chest · PA

Chest PA (Erect)

Patient erect, facing the vertical Bucky / chest stand, chin raised and resting on top of IR.

AI Patient · KV Sir

How to perform this view

01
Remove all metal, jewellery and clothing from waist up; give gown.
02
Stand patient facing IR with feet apart for stability.
03
Raise chin and place on top of IR; adjust IR so top is 4-5 cm above shoulders.
04
Place backs of hands on hips, elbows forward; roll shoulders forward against IR.
05
Ensure no rotation - both shoulders equidistant from IR.
06
Centre CR to T7 (inferior angle of scapula), collimate to lung fields.
07
Expose on second full inspiration.

Patient: Patient erect, facing the vertical Bucky / chest stand, chin raised and resting on top of IR.

Part: Mid-sagittal plane (MSP) perpendicular and centred to IR; shoulders rolled forward, backs of hands on hips to move scapulae out of lung fields.

Horizontal, perpendicular to IR, centred at T7 (18-20 cm below vertebra prominens).

kVp

110-125 kVp

mAs

2-4 mAs (AEC: both lateral chambers)

SID

180 cm (72 in) to minimise heart magnification

IR size

35 x 43 cm (14x17 in), portrait or landscape for broad chests

Grid

Yes - high-ratio grid / Bucky (or no grid for small patients)

Respiration

Suspend respiration on second full inspiration

Pregnancy (relative) - confirm LMP / 10-day rule, justify exposure and shield where possible
Haemodynamically unstable or unable-to-stand patient (perform supine/AP alternative instead)
Severe trauma with suspected spinal injury (do supine AP)