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spine · Lateral

Thoracic Spine Lateral

Patient in left lateral recumbent, arms raised at right angles.

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AI Patient · KV Sir

How to perform this view

  1. 01

    Lay patient left side down.

  2. 02

    Raise arms to 90 deg.

  3. 03

    Support waist so spine is parallel.

  4. 04

    CR to T7, angle 10-15 deg cephalad if spine not parallel.

  5. 05

    Use breathing technique.

Anatomical & patient position

Patient: Patient in left lateral recumbent, arms raised at right angles.

Part: Spine parallel to table (pad under waist); knees flexed.

Central ray & centring point

Perpendicular to T7 at mid-coronal plane (or 10-15 deg cephalad).

Exposure factors

kVp

80-90 kVp

mAs

30-50 mAs

SID

100 cm

IR size

35 x 43 cm

Grid

Yes

Respiration

Breathing technique (blurs ribs)

Clinical indications

  • Compression fractures
  • Kyphosis, disc space evaluation

Contraindications & precautions

  • Pregnancy (relative) - confirm LMP / 10-day rule, justify exposure and shield where possible
  • Suspected unstable spinal injury - do NOT move neck/spine; use cross-table lateral first and keep collar

Structures shown & evaluation criteria

  • T3-T12 vertebral bodies
  • Intervertebral foramina

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

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