chest · AP Axial (Lordotic)
Chest Apical Lordotic
Patient erect, standing 30 cm in front of IR, leaning back so shoulders touch IR.
Picture unavailable
Generation did not complete. The admin can retry from the Studio.
How to perform this view
- 01
Position patient 30 cm in front of chest stand facing tube.
- 02
Ask patient to lean back until shoulders and neck rest on IR.
- 03
Hands on hips, palms out, shoulders rolled forward.
- 04
Top of IR 7-8 cm above shoulders.
- 05
Centre CR to mid-sternum.
- 06
Expose on full inspiration.
Anatomical & patient position
Patient: Patient erect, standing 30 cm in front of IR, leaning back so shoulders touch IR.
Part: Body arched backward ~45 deg, hands on hips, shoulders rolled forward; MSP centred to IR.
Central ray & centring point
Perpendicular to IR, centred to mid-sternum (or 15-20 deg cephalic if patient cannot lean).
Exposure factors
kVp
110-125 kVp
mAs
3-5 mAs
SID
180 cm
IR size
35 x 43 cm landscape
Grid
Yes
Respiration
Full inspiration
Clinical indications
- Apical TB, Pancoast tumour
- Calcifications/masses hidden behind clavicles
- Right middle lobe collapse
Contraindications & precautions
- Pregnancy (relative) - confirm LMP / 10-day rule, justify exposure and shield where possible
- Weak, elderly or dizzy patients unable to lean back - use cephalic angled AP
Structures shown & evaluation criteria
- Lung apices free of clavicles
- Clavicles projected above apices
- Medial ends of clavicles equidistant from spine