Chest Image evaluation

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  • Chest Evaluation
    • 1. Identifcation
      • Patients full name
    • 6. Image Density
      • The extent of image blackening to see within structures
        • Spinous processes
        • Contrast is still maintained
    • 5. Image Contrast
      • The difference between densities of two adjacent areas
        • Lung markings
        • Trachea
        • Bony details
        • Soft tissues
    • 10. Repeats
      • Diagnostic image?
      • Expiration PA. Lateral, apical or CT?
    • 3. AOI
      • Superior: level of C7
      • Inferior: Costophrenic angles
      • Lateral: lateral chest walls and soft tissue
    • 9. Artefacts and pathology
      • Bra straps.  necklaces and buttons
      • Pneumothorax, pleural effusion, consolidation
    • 8. Collimation
      • Accurate collimation reduces dose
    • 7. Image sharpness
      • Geometric
        • Pneumbra
      • Patient movement
        • Hold rails to stabilise
    • 4. Correct projection
      • Symmetrical clavicles/ no rotation
      • Scapula clear of lung fields
      • Adequate inspiraton
      • 10 posterior ribs or 6 anterior ribs
    • 2. Aspect markers
      • In primary beam or post-processing

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