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skull · Parieto-orbital Oblique

Orbits PA Axial (Rhese)

Patient erect facing IR; chin, cheek and nose resting on IR.

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AI Patient · KV Sir

How to perform this view

  1. 01

    Rest patient's zygoma, nose and chin on IR (three-point landing).

  2. 02

    Rotate MSP 37 deg toward affected side.

  3. 03

    Acanthiomeatal line perpendicular.

  4. 04

    CR to downside orbit.

  5. 05

    Do both sides.

Anatomical & patient position

Patient: Patient erect facing IR; chin, cheek and nose resting on IR.

Part: MSP rotated 37 deg from IR; AML perpendicular.

Central ray & centring point

Perpendicular, through affected orbit.

Exposure factors

kVp

75-80 kVp

mAs

10-15 mAs

SID

100 cm

IR size

18 x 24 cm

Grid

Yes

Respiration

Suspended

Clinical indications

  • Optic canal/foramen
  • Orbital foreign body (metal before MRI)
  • Orbital fractures

Contraindications & precautions

  • Suspected unstable spinal injury - do NOT move neck/spine; use cross-table lateral first and keep collar

Structures shown & evaluation criteria

  • Optic foramen in lower outer quadrant of orbit

Radiology By KV Sir — radiographic positioning for students & technologists.

Educational reference only. Always follow your department protocol & ALARA.