1. Bony Thorax Ribs & Sternum
Rad Tech 270
Bony Thorax
Ribs
& Sternum

8. Rib Series AP or PA depending on the location of the patient’s pain
Inspiration above diaphragm
Expiration below diaphragm
On initial presentation for trauma you will include a chest film

11. Ribs Cont. Generally, rib obliques are going to be unilateral
An AO or PO oblique again depending of location of pain
Anterior pain, opposite AO oblique
Posterior pain, affected PO oblique

12. LAO
For Rt anterior ribs
RPO
For Rt posterior ribs

13. We are looking from the feet

14. Again we are looking from the feet

15. LAO
For Rt anterior ribs

16. For left posterior ribs
LPO
For left posterior ribs

17. Which oblique do I do?
The Rule is that the spinous process of the thoracic vertebra is always pointing away from the ribs of interest.

18. Pediatric rib fracture

19. Flail chest
At least
2 fractures
In 2 ribs

21. Hemothorax

22. Tension pneumothorax

23. CT tension pneumothorax

24. Bony mets

25. Sternum Series RAO Lateral Breathing technique to minimize rib shadows
30 inch SID is also recommended to help blur the posterior ribs
Lateral

29. This method requires that the patient lean over the table. From
a practical stand point it doesn’t work very well.

38. Multiple myeloma

39. Infected SC joint

40. Metastatic breast cancer