x-ray tube to a 72 inch SID with the tube head at a 90 degree angle. The exposure was set for 110 kV with 15 mAs and used my left image marker. I then assisted the patient into an erect position asked him to stand with his feet slightly apart facing the upright bucky. In order to insure proper central ray and image receptor alignment I measured with my fingers approximately 8 inches down from his vertebral prominence at the midsagittal plane of his spine. I asked him to roll his shoulders forward and ensured that there was no rotation of his body and that his chin was raised before making the exposure. When making the exposure I asked him to take in 2 full deep breaths and on the last breath to hold it in. The x-ray showed both lungs centered on the radiograph and included the clavicles and diaphragm. The lung apices as well and the costophrenic angles were well demonstrated along with his ribs, heart, and hilum …show more content…
He had the patient stand with his right shoulder against the center of the bucky for an AP projection of his right humerus. The technologist took both external and internal rotation projections. For the external rotation of the humerus the patient slightly abducted his arm and rotated it externally. The central ray was placed 1 inch inferior to his coracoid process. For the internal rotation the patient kept his arm slightly abducted and rotated his arm internally and the central ray was kept in the same location. In the radiographs you were able to identify the clavicle and scapula along with the greater and lesser tubercle. Also the head and proximal end of the humerus and the coracoid process were visualized. Both exposures were taken using a 40 inch SID with 70 kVp and 25 mAs. The patient was asked to hold their breath and not to move during exposure. A lengthwise 14 x 17 digital image cassette was used and collimated down on all four sides to the soft tissue