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Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70.

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Presentation on theme: "Critique of the Sternum and Ribs Chapter 9. Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70."— Presentation transcript:

1 Critique of the Sternum and Ribs Chapter 9

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3 Sternum (RAO) Contrast & density to see jugular notch, manubrium, sternal body, & xiphoid process (60- 70 kVp) This view rotates the sternum from behind the T- spine 30 inch SID/ breathing technique/ 3 to 4 second exposure time Rotation 15-20 degrees, Sternum should be within heart shadow Midsternum in center of field

4 Sternum (lateral) 70 to 75 kVp manubrium, sternal body & xiphoid process seen in profile with no superimposition of the anterior ribs over the sternum Midsternum in center of field Position getting patient in full inspiration

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7 Ribs ( AP & PA) 65 to 70 kVp (upper) 75 to 80 kVp (lower) When fractures occur, other pathology is closely looked for. Pneumothorax, emphysema, rupture of trachea, bronchus, or aorta For lower pathology, kidney, liver, spleen or diaphragm damage For anterior rib pain, do PA projection to place them closer to film/ and vice versa

8 AP or PA of Ribs above diaphragm For AP & PA remove scapula from lung field See 9 posterior ribs above diaphragm 7 th posterior rib in center of field (halfway between jugular notch & xiphoid process) Full inspiration

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10 AP & PA of Ribs below diaphragm 9 th – 12 th posterior ribs seen below diaphragm Use higher kVp to penetrate abdominal tissue 9 th or 10 th posterior rib in center of field halfway between sternum and xiphoid process For hypersthenic patient with short, wide thorax, place lower border of cassette 2 inches above the crest, then center central ray to film

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17 Ribs (anterior & posterior obliques) 65 to 70 kVp upper/ 75 to 80 kVp lower Axillary rib detail is best in posterior oblique / axillary ribs closest to film and better view of sternum Thorax rotated 45 degrees/ the inferior sternum is positioned halfway between the vertebral column and anterior ribs

18 Posterior & Anterior oblique Ribs above & below diaphragm 9 axillary ribs seen/ full inspiration ?7 th axillary rib in center of field Below: 9 th – 12 th axillary ribs seen expiration 9 th or 10 th axillary rib in center of field

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