1. Ribs 2012- pt 2 POSITIOINING (review)
PA -anterior side BEST SEEN AP -posterior side BEST SEEN

2. RIBS (Projections & Positions)
Exam done : UNILATERAL or BILATERAL
AD (above diaphram) & BD – (below diaphram) AP
OBLIQUES
LPO
RPO
(May also include PA CHEST for lungs) PA
OBLIQUES
RAO
LAO

3. BEST SEEN - RIBS AP - posterior ribs (AD/BD)
PA - anterior ribs (AD/BD)
OBLIQUES
RAO / LPO :
LT axillary ribs + RT post rib art w/spine
LAO / RPO
RT axillary ribs + LT post rib art w/spine

4. UNIT 3 RT 122 TECHNIQUE CONSIDERATION
RIBS : UNILATERAL OR BILATERAL
SHORT SCALE CONTRAST NEEDED
BONY DETAIL
AD – above diaphram
60 – 70 KVP – INSPIRATION
BD – below diaphram
70 KVP x more mAs (ABD)
EXPIRATION

5. Routine: Bilateral RIBS
Must include : BOTH sides (RT & LT)
TOP & Bottom (AED & BD)
AP or PA
OBLIQUES
LPO (RAO)
RPO (LAO)
(May also include PA CHEST for lungs)
↑ kVp for lungs (90-120)vs kVp bony ribs (60-80)

6. PA for Chest or Bilat RIBS (AD)

7. BILAT – AD (upright)
14 x LW CW
Centering – same as CXR MSP + T 7

8. (AP) BILATERAL - AD

9. Deep Inspiration
Why?

10. INSPIRATION vs EXPIRATION

11. Why do AP vs PA projection?
PA AP

12. BILAT (BD)
11X CW OR x LW Centering – (similar to upper ABD) MSP + L-1 (Bend of Rib)
Top of light 1 – 2 “ above xyphoid Bottom of light 1 – 2 “ below IC

13. OR Upright

14. SUPINE AP BILATERAL RIBS AD BD

15. AD – INSP BD - EXP

16. Position? Demonstrates?
AP Bilat – OBLIQUE (AD)
Position? Demonstrates?
CR ~ ½ way between MSP/MCP (side up) or ~ 2” lat to MSP (side up) & T7 (AD)

17. LAO VS RPO

18. Position? Demonstrates?
Taken “AP”
Position? Demonstrates?

19. PA Bilat – OBLIQUE (AD) Move both arms out of the way
This position not tested in lab

20. BILATERAL OBLIQUES (bd)

21. OBL – BD BILAT VS UNILAT

22. AP- UNILATERAL AD(LEFT) RIBS

23. AP UNILATERAL (LT RIBS) AD BD

24. UNILATERAL – LT RIBS AP AD BD

25. LAO/RPO for the RT RIBS UPSIDE = PA AWAY DOWNSIDE = AP TOWARD (SIDE OF PAIN)

26. LAO VS RPO

27. LPO/RAO – For LEFT Ribs
RAO

28. UNILATERAL (LEFT RIBS) – AD LPO –AXILLARY RPO –LT POST ART

29. LPO vs RAO AD/BD

31. UNILAT – LEFT(LPO) (BD)

32. LPO/RAO – For LEFT Ribs
RAO

33. LPO vs RAO AD/BD